Please follow these
instructions carefully.
Be aware that if you do NOT
prep as directed your procedure
will be cancelled.
Please call the office
immediately if you did not give
the Scheduler a list of your
current medications, vitamins
and allergies.
NIGHT BEFORE EXAM:
CLEAR LIQUID DIET
ONLY beginning with the
Evening Meal the night before
the examination.
FOODS
ALLOWED ARE AS FOLLOWS:
( Nothing colored red or
purple! )
Clear
Chicken or beef broth. |
Ice
Popsicles (only green or
yellow). |
Soda
( Ginger Ale, 7-Up,
Sprite). |
Plain
Jell-O (only yellow or
green). |
Hard
candy. |
Strained
Fruit Juices. |
Coffee
or Tea
(NO milk/cream or
sugar/sweetener). |
|
DAY OF EXAM:
Take 2 Fleet
enemas 2 hours (half hour
apart) before leaving for
scheduled appointment.
NO breakfast morning of exam.
The above stated measures
must be meticulously adhered to
in order that the bowel is
sufficiently cleaned to permit
an adequate exam.
Please report to our office
on
__________________________________________________
at __________________. Your
appointment will begin at
approximately _______________
.
If you have any questions
about your procedure or
medications, please contact our
office.