Patient name: My Flexible Sigmoidoscopy Prep Calendar Physician: Procedure Date: 7 Days Procedure 5 Days 2 Days 1 Day Prior to Prior to Day! Appt. Prior to Prior to Appt. Appt. Appt. Pick up your Confirm with the Stop eating seeds, To stay hydrated, drink at Please take your bowel prep over person who is nuts, corn, any least 8 glasses of clear morning medications the counter at any providing you a ride vegetables with a liquid in addition to the with a sip of water at pharmacy home. You must skin, and beans. bowel prep least two hours prior -2 Fleet Enemas have a ride home as to your procedure -1 bottle you will be If you use our 6pm- take one bottle of time. Magnesium Citrate receiving sedation patient portal to Magnesium Citrate (NO TAXIS, Lyft, check upcoming Stop drinking all or Uber by appointments 8pm- give yourself one liquids 3 hours before yourself). Please please disregard Fleet enema you are due to arrive inform your escort this information for at the hospital. Stop taking Iron that the visit will your procedure is in Nothing solid after supplements and take 2 ½ -3 hours. our endoscopy suite. midnight. Clear liquids One hour prior to multivitamins. only. your arrival time, If you are unable to give yourself one You may continue make your If you are unable to fleet enema to take your daily appointment please finish your prep or have aspirin call, 603-580-7892. not had a bowel Core movement three hours No chewing gum or Gastroenterology after drinking the hard candy 3 hours requires 72 hours evening dose, call the prior to arrival. notice for hospital at 603.778.7311 cancellations as soon as possible and ask for the GI nurse. Check each box daily to ensure proper prep Helpful Tips Helpful Tips If you are taking blood thinners, such as Coumadin, you will receive additional instructions guided by your prescribing physician. You will need to contact the doctor who prescribes your diabetic medications for pre procedure instructions. The endoscopy suite will call you 10 business days prior to your procedure date to inform you of your arrival time. If you don’t confirm your arrival time within 48 hours of receiving it, you will be rescheduled. Questions may be directed to (603)-580-7892. To decrease discomfort around the perianal region, use wet wipes instead of toilet paper and apply Vaseline or A&D Ointment to the rectum. If you wear contacts, you will be asked to remove them prior to the procedure. You will be asked to remove jewelry before your procedure and you should consider leaving valuables at home. Please check with your insurance carrier regarding their coverage of this procedure, a pre-authorization may be required. .