Anil K. Singh, MD, FACG, Board Certified

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Anil K. Singh, MD, FACG



Digestive Care Center

304-424-4330

 

Name_____________________________________

 

You are scheduled for a Colonoscopy / EGD on ___________________________ at

 

Endoscopy Unit, South Tower, Camden Clark Hospital, Parkersburg, WV

 

Call the same day registration 304-424-2778 to schedule your preoperative assessment at least 3-4 days prior to procedure

 

 

Stop the Following Medication ________________On_________________________

Preparation Instruction (Miralax)

 

You need I bottle of Miralax or Glycolax (238 grams), 64 ounces Gatorade , 1 bottle of 10 ounces Magnesium citrate Clear or green only and 2 Dulcolax tablets

 

Avoid eating corn, broccoli, beans, nuts and green vegetables 3 days before the procedure

Stop iron and fiber supplements 5 days before procedure

 

Day before procedure

Clear liquid diet only. This includes Soda, Apple juice, Gatorade, Jell-O, Tea and coffee without milk, Jell-O etc. Avoid red colored liquids or Jell-O

 

Mix the whole bottle of miralax in 64 ounces of Gatorade or clear liquid of your choice and put it in the refrigerator in the morning

 

At 2: 00 PM take 2 Dulcolax tablets

At 4:00 PM start-drinking miralax mixed in Gatorade. Drink 8 ounces of miralax / Gatorade every 15 minutes as tolerated. If you get nauseous you may slow down and start after 15-30 minutes.

 

At 10:00 PM drink one bottle of Magnesium citrate.

 

Day of Procedure

Report to the Hospital 45 minutes before the procedure time.

Stay fasting until the procedure. You may take your blood pressure medications with sips of water. Do not take you diabetes medications until after the procedure.

Procedure times or location may sometimes change. You will be notified of any changes.

 

 

Please notify  3-4 days before procedure, if you are unable to keep this appointment. We reserve the right to charge $200 for procedures cancelled later than 3 business days prior to scheduled procedure date without a valid urgent reason