Ameena Anees, Md

AMEENA ANEES, MD (660) 263-2400 COLYTE PREPARATION FOR COLONOSCOPY INSTRUCTION SHEET

A successful colonoscopy requires that the colon be completely free of all stool material. COLYTE is a product that, when properly taken by mouth, rapidly cleanses the bowel by causing a watery diarrhea. It is formulated so that fluid is not absorbed into the blood stream. The fluid has a salty taste, but it is safe even for people who must control salt intake. Products similar to COLYTE include GO-LYTELY and NU- LYTELY. You MUST drink the ENTIRE gallon of COLYTE solution in 2 to 2 ½ hours to achieve proper cleansing for your examination. If your colon is not clean, the examination may need to be rescheduled and you may have to undergo a second preparation.

5-7 DAYS BEFORE THE EXAMINATION

Stop taking pills containing iron, aspirin, and anti-inflammatory pain medications (such as Motrin, Advil, Nuprin, Ibuprofen, Naprosyn, Feldene, and Clinoril). If you are taking blood thinners, consult your primary care physician regarding specific instructions as to when to stop taking these medications. If you take Coumadin or other blood thinners, please arrive ONE HOUR EARLY before your appointment to allow time for blood to be drawn and results to be obtained. Please notify the Out Patient Endoscopy Center if you have an artificial heart valve , or if you have been told by a previous physician to take antibiotics prior to dental or surgical procedures. You may need to receive antibiotics intravenously prior to your colonoscopy.

YOU MUST ARRANGE FOR A RIDE HOME AFTER YOUR COLONOSCOPY. You should not drive or operate machinery for eight hours after your colonoscopy, because the sedation or anesthetic medication you receive for the examination may temporarily impair your judgment.

ONE DAY BEFORE THE EXAMINATION:

UPON RISING Start clear liquid diet. You may take such items as: water coffee (no milk or cream) Jell-O (NOT RED) tea ( no milk or cream) soda – diet or regular juices-apple, white grape Kool-Aid (NOT RED) popsicle (NOT RED) broth-vegetable, beef, chicken (heat up chicken noodle Soup, then strain out the chicken and noodles and drink the Broth) It is very important to keep yourself well hydrated. Take as much fluid throughout the day as possible. 3 P.M. – 6 P.M. Stop clear liquid diet. During this time period DO NOT eat or drink anything.

6 P.M. – 8:30 P.M. Start the COLYTE solution and drink one 8 ounce glass every 10 Minutes until finished no later than 8:45 P.M. RESERVE 4 CUPS OF THIS MIXTURE TO TAKE IN THE MORNING.

If you experience discomfort, nausea or bloating, stop drinking temporarily until the symptoms disappear, then resume drinking the rest of the mixture.

8:30 P.M. Resume clear liquid diet after drinking COLYTE.

12 MIDNIGHT NOTHING TO EAT OR DRINK AFTER THIS TIME!

DAY OF YOUR EXAM:

4-5 A.M. Drink the remaining 4 cups of the COLYTE solution reserved from the gallon mixture.

6:30 A.M. Medications such as high blood pressure pills and heart pills, as well as seizure medications MAY be taken with a SIP of water. Oral diabetic medications may NOT be taken. If you take insulin injections, you May talk HALF a dose that morning. Please inform us so that we may adjust your Dose or stop the medications altogether.

Please bring with you any asthma inhalers you currently use.

DATE OF APPOINTMENT______

TIME OF APPOINTMENT______Please be sure to arrive at the hospital admission desk 45 minutes Prior to your scheduled time of the test. If you are unable to keep your appointment or wish to change the date, as a courtesy to other patients, we ask that you call (660) 263-2400 and inform us THREE DAYS in advance.

ENDOSCOPY CENTER: Your colonoscopy will be preformed at the Columbia Endoscopy Center, 208 Portland Street, Columbia, MO 65201 Phone: (573) 449-3500

QUESTIONS OR PROBLEMS: If you have questions or problems during office hours, please call (660) 263-2400 and after office hours, please call (660) 263-8400 and have the operator page Dr. Anees.

REMEMBER TO BRING YOUR INSURNACE CARDS AND PHOTO ID WITH YOU