Woodholme Patient Resources

Guides and Instructions for Your Digestive Health

Clear, step-by-step resources to help you prepare for procedures, follow your recommended diet, and understand your results.

ⓘ These are general guides. Always follow the specific instructions given to you by your doctor. When they differ from this page, use your doctor's instructions.

Plain-language explanations of findings your doctor may note during a colonoscopy or upper endoscopy. Your doctor will review your specific results and plan with you.

Woodholme's board-certified gastroenterologists and advanced-practice providers. Tap "Full profile" for the complete bio.

Eric Blum, M.D., M.S.

Eric Blum, M.D., M.S.

Gastroenterology

A Pikesville native who trained in internal medicine at Barnes-Jewish Hospital and completed a GI fellowship at University Hospitals Case Medical Center, along with an M.S. in clinical research. He specializes in Crohn's disease, ulcerative colitis, and microscopic colitis.

Full profile →
Steven Epstein, M.D.

Steven Epstein, M.D.

Gastroenterology

Trained in internal medicine at the University of Maryland and completed a GI fellowship at Emory, with training in interventional endoscopy and hepatology. His interests include IBD, GI cancers, and therapeutic endoscopy.

Full profile →
Agazi Gebreselassie, M.D.

Agazi Gebreselassie, M.D.

Gastroenterology & Advanced Endoscopy

Completed internal medicine and GI/hepatology training at Howard University, with advanced therapeutic endoscopy training at Virginia Tech Carilion. His interests include colon cancer prevention, liver disease, IBD, Barrett's esophagus, ERCP, and endoscopic ultrasound.

Full profile →
Todd D. Heller, M.D., FACP, FACG, FASGE

Todd D. Heller, M.D., FACP, FACG, FASGE

Gastroenterology

A graduate of Albert Einstein College of Medicine who trained at Montefiore and St. Luke's, and a founding physician of Woodholme Gastroenterology. His interests include IBD, interventional biliary endoscopy, and liver disease.

Full profile →
Loc T. Le, M.D., FACG

Loc T. Le, M.D., FACG

Gastroenterology

Completed his residency at Sinai/Johns Hopkins and a GI fellowship at the Medical College of Virginia, with extensive training in therapeutic endoscopy and hepatology. A longtime Baltimore GI leader with a special interest in hepatitis B.

Full profile →
Aminat Oluyemi, M.D.

Aminat Oluyemi, M.D.

Gastroenterology

Completed her internal medicine residency at the University of Maryland and a GI fellowship at Penn State Hershey. Her interests include colon cancer prevention, IBD, esophageal disorders, and liver disease.

Full profile →
Kenolisa Onwueme, M.D., PhD

Kenolisa Onwueme, M.D., PhD

Gastroenterology

Holds M.D. and PhD degrees from Weill Cornell, with internal medicine training at Harvard's Brigham and Women's Hospital and a GI fellowship at Johns Hopkins. His interests include gut infections and motility, diarrhea and constipation, and inflammatory bowel disease.

Full profile →
Damodar Pandey, M.D.

Damodar Pandey, M.D.

Gastroenterology

Completed his GI fellowship at Montefiore Medical Center, where he was recognized for teaching. His interests include colon cancer prevention, GERD, peptic ulcer disease, liver disease, IBD, and bowel-habit disorders.

Full profile →
Calvin Parker, III, M.D., FACG

Calvin Parker, III, M.D., FACG

Gastroenterology

A Baltimore native who served 12 years as a U.S. Army physician, with training in interventional biliary endoscopy. His interests include biliary endoscopy, hepatology, IBD, colorectal cancer, and esophageal disorders.

Full profile →
Jeffrey Schwartz, M.D.

Jeffrey Schwartz, M.D.

Gastroenterology

A graduate of NYU School of Medicine who completed his residency and GI fellowship at Johns Hopkins Bayview. Board-certified in internal medicine and gastroenterology.

Full profile →
Elliot Schwarzenberger, M.D.

Elliot Schwarzenberger, M.D.

Gastroenterology

Completed internal medicine training at Beth Israel and a GI fellowship at Downstate / Long Island College Hospital. His interests include hepatitis and liver disease, IBD, and colon cancer prevention.

Full profile →
Michael S. Siuta, M.D.

Michael S. Siuta, M.D.

Gastroenterology & Advanced Endoscopy

A Baltimore-area native trained at the University of Maryland and the Medical College of Virginia, where he completed an advanced therapeutic endoscopy fellowship as chief fellow. His interests include interventional biliary endoscopy, colorectal cancer, and reflux disease.

Full profile →
Ernest Tsao, M.D., FACG

Ernest Tsao, M.D., FACG

Gastroenterology

Completed internal medicine and GI/hepatology training at Stony Brook. His interests include colorectal and upper-GI cancers, esophageal disorders, interventional biliary endoscopy, and hepatology.

Full profile →
Mfoniso Umoren, M.D.

Mfoniso Daniel Umoren, MD, MHA

Gastroenterology & Advanced Endoscopy

A Georgetown-trained gastroenterologist and advanced endoscopist. Dr. Umoren completed his GI and hepatology fellowship and an advanced interventional endoscopy fellowship at MedStar Georgetown, following internal medicine residency at MedStar Baltimore. His practice focuses on EUS, ERCP, complex stricture dilation and stenting, and advanced polypectomy. He is also active in global health, contributing to international GI endoscopy education.

Arjun Vaid, M.D., MRCP, AGAF

Arjun Vaid, M.D., MRCP, AGAF

Gastroenterology

Earned his medical degree in India and trained in internal medicine in London (MRCP) and at Tufts, followed by a GI/hepatology fellowship at the University of Arkansas. A Fellow of the AGA focused on liver disease, IBD, and colon cancer prevention.

Full profile →
Nauroz Syed, M.D., MHS

Nauroz Syed, M.D., MHS

Gastroenterology & Advanced Endoscopy

Focuses on the comprehensive management of GI disease with a subspecialty interest in pancreaticobiliary disease, performing general and interventional endoscopy. She brings endoscopic ultrasound (EUS) to the Carroll County community for staging GI cancers, evaluating pancreatitis, and pancreatic cancer screening.

Full profile →
April S. Tignor, M.D., MPH

April S. Tignor, M.D., MPH

Gastroenterology & Advanced Endoscopy

A Maryland native who earned her MD at Cornell and completed GI/hepatology fellowship at Harvard's Brigham and Women's, with advanced EUS training at Johns Hopkins (where she served on faculty). Board-certified in Internal Medicine, Gastroenterology, and Hepatology, with expertise across GI and liver disease, IBD, and pancreatic disease.

Full profile →
Alfred Lee-Young, M.D.

Alfred Lee-Young, M.D.

Gastroenterology

A Maryland native and University of Maryland-trained physician who completed his GI fellowship at the University of Connecticut. He has cared for the Carroll County community for over two decades. His interests include therapeutic and biliary endoscopy, hepatology, IBD, and colorectal cancer screening, and he is a Baltimore Magazine “Top Doctor.”

Full profile →
Diana A. Whitehead, M.D.

Diana A. Whitehead, M.D.

Gastroenterology

Completed her GI fellowship with an IBD focus at Dartmouth-Hitchcock, internal medicine residency at Brown, and medical school at SUNY Upstate. She previously founded and directed the Inflammatory Disease Center at GBMC, with a particular interest in ulcerative colitis and Crohn's disease. A Baltimore Magazine “Top Doctor.”

Full profile →
Alexis Gorden McCary, M.D., PhD

Alexis Gorden McCary, M.D., PhD

Gastroenterology & Hepatology

Earned her MD with honors from NYU, trained in internal medicine at NewYork-Presbyterian/Weill Cornell, and completed her GI fellowship at the University of Maryland, where she also earned a PhD in Molecular Medicine. Board-certified in Gastroenterology & Hepatology, Internal Medicine, and Obesity Medicine, with expertise in liver disease and the effect of obesity on the GI system.

Full profile →

Physician Assistants & Nurse Practitioners

Denese A. Gaughan, CRNP

Denese A. Gaughan, CRNP

Nurse Practitioner

Earned her BS in Nursing and a Master of Nursing (Acute Care Nurse Practitioner) from the University of Maryland.

Full profile →
Inna E. Bardoff, CRNP

Inna E. Bardoff, CRNP

Nurse Practitioner

Trained at the University of Maryland and George Washington University; a Certified Adult Nurse Practitioner.

Full profile →
Cherish S. Hannah, PA-C

Cherish S. Hannah, PA-C

Physician Assistant

Earned a biology degree from UMBC and a Master of Science in Physician Assistant Studies from the University of Pittsburgh. A board-certified physician assistant.

Full profile →
Keyonna M. Holmes, CRNP

Keyonna M. Holmes, CRNP

Nurse Practitioner

Earned her BSN and MSN from Coppin State University; a board-certified Family Nurse Practitioner with an extensive nursing background.

Full profile →
Zeev Nemirovsky, CRNP

Zeev Nemirovsky, CRNP

Nurse Practitioner

Earned his BSN from Towson University and an MSN from York College of Pennsylvania; a Certified Adult-Gerontology Nurse Practitioner.

Full profile →
James D. Shaffer, PA-C

James D. Shaffer, PA-C

Physician Assistant

Earned a degree from Penn State and a Master of Health Science with PA certification from Lock Haven University.

Full profile →
Elizabeth George, PA-C

Elizabeth George, PA-C

Physician Assistant

Completed a five-year accelerated Physician Assistant program at King's College in Wilkes-Barre, PA, earning a BS in Medical Studies and a Master of Science in Physician Assistant Studies.

Full profile →
Linda Kelly, CRNP

Linda Kelly, CRNP

Nurse Practitioner

Earned her BSN from Towson University and an MSN from Purdue Global University; a Certified Family Nurse Practitioner.

Full profile →
Young (Chris) Kim, CRNP

Young (Chris) Kim, CRNP

Nurse Practitioner

Earned his BSN from the University of Maryland School of Nursing and an MSN from George Washington University; a board-certified Family Nurse Practitioner.

Full profile →
Destiny Jones, CRNP

Destiny Jones, CRNP

Nurse Practitioner

Earned her BSN and Doctor of Nursing Practice from the University of Maryland School of Nursing; a board-certified Family Nurse Practitioner.

Full profile →
Jennifer Miller, CRNP

Jennifer Miller, CRNP

Nurse Practitioner

Earned her BSN and Doctor of Nursing Practice from the University of Maryland, Baltimore; dual board-certified as an Adult-Gerontology Acute Care Nurse Practitioner and Clinical Nurse Specialist.

Full profile →
Madeline Mendoza, CRNP

Madeline Mendoza, CRNP

Nurse Practitioner

A Certified Registered Nurse Practitioner at Woodholme Gastroenterology.

Full profile →
Carol Kimani, CRNP

Carol Kimani, CRNP

Nurse Practitioner

A Certified Registered Nurse Practitioner at Woodholme Gastroenterology.

Full profile →
Christina DiNatale, CRNP

Christina DiNatale, CRNP

Nurse Practitioner

A Certified Registered Nurse Practitioner at Woodholme Gastroenterology.

Full profile →
Payal Christian, CRNP

Payal Christian, CRNP

Nurse Practitioner

A Certified Registered Nurse Practitioner at Woodholme Gastroenterology.

Full profile →

Ask about your prep, diet, or a diagnosis and I'll share the answer from Woodholme's patient guides. For anything about your own health, symptoms, or medications, please call us at 410.602.7782.

Diet guide

Low FODMAP Diet

FODMAPs are certain carbohydrates that are poorly absorbed and can cause gas, bloating, cramping, and changes in bowel habits. This diet helps identify which foods trigger your symptoms. It works best with the guidance of a registered dietitian.

How it works — three phases

1. Elimination — about 2 to 6 weeks

Remove high-FODMAP foods to calm symptoms. This is not meant to be permanent.

2. Reintroduction — 6 to 8 weeks

Add foods back one group at a time to find your personal triggers and tolerance levels.

3. Personalization — long term

Build a varied, sustainable diet that avoids only the foods that bother you.

Tip: The Monash University FODMAP Diet app is the most reliable reference for portion sizes, since even low-FODMAP foods can become high-FODMAP in large amounts.

During elimination

Foods to enjoy

  • Vegetables: carrot, cucumber, zucchini, bell pepper, spinach, tomato, potato, green beans
  • Fruit: banana (firm), blueberries, strawberries, grapes, orange, kiwi, cantaloupe
  • Protein: eggs, plain chicken, beef, pork, fish, firm tofu
  • Grains: oats, rice, quinoa, corn, gluten-free bread/pasta
  • Dairy alt: lactose-free milk, hard cheeses, almond milk
  • Other: olive oil, most herbs, maple syrup, garlic-infused oil

Foods to limit

  • Vegetables: onion, garlic, cauliflower, mushroom, asparagus, snow peas
  • Fruit: apple, pear, mango, watermelon, cherries, dried fruit
  • Legumes: beans, lentils, chickpeas
  • Grains: wheat and rye in large amounts (bread, pasta)
  • Dairy: regular milk, soft cheese, yogurt, ice cream
  • Sweeteners: honey, high-fructose corn syrup, sorbitol, mannitol, xylitol

Getting the most from it

  • Read labels for hidden FODMAPs — onion and garlic powder are very common.
  • Keep a simple food and symptom diary during all three phases.
  • Don't stay in the elimination phase long-term; the goal is a wider diet, not a permanently restricted one.
  • Ask us for a referral to a registered dietitian who works with FODMAPs.
Procedure preparation

Colonoscopy Preparation

A clean colon is essential for an accurate exam. Find the prep you were prescribed below for step-by-step instructions. If you're not sure which prep you were given, call our office.

Always follow the instructions given to you by our office staff at checkout. If they differ from this page, follow your checkout instructions.Siga siempre las instrucciones que le dio nuestro personal al salir de su cita. Si son diferentes a esta página, siga las instrucciones que le dieron.
Having trouble with your prep?

Choose your prep

Applies to every prep

The days before

  • 1 week before: stop iron pills and phentermine or other weight-loss medications.
  • 3 days before: no raw fruits, nuts, vegetables, or fiber supplements.
  • The day before: after a light, low-fiber breakfast, switch to a clear-liquid-only diet — no solid food. Then follow your prep's schedule below.
  • No red, purple, or blue liquids, gelatin, or ice pops at any point.
  • Keep drinking clear fluids — the prep works better and you'll feel better.

Day of your procedure

  • Arrange a ride. You cannot drive or leave alone after sedation. A responsible adult must take you home.
  • Stop all liquids 4 hours before your arrival time, unless we tell you to take a specific pill with a small sip of water.
Blood thinners — when to stop:
  • Blood thinners — Eliquis (apixaban), Xarelto (rivaroxaban), Pradaxa (dabigatran), and Savaysa (edoxaban): stop 2 days before your procedure. If you have kidney disease, stop 3 days before.
  • Coumadin (warfarin): stop 5 days before your procedure.
  • Plavix (clopidogrel), Brilinta (ticagrelor), and Effient (prasugrel): stop 5 days before your procedure.
  • It is OK to take 81 mg aspirin the day before your procedure.
  • Follow these instructions unless your provider tells you otherwise.
Tell us in advance if you take diabetes medicines or insulin.Anticoagulantes: cuándo suspenderlos:
  • Anticoagulantes — Eliquis (apixabán), Xarelto (rivaroxabán), Pradaxa (dabigatrán) y Savaysa (edoxabán): suspéndalos 2 días antes de su procedimiento. Si tiene enfermedad de los riñones, suspéndalos 3 días antes.
  • Coumadin (warfarina): suspéndalo 5 días antes de su procedimiento.
  • Plavix (clopidogrel), Brilinta (ticagrelor) y Effient (prasugrel): suspéndalos 5 días antes de su procedimiento.
  • Puede tomar aspirina de 81 mg el día antes de su procedimiento.
  • Siga estas indicaciones a menos que su proveedor le indique lo contrario.
Avísenos con anticipación si toma medicamentos para la diabetes o insulina.
You're ready when what you pass is a clear or pale-yellow liquid with no solid pieces.
Your prep schedule depends on your appointment time.
  • Morning appointment (7–11 AM): take your prep in two doses the evening before, at 5:00 PM and 10:00 PM.
  • Afternoon appointment (after 11 AM): take the first dose the evening before and the second dose the morning of your procedure, six hours before your arrival time.
Each prep page below has a Morning and an Afternoon tab.El horario de su preparación depende de la hora de su cita.
  • Cita en la mañana (7–11 a. m.): tome su preparación en dos dosis la noche anterior, a las 5:00 p. m. y a las 10:00 p. m.
  • Cita en la tarde (después de las 11 a. m.): tome la primera dosis la noche anterior y la segunda dosis la mañana de su procedimiento, 6 horas antes de su hora de llegada.
Cada página de preparación tiene una pestaña de Mañana y otra de Tarde.
Colonoscopy prepPreparación para colonoscopia

MiraLAX + Gatorade

Woodholme’s official prep instructions. Choose the tab that matches your appointment time.Instrucciones oficiales de preparación de Woodholme. Elija la pestaña que corresponde a la hora de su cita.

Always follow the instructions given to you by our office staff at checkout. If they differ from this page, follow your checkout instructions.Siga siempre las instrucciones que le dio nuestro personal al salir de su cita. Si son diferentes a esta página, siga las instrucciones que le dieron.

Official instructions: Miralax and Gatorade – Morning Appointment (7–11 AM) Instructions

Medications — please read first

You should STOP Iron tablet 1 week before your procedure.

Phentermine, and other weight reduction medications 1 week before your procedure.

You must notify the office of all prescriptions you are taking. Patients with diabetes or heart disease may need specific instructions. It is critical that you notify the doctor if you take any of the following medications.

  • Blood thinners — Eliquis (apixaban), Xarelto (rivaroxaban), Pradaxa (dabigatran), and Savaysa (edoxaban): stop 2 days before your procedure. If you have kidney disease, stop 3 days before.
  • Coumadin (warfarin): stop 5 days before your procedure.
  • Plavix (clopidogrel), Brilinta (ticagrelor), and Effient (prasugrel): stop 5 days before your procedure.
  • It is OK to take 81 mg aspirin the day before your procedure.
  • Follow these instructions unless your provider tells you otherwise.
  • If you take the medications below for any reason other than cardiac, you should hold for 3 days before your procedure.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

The days before

Do not eat: Raw fruits, nuts, vegetables, or fiber supplements 3 days before your procedure.

Do not chew gum or have hard candy the day of your procedure.

Do not smoke the day of your procedure.

The day before: clear liquids only

You are to have only CLEAR liquids with no Red dye. Clear liquids include: Juices without pulp, water, broth, black coffee, or black tea, and Gatorade. You may have Jell-O, soda, and popsicles so long as they are not colored red.

Do not have: solid foods, milk or milk products.

Taking your prep

The day before your procedure
  • You will need to purchase the following things before your procedure:
    • One bottle (238 grams) of Miralax powder (at the drug store/pharmacy)
    • Two 32 oz bottles of Gatorade (not red).
    • Small box of over the counter Dulcolax Laxatives (you will only need 4 pills)
  • 3:00 pm, take 2 Dulcolax Laxative tablets with a glass of clear fluid.
  • 4:00 pm, drink a second glass of clear fluid. (1 hour from first dose)
  • 5:00 pm, mix the entire container of Miralax with the Gatorade (split between the 2 bottles as evenly as possible- it does not have to be exact).
At 5:00 pm begin drinking one bottle of the Gatorade.
  • Drink an 8oz glass every 15 minutes until gone.
  • Continue to drink clear fluids.
At 10:00 pm begin drinking the second bottle of Gatorade.
  • Drink an 8oz glass every 15 minutes until gone.
  • You may continue clear liquids until 4 hours before your arrival time.

Day of your procedure

  • You may have clear liquids up until 4 hours before procedure.
  • If on blood pressure medications, please take as directed with a small sip of water.
  • Do not take diabetes pills.
  • Decrease your insulin dose by ½.
Important

If you experience vomiting please contact the office or the on call physician.

You MUST have someone drive you home; you will be given intravenous medication to make you drowsy.

Please call us immediately if you have any questions or concerns.

Instrucciones oficiales: MiraLAX y Gatorade: instrucciones para citas en la mañana (7–11 a. m.)

Medicamentos: lea esto primero

Deje de tomar las pastillas de hierro 1 semana antes de su procedimiento.

Deje de tomar fentermina y otros medicamentos para bajar de peso 1 semana antes de su procedimiento.

Debe informar a la oficina de todos los medicamentos recetados que toma. Los pacientes con diabetes o enfermedades del corazón pueden necesitar instrucciones específicas. Es muy importante que le avise al médico si toma alguno de los siguientes medicamentos.

  • Anticoagulantes — Eliquis (apixabán), Xarelto (rivaroxabán), Pradaxa (dabigatrán) y Savaysa (edoxabán): suspéndalos 2 días antes de su procedimiento. Si tiene enfermedad de los riñones, suspéndalos 3 días antes.
  • Coumadin (warfarina): suspéndalo 5 días antes de su procedimiento.
  • Plavix (clopidogrel), Brilinta (ticagrelor) y Effient (prasugrel): suspéndalos 5 días antes de su procedimiento.
  • Puede tomar aspirina de 81 mg el día antes de su procedimiento.
  • Siga estas indicaciones a menos que su proveedor le indique lo contrario.
  • Si toma alguno de los medicamentos siguientes por cualquier motivo que no sea cardíaco, debe suspenderlo 3 días antes de su procedimiento.

bexagliflozina (Brenzavvy), canagliflozina (Invokana), dapagliflozina (Farxiga), empagliflozina (Jardiance), ertugliflozina (Steglatro)

Los días antes

No coma frutas crudas, frutos secos, verduras ni suplementos de fibra 3 días antes de su procedimiento.

No mastique chicle ni coma caramelos duros el día de su procedimiento.

No fume el día de su procedimiento.

El día antes: solo líquidos claros

Solo debe tomar líquidos CLAROS sin colorante rojo. Los líquidos claros incluyen: jugos sin pulpa, agua, caldo, café negro o té negro, y Gatorade. Puede tomar gelatina, refrescos y paletas heladas siempre que no sean de color rojo.

No consuma: alimentos sólidos, leche ni productos lácteos.

Cómo tomar su preparación

El día antes de su procedimiento
  • Antes de su procedimiento necesitará comprar lo siguiente:
    • Un frasco (238 gramos) de MiraLAX en polvo (en la farmacia)
    • Dos botellas de 32 oz de Gatorade (que no sea rojo).
    • Una caja pequeña de laxantes Dulcolax de venta libre (solo necesitará 4 pastillas)
  • 3:00 p.m.: tome 2 tabletas de laxante Dulcolax con un vaso de líquido claro.
  • 4:00 p.m.: tome un segundo vaso de líquido claro (1 hora después de la primera dosis).
  • 5:00 p.m.: mezcle todo el frasco de MiraLAX con el Gatorade (repártalo entre las 2 botellas lo más parejo posible; no tiene que ser exacto).
A las 5:00 p.m. empiece a tomar una botella de Gatorade.
  • Tome un vaso de 8 oz cada 15 minutos hasta terminarla.
  • Siga tomando líquidos claros.
A las 10:00 p.m. empiece a tomar la segunda botella de Gatorade.
  • Tome un vaso de 8 oz cada 15 minutos hasta terminarla.
  • Puede seguir tomando líquidos claros hasta 4 horas antes de su hora de llegada.

El día de su procedimiento

  • Puede tomar líquidos claros hasta 4 horas antes del procedimiento.
  • Si toma medicamentos para la presión arterial, tómelos según las indicaciones con un pequeño sorbo de agua.
  • No tome pastillas para la diabetes.
  • Reduzca su dosis de insulina a la mitad.
Importante

Si tiene vómitos, comuníquese con la oficina o con el médico de guardia.

DEBE tener a alguien que lo lleve a casa; se le administrará un medicamento por vía intravenosa que le dará sueño.

Por favor, llámenos de inmediato si tiene alguna pregunta o inquietud.

Official instructions: Miralax and Gatorade- 5 hour Split Prep Instructions

Medications — please read first

You should STOP Iron tablet 1 week before your procedure.

Phentermine, and other weight reduction medications 1 week before your procedure.

You must notify the office of all prescriptions you are taking. Patients with diabetes or heart disease may need specific instructions. It is critical that you notify the doctor if you take any of the following medications.

  • Blood thinners — Eliquis (apixaban), Xarelto (rivaroxaban), Pradaxa (dabigatran), and Savaysa (edoxaban): stop 2 days before your procedure. If you have kidney disease, stop 3 days before.
  • Coumadin (warfarin): stop 5 days before your procedure.
  • Plavix (clopidogrel), Brilinta (ticagrelor), and Effient (prasugrel): stop 5 days before your procedure.
  • It is OK to take 81 mg aspirin the day before your procedure.
  • Follow these instructions unless your provider tells you otherwise.
  • If you take the medications below for any reason other than cardiac, you should hold for 3 days before your procedure.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

The days before

Do not eat: Raw fruits, nuts, vegetables, or fiber supplements 3 days before your procedure.

Do not chew gum or have hard candy the day of your procedure.

Do not smoke the day of your procedure.

The day before: clear liquids only

You are to have only CLEAR liquids with no Red dye. Clear liquids include: Juices without pulp, water, broth, black coffee, or black tea, and Gatorade. You may have Jell-O, soda, and popsicles so long as they are not colored red.

Do not have: solid foods, milk or milk products.

Taking your prep

The day before your procedure
  • You will need to purchase the following things before your procedure:
    • One bottle (238 grams) of Miralax powder (at the drug store/pharmacy)
    • Two 32 oz bottles of Gatorade (not red).
    • Small box of over the counter Dulcolax Laxatives (you will only need 4 pills)
  • 5pm, take 2 Dulcolax Laxative tablets with a glass of clear fluid.
  • 6pm, drink a second glass of clear fluid. (1 hour from first dose)
  • 7pm, mix the entire container of Miralax with the Gatorade (split between the 2 bottles as evenly as possible- it does not have to be exact).
At 7pm begin drinking one bottle of the Gatorade.
  • Drink an 8oz glass every 15 minutes until gone.
  • Continue to drink clear fluids until midnight.
Six hours before your arrival time, begin drinking second bottle of Gatorade.
  • Drink an 8oz glass every 15 minutes until gone.
  • You may continue clear liquids until 4 hours before your arrival time.

Day of your procedure

  • You may have clear liquids up until 4 hours before procedure.
  • If on blood pressure medications, please take as directed with a small sip of water.
  • Do not take diabetes pills.
  • Decrease your insulin dose by ½.
Important

If you experience vomiting please contact the office or the on call physician.

You MUST have someone drive you home; you will be given intravenous medication to make you drowsy.

Please call us immediately if you have any questions or concerns.

Instrucciones oficiales: Instrucciones de preparación dividida (5 horas) con MiraLAX y Gatorade

Medicamentos: lea esto primero

Deje de tomar las pastillas de hierro 1 semana antes de su procedimiento.

Deje de tomar fentermina y otros medicamentos para bajar de peso 1 semana antes de su procedimiento.

Debe informar a la oficina de todos los medicamentos recetados que toma. Los pacientes con diabetes o enfermedades del corazón pueden necesitar instrucciones específicas. Es muy importante que le avise al médico si toma alguno de los siguientes medicamentos.

  • Anticoagulantes — Eliquis (apixabán), Xarelto (rivaroxabán), Pradaxa (dabigatrán) y Savaysa (edoxabán): suspéndalos 2 días antes de su procedimiento. Si tiene enfermedad de los riñones, suspéndalos 3 días antes.
  • Coumadin (warfarina): suspéndalo 5 días antes de su procedimiento.
  • Plavix (clopidogrel), Brilinta (ticagrelor) y Effient (prasugrel): suspéndalos 5 días antes de su procedimiento.
  • Puede tomar aspirina de 81 mg el día antes de su procedimiento.
  • Siga estas indicaciones a menos que su proveedor le indique lo contrario.
  • Si toma alguno de los medicamentos siguientes por cualquier motivo que no sea cardíaco, debe suspenderlo 3 días antes de su procedimiento.

bexagliflozina (Brenzavvy), canagliflozina (Invokana), dapagliflozina (Farxiga), empagliflozina (Jardiance), ertugliflozina (Steglatro)

Los días antes

No coma frutas crudas, frutos secos, verduras ni suplementos de fibra 3 días antes de su procedimiento.

No mastique chicle ni coma caramelos duros el día de su procedimiento.

No fume el día de su procedimiento.

El día antes: solo líquidos claros

Solo debe tomar líquidos CLAROS sin colorante rojo. Los líquidos claros incluyen: jugos sin pulpa, agua, caldo, café negro o té negro, y Gatorade. Puede tomar gelatina, refrescos y paletas heladas siempre que no sean de color rojo.

No consuma: alimentos sólidos, leche ni productos lácteos.

Cómo tomar su preparación

El día antes de su procedimiento
  • Antes de su procedimiento necesitará comprar lo siguiente:
    • Un frasco (238 gramos) de MiraLAX en polvo (en la farmacia)
    • Dos botellas de 32 oz de Gatorade (que no sea rojo).
    • Una caja pequeña de laxantes Dulcolax de venta libre (solo necesitará 4 pastillas)
  • 5 p.m.: tome 2 tabletas de laxante Dulcolax con un vaso de líquido claro.
  • 6 p.m.: tome un segundo vaso de líquido claro (1 hora después de la primera dosis).
  • 7 p.m.: mezcle todo el frasco de MiraLAX con el Gatorade (repártalo entre las 2 botellas lo más parejo posible; no tiene que ser exacto).
A las 7 p.m. empiece a tomar una botella de Gatorade.
  • Tome un vaso de 8 oz cada 15 minutos hasta terminarla.
  • Siga tomando líquidos claros hasta la medianoche.
6 horas antes de su hora de llegada, empiece a tomar la segunda botella de Gatorade.
  • Tome un vaso de 8 oz cada 15 minutos hasta terminarla.
  • Puede seguir tomando líquidos claros hasta 4 horas antes de su hora de llegada.

El día de su procedimiento

  • Puede tomar líquidos claros hasta 4 horas antes del procedimiento.
  • Si toma medicamentos para la presión arterial, tómelos según las indicaciones con un pequeño sorbo de agua.
  • No tome pastillas para la diabetes.
  • Reduzca su dosis de insulina a la mitad.
Importante

Si tiene vómitos, comuníquese con la oficina o con el médico de guardia.

DEBE tener a alguien que lo lleve a casa; se le administrará un medicamento por vía intravenosa que le dará sueño.

Por favor, llámenos de inmediato si tiene alguna pregunta o inquietud.

Colonoscopy prepPreparación para colonoscopia

PLENVU

Woodholme’s official prep instructions. Choose the tab that matches your appointment time.Instrucciones oficiales de preparación de Woodholme. Elija la pestaña que corresponde a la hora de su cita.

Always follow the instructions given to you by our office staff at checkout. If they differ from this page, follow your checkout instructions.Siga siempre las instrucciones que le dio nuestro personal al salir de su cita. Si son diferentes a esta página, siga las instrucciones que le dieron.

Official instructions: Plenvu Instructions

Medications — please read first

You should STOP Iron tablet 1 week before your procedure.

Phentermine, and other weight reduction medications 1 week before your procedure.

You must notify the office of all prescriptions you are taking. Patients with diabetes or heart disease may need specific instructions. It is critical that you notify the doctor if you take any of the following medications.

  • Blood thinners — Eliquis (apixaban), Xarelto (rivaroxaban), Pradaxa (dabigatran), and Savaysa (edoxaban): stop 2 days before your procedure. If you have kidney disease, stop 3 days before.
  • Coumadin (warfarin): stop 5 days before your procedure.
  • Plavix (clopidogrel), Brilinta (ticagrelor), and Effient (prasugrel): stop 5 days before your procedure.
  • It is OK to take 81 mg aspirin the day before your procedure.
  • Follow these instructions unless your provider tells you otherwise.
  • If you take the medications below for any reason other than cardiac, you should hold for 3 days before your procedure.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

The days before

Do not eat: Raw fruits, nuts, vegetables, or fiber supplements 3 days before your procedure.

Do not chew gum or have hard candy the day of your procedure.

Do not smoke the day of your procedure.

The day before: clear liquids only

You are to have only CLEAR liquids with no Red or Orange dye.

Clear liquids include: apple juice, white grape juice, water, broth, coffee or tea without creamer or milk, and Gatorade. You may have Jell-O, clear sodas (7up, ginger ale, sprite), and popsicles as long as they are not colored red or orange.

Do not have: solid foods, milk or milk products.

Taking your prep

The day before your procedure · Take Dose 1 at 5:00 PM
  1. Use the provided mixing container to mix the contents of the PLENVU pouch labeled Dose 1 with at least 16 ounces of water by shaking or using a spoon until it’s completely dissolved. This may take up to 2 or 3 minutes. slowly drink and finish the dose within 30 minutes.
  2. Refill the same container with at least 16 ounces of clear liquid. Again, take your time and finish all of it within 30 minutes. Continue to drink additional clear liquids between the 2 doses.
Take Dose 2 at 10:00 PM
  1. Use the provided mixing container to mix the contents of PLENVU Dose 2 (Pouch A and Pouch B) with at least 16 ounces of water by shaking or using a spoon until it’s completely dissolved. This may take up to 2 or 3 minutes. Take your time—slowly drink and finish the dose within 30 minutes.
  2. Refill the same container with at least 16 ounces of clear liquid. Again, take your time and slowly finish all of it within 30 minutes. Continue to drink additional clear liquids but be sure to stop drinking liquids at least 4 hours before your colonoscopy.

Day of your procedure

  • You may have clear liquids up until 4 hours before procedure.
  • If on blood pressure, anxiety, seizure or thyroid medications please take as directed with a small sip of water.
  • Do not take diabetes pills.
  • Decrease your insulin dose by ½.
Important

If you experience vomiting please contact the office or the on call physician.

You MUST have someone drive you home; you will be given intravenous medication to make you drowsy.

Please call us immediately if you have any questions or concerns.

Instrucciones oficiales: Instrucciones de Plenvu

Medicamentos: lea esto primero

Deberías DEJAR la pastilla de hierro una semana antes del procedimiento.

Fentermina y otros medicamentos para bajar de peso una semana antes del procedimiento.

Debe notificar a la consulta todas las recetas que está tomando. Los pacientes con diabetes o enfermedades cardíacas pueden necesitar instrucciones específicas. Es fundamental que informe al médico si toma alguno de los siguientes medicamentos.

  • Anticoagulantes — Eliquis (apixabán), Xarelto (rivaroxabán), Pradaxa (dabigatrán) y Savaysa (edoxabán): suspéndalos 2 días antes de su procedimiento. Si tiene enfermedad de los riñones, suspéndalos 3 días antes.
  • Coumadin (warfarina): suspéndalo 5 días antes de su procedimiento.
  • Plavix (clopidogrel), Brilinta (ticagrelor) y Effient (prasugrel): suspéndalos 5 días antes de su procedimiento.
  • Puede tomar aspirina de 81 mg el día antes de su procedimiento.
  • Siga estas indicaciones a menos que su proveedor le indique lo contrario.
  • Si tomas los medicamentos que aparecen a continuación por cualquier motivo que no sea cardíaco, deberías esperar durante 3 días antes del procedimiento.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

Los días antes

No comas: frutas crudas, frutos secos, verduras o suplementos de fibra 3 días antes del procedimiento.

No mastiques chicle ni comas caramelos duros el día del procedimiento.

No fumes el día de tu procedimiento.

El día antes: solo líquidos claros

Solo debes tomar líquidos TRANSPARENTES sin tinte rojo ni naranja.

Los líquidos claros incluyen: zumo de manzana, zumo de uva blanca, agua, caldo, café o té sin nata ni leche, y Gatorade. Puedes tomar gelatina, refrescos transparentes (7up, ginger ale, sprite) y polos siempre que no sean de color rojo o naranja.

No consumas: alimentos sólidos, leche ni productos lácteos.

Cómo tomar su preparación

El día antes de tu procedimiento · Toma la Dosis 1 a las 5:00pm
  1. Utiliza el recipiente de mezcla proporcionado para mezclar el contenido de la bolsa de PLENVU etiquetada como Dosis 1 con al menos 16 onzas de agua agitando o usando una cuchara hasta que esté completamente disuelta. Esto puede tardar hasta 2 o 3 minutos. Bebe despacio y termina la dosis en 30 minutos.
  2. Rellena el mismo recipiente con al menos 16 onzas de líquido transparente. De nuevo, tómate tu tiempo y termina todo en 30 minutos. Sigue bebiendo líquidos transparentes adicionales entre las dos dosis.
Toma la Dosis 2 a las 10:00pm
  1. Utiliza el recipiente de mezcla proporcionado para mezclar el contenido de la Dosis 2 de PLENVU (Bolsa A y Bolsa B) con al menos 16 onzas de agua agitando o usando una cuchara hasta que se disuelva por completo. Esto puede tardar hasta 2 o 3 minutos. Tómate tu tiempo: bebe poco a poco y termina la dosis en 30 minutos.
  2. Rellena el mismo recipiente con al menos 16 onzas de líquido transparente. De nuevo, tómate tu tiempo y termina todo poco a poco en 30 minutos. Sigue bebiendo líquidos transparentes adicionales, pero asegúrate de dejar de beber líquidos al menos 4 horas antes de la colonoscopia.

El día de su procedimiento

  • Puede que tengas líquidos claros hasta 4 horas antes del procedimiento.
  • Si tomas medicación para la tensión, ansiedad, convulsiones o tiroides, tómalos según las indicaciones y un pequeño sorbo de agua.
  • No tomes pastillas para la diabetes.
  • Reduce la dosis de insulina a la mitad.
Importante

Si experimentas vómitos, por favor contacta con la consulta o con el médico de guardia.

DEBES que alguien te lleve a casa; te administrarán medicación intravenosa para que te den sueño.

Por favor, llámanos inmediatamente si tienes alguna pregunta o inquietud.

Official instructions: Plenvu Split Prep Instructions

Medications — please read first

You should STOP Iron tablet 1 week before your procedure.

Phentermine, and other weight reduction medications 1 week before your procedure.

You must notify the office of all prescriptions you are taking. Patients with diabetes or heart disease may need specific instructions. It is critical that you notify the doctor if you take any of the following medications.

  • Blood thinners — Eliquis (apixaban), Xarelto (rivaroxaban), Pradaxa (dabigatran), and Savaysa (edoxaban): stop 2 days before your procedure. If you have kidney disease, stop 3 days before.
  • Coumadin (warfarin): stop 5 days before your procedure.
  • Plavix (clopidogrel), Brilinta (ticagrelor), and Effient (prasugrel): stop 5 days before your procedure.
  • It is OK to take 81 mg aspirin the day before your procedure.
  • Follow these instructions unless your provider tells you otherwise.
  • If you take the medications below for any reason other than cardiac, you should hold for 3 days before your procedure.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

The days before

Do not eat: Raw fruits, nuts, vegetables, or fiber supplements 3 days before your procedure.

Do not chew gum or have hard candy the day of your procedure.

Do not smoke the day of your procedure.

The day before: clear liquids only

You are to have only CLEAR liquids with no Red or Orange dye.

Clear liquids include: apple juice, white grape juice, water, broth, coffee or tea without creamer or milk, and Gatorade. You may have Jell-O, clear sodas (7up, ginger ale, sprite), and popsicles as long as they are not colored red or orange.

Do not have: solid foods, milk or milk products.

Taking your prep

The day before your procedure · Take Dose 1 at 7:00 PM
  1. Use the provided mixing container to mix the contents of the PLENVU pouch labeled Dose 1 with at least 16 ounces of water by shaking or using a spoon until it’s completely dissolved. This may take up to 2 or 3 minutes. slowly drink and finish the dose within 30 minutes.
  2. Refill the same container with at least 16 ounces of clear liquid. Again, take your time and finish all of it within 30 minutes. Continue to drink additional clear liquids between the 2 doses.
The morning of your procedure · Take Dose 2, six hours before your arrival time
  1. Use the provided mixing container to mix the contents of PLENVU Dose 2 (Pouch A and Pouch B) with at least 16 ounces of water by shaking or using a spoon until it’s completely dissolved. This may take up to 2 or 3 minutes. Take your time—slowly drink and finish the dose within 30 minutes.
  2. Refill the same container with at least 16 ounces of clear liquid. Again, take your time and slowly finish all of it within 30 minutes. Continue to drink additional clear liquids but be sure to stop drinking liquids at least 4 hours before your colonoscopy.

Day of your procedure

  • You may have clear liquids up until 4 hours before procedure.
  • If on blood pressure, anxiety, seizure or thyroid medications please take as directed with a small sip of water.
  • Do not take diabetes pills.
  • Decrease your insulin dose by ½.
Important

If you experience vomiting please contact the office or the on call physician.

You MUST have someone drive you home; you will be given intravenous medication to make you drowsy.

Please call us immediately if you have any questions or concerns.

Instrucciones oficiales: Instrucciones de preparación para Plenvu Split

Medicamentos: lea esto primero

Deberías DEJAR la pastilla de hierro una semana antes del procedimiento.

Fentermina y otros medicamentos para bajar de peso una semana antes del procedimiento.

Debe notificar a la consulta todas las recetas que está tomando. Los pacientes con diabetes o enfermedades cardíacas pueden necesitar instrucciones específicas. Es fundamental que informe al médico si toma alguno de los siguientes medicamentos.

  • Anticoagulantes — Eliquis (apixabán), Xarelto (rivaroxabán), Pradaxa (dabigatrán) y Savaysa (edoxabán): suspéndalos 2 días antes de su procedimiento. Si tiene enfermedad de los riñones, suspéndalos 3 días antes.
  • Coumadin (warfarina): suspéndalo 5 días antes de su procedimiento.
  • Plavix (clopidogrel), Brilinta (ticagrelor) y Effient (prasugrel): suspéndalos 5 días antes de su procedimiento.
  • Puede tomar aspirina de 81 mg el día antes de su procedimiento.
  • Siga estas indicaciones a menos que su proveedor le indique lo contrario.
  • Si tomas los medicamentos que aparecen a continuación por cualquier motivo que no sea cardíaco, deberías esperar durante 3 días antes del procedimiento.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

Los días antes

No comas: frutas crudas, frutos secos, verduras o suplementos de fibra 3 días antes del procedimiento.

No mastiques chicle ni comas caramelos duros el día del procedimiento.

No fumes el día de tu procedimiento.

El día antes: solo líquidos claros

Solo debes tomar líquidos TRANSPARENTES sin tinte rojo ni naranja.

Los líquidos claros incluyen: zumo de manzana, zumo de uva blanca, agua, caldo, café o té sin nata ni leche, y Gatorade. Puedes tomar gelatina, refrescos transparentes (7up, ginger ale, sprite) y polos siempre que no sean de color rojo o naranja.

No consumas: alimentos sólidos, leche ni productos lácteos.

Cómo tomar su preparación

El día antes de tu procedimiento · Toma la Dosis 1 a las 07:00 PM
  1. Utiliza el recipiente de mezcla proporcionado para mezclar el contenido de la bolsa de PLENVU etiquetada como Dosis 1 con al menos 16 onzas de agua agitando o usando una cuchara hasta que esté completamente disuelta. Esto puede tardar hasta 2 o 3 minutos. Bebe despacio y termina la dosis en 30 minutos.
  2. Rellena el mismo recipiente con al menos 16 onzas de líquido transparente. De nuevo, tómate tu tiempo y termina todo en 30 minutos. Sigue bebiendo líquidos transparentes adicionales entre las dos dosis.
La mañana de tu procedimiento · Toma la dosis 2 6 horas antes de su hora de llegada
  1. Utiliza el recipiente de mezcla proporcionado para mezclar el contenido de la Dosis 2 de PLENVU (Bolsa A y Bolsa B) con al menos 16 onzas de agua agitando o usando una cuchara hasta que se disuelva por completo. Esto puede tardar hasta 2 o 3 minutos. Tómate tu tiempo: bebe poco a poco y termina la dosis en 30 minutos.
  2. Rellena el mismo recipiente con al menos 16 onzas de líquido transparente. De nuevo, tómate tu tiempo y termina todo poco a poco en 30 minutos. Sigue bebiendo líquidos transparentes adicionales, pero asegúrate de dejar de beber líquidos al menos 4 horas antes de la colonoscopia.

El día de su procedimiento

  • Puede que tengas líquidos claros hasta 4 horas antes del procedimiento.
  • Si tomas medicación para la tensión, ansiedad, convulsiones o tiroides, tómalos según las indicaciones y un pequeño sorbo de agua.
  • No tomes pastillas para la diabetes.
  • Reduce la dosis de insulina a la mitad.
Importante

Si experimentas vómitos, por favor contacta con la consulta o con el médico de guardia.

DEBES que alguien te lleve a casa; te administrarán medicación intravenosa para que te den sueño.

Por favor, llámanos inmediatamente si tienes alguna pregunta o inquietud.

Colonoscopy prepPreparación para colonoscopia

SUTAB

Woodholme’s official prep instructions. Choose the tab that matches your appointment time.Instrucciones oficiales de preparación de Woodholme. Elija la pestaña que corresponde a la hora de su cita.

Always follow the instructions given to you by our office staff at checkout. If they differ from this page, follow your checkout instructions.Siga siempre las instrucciones que le dio nuestro personal al salir de su cita. Si son diferentes a esta página, siga las instrucciones que le dieron.

Official instructions: Sutab Instructions

Medications — please read first

You should STOP Iron tablet 1 week before your procedure.

Phentermine, and other weight reduction medications 1 week before your procedure.

You must notify the office of all prescriptions you are taking. Patients with diabetes or heart disease may need specific instructions. It is critical that you notify the doctor if you take any of the following medications.

  • Blood thinners — Eliquis (apixaban), Xarelto (rivaroxaban), Pradaxa (dabigatran), and Savaysa (edoxaban): stop 2 days before your procedure. If you have kidney disease, stop 3 days before.
  • Coumadin (warfarin): stop 5 days before your procedure.
  • Plavix (clopidogrel), Brilinta (ticagrelor), and Effient (prasugrel): stop 5 days before your procedure.
  • It is OK to take 81 mg aspirin the day before your procedure.
  • Follow these instructions unless your provider tells you otherwise.
  • If you take the medications below for any reason other than cardiac, you should hold for 3 days before your procedure.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

The days before

Do not eat: Raw fruits, nuts, vegetables, or fiber supplements 3 days before your procedure.

Do not chew gum or have hard candy the day of your procedure.

Do not smoke the day of your procedure.

The day before: clear liquids only

You are to have only CLEAR liquids with no Red or Orange dye.

Clear liquids include: apple juice, white grape juice, water, broth, coffee or tea without creamer or milk, and Gatorade. You may have Jell-O, clear sodas (7up, ginger ale, sprite), and popsicles as long as they are not colored red or orange.

Do not have: solid foods, milk or milk products.

Taking your prep

The day before your procedure · Dose 1 – At 5:00 PM

Swallow 1 tablet every 1-2 minutes. You should finish the entire 16 ounces of water within 20 minutes.

Follow with 32 ounces of water.

Dose 2 – At 10:00 PM

Swallow 1 tablet every 1-2 minutes. You should finish the entire 16 ounces of water within 20 minutes.

Follow with 32 ounces of water.

Day of your procedure

  • You may have clear liquids up until 4 hours before procedure.
  • If on blood pressure, anxiety, seizure or thyroid medications please take as directed with a small sip of water.
  • Do not take diabetes pills.
  • Decrease your insulin dose by ½.
Important

If you experience vomiting, please contact the office or the on call physician.

You MUST have someone drive you home; you will be given intravenous medication to make you drowsy.

Please call us immediately if you have any questions or concerns.

Instrucciones oficiales: Instrucciones Sutab

Medicamentos: lea esto primero

Deberías DEJAR la pastilla de hierro una semana antes del procedimiento.

Fentermina y otros medicamentos para bajar de peso una semana antes del procedimiento.

Debe notificar a la consulta todas las recetas que está tomando. Los pacientes con diabetes o enfermedades cardíacas pueden necesitar instrucciones específicas. Es fundamental que informe al médico si toma alguno de los siguientes medicamentos.

  • Anticoagulantes — Eliquis (apixabán), Xarelto (rivaroxabán), Pradaxa (dabigatrán) y Savaysa (edoxabán): suspéndalos 2 días antes de su procedimiento. Si tiene enfermedad de los riñones, suspéndalos 3 días antes.
  • Coumadin (warfarina): suspéndalo 5 días antes de su procedimiento.
  • Plavix (clopidogrel), Brilinta (ticagrelor) y Effient (prasugrel): suspéndalos 5 días antes de su procedimiento.
  • Puede tomar aspirina de 81 mg el día antes de su procedimiento.
  • Siga estas indicaciones a menos que su proveedor le indique lo contrario.
  • Si tomas los medicamentos que aparecen a continuación por cualquier motivo que no sea cardíaco, deberías esperar durante 3 días antes del procedimiento.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

Los días antes

No comas: frutas crudas, frutos secos, verduras o suplementos de fibra 3 días antes del procedimiento.

No mastiques chicle ni comas caramelos duros el día del procedimiento.

No fumes el día de tu procedimiento.

El día antes: solo líquidos claros

Solo debes tomar líquidos claros sin tinte rojo ni naranja.

Los líquidos claros incluyen: zumo de manzana, zumo de uva blanca, agua, caldo, café o té sin crema ni leche, y Gatorade. Puedes tomar gelatina, refrescos transparentes (7up, ginger ale, sprite) y polos siempre que no sean de color rojo o naranja.

No consumas: alimentos sólidos, leche ni productos lácteos.

Cómo tomar su preparación

El día antes de tu procedimiento · Dosis 1 – A las 5:00 PM

Traga 1 pastilla cada 1-2 minutos. Deberías terminar las 16 onzas completas de agua en 20 minutos.

Sigue con 32 onzas de agua.

Dosis 2 – A las 10:00 PM

Traga 1 pastilla cada 1-2 minutos. Deberías terminar las 16 onzas completas de agua en 20 minutos.

Sigue con 32 onzas de agua.

El día de su procedimiento

  • Puede que tengas líquidos claros hasta 4 horas antes del procedimiento.
  • Si tomas medicación para la tensión, ansiedad, convulsiones o tiroides, tómalos según las indicaciones y un pequeño sorbo de agua.
  • No tomes pastillas para la diabetes.
  • Reduce la dosis de insulina a la mitad.
Importante

Si experimentas vómitos, por favor contacta con la consulta o con el médico de guardia.

DEBES que alguien te lleve a casa; te administrarán medicación intravenosa para que te den sueño.

Por favor, llámanos inmediatamente si tienes alguna pregunta o inquietud.

Official instructions: Sutab - Split Prep Instructions

Medications — please read first

You should STOP Iron tablet 1 week before your procedure.

Phentermine, and other weight reduction medications 1 week before your procedure.

You must notify the office of all prescriptions you are taking. Patients with diabetes or heart disease may need specific instructions. It is critical that you notify the doctor if you take any of the following medications.

  • Blood thinners — Eliquis (apixaban), Xarelto (rivaroxaban), Pradaxa (dabigatran), and Savaysa (edoxaban): stop 2 days before your procedure. If you have kidney disease, stop 3 days before.
  • Coumadin (warfarin): stop 5 days before your procedure.
  • Plavix (clopidogrel), Brilinta (ticagrelor), and Effient (prasugrel): stop 5 days before your procedure.
  • It is OK to take 81 mg aspirin the day before your procedure.
  • Follow these instructions unless your provider tells you otherwise.
  • If you take the medications below for any reason other than cardiac, you should hold for 3 days before your procedure.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

The days before

Do not eat: Raw fruits, nuts, vegetables, or fiber supplements 3 days before your procedure.

Do not chew gum or have hard candy the day of your procedure.

Do not smoke the day of your procedure.

The day before: clear liquids only

You are to have only CLEAR liquids with no Red or Orange dye.

Clear liquids include: apple juice, white grape juice, water, broth, coffee or tea without creamer or milk, and Gatorade. You may have Jell-O, clear sodas (7up, ginger ale, sprite), and popsicles as long as they are not colored red or orange.

Do not have: solid foods, milk or milk products.

Taking your prep

Dose 1 - The day before your procedure at 7:00 PM

Swallow 1 tablet every 1-2 minutes. You should finish the entire 16 ounces of water within 20 minutes.

Follow with 32 ounces of water.

Dose 2 - The day of your colonoscopy, six hours before your arrival time

Swallow 1 tablet every 1-2 minutes. You should finish the entire 16 ounces of water within 20 minutes.

Follow with 32 ounces of water.

Day of your procedure

  • You may have clear liquids up until 4 hours before procedure.
  • If on blood pressure, anxiety, seizure or thyroid medications please take as directed with a small sip of water.
  • Do not take diabetes pills.
  • Decrease your insulin dose by ½.
Important

If you experience vomiting please contact the office or the on call physician.

You MUST have someone drive you home; you will be given intravenous medication to make you drowsy.

Please call us immediately if you have any questions or concerns.

Instrucciones oficiales: Sutab - Instrucciones de Preparación Dividida

Medicamentos: lea esto primero

Deberías DEJAR la pastilla de hierro una semana antes del procedimiento.

Fentermina y otros medicamentos para bajar de peso una semana antes del procedimiento.

Debe notificar a la consulta todas las recetas que está tomando. Los pacientes con diabetes o enfermedades cardíacas pueden necesitar instrucciones específicas. Es fundamental que informe al médico si toma alguno de los siguientes medicamentos.

  • Anticoagulantes — Eliquis (apixabán), Xarelto (rivaroxabán), Pradaxa (dabigatrán) y Savaysa (edoxabán): suspéndalos 2 días antes de su procedimiento. Si tiene enfermedad de los riñones, suspéndalos 3 días antes.
  • Coumadin (warfarina): suspéndalo 5 días antes de su procedimiento.
  • Plavix (clopidogrel), Brilinta (ticagrelor) y Effient (prasugrel): suspéndalos 5 días antes de su procedimiento.
  • Puede tomar aspirina de 81 mg el día antes de su procedimiento.
  • Siga estas indicaciones a menos que su proveedor le indique lo contrario.
  • Si tomas los medicamentos que aparecen a continuación por cualquier motivo que no sea cardíaco, deberías esperar durante 3 días antes del procedimiento.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

Los días antes

No comas: frutas crudas, frutos secos, verduras o suplementos de fibra 3 días antes del procedimiento.

No mastiques chicle ni comas caramelos duros el día del procedimiento.

No fumes el día de tu procedimiento.

El día antes: solo líquidos claros

Solo debes tomar líquidos TRANSPARENTES sin tinte rojo ni naranja.

Los líquidos claros incluyen: zumo de manzana, zumo de uva blanca, agua, caldo, café o té sin nata ni leche, y Gatorade. Puedes tomar gelatina, refrescos transparentes (7up, ginger ale, sprite) y polos siempre que no sean de color rojo o naranja.

No consumas: alimentos sólidos, leche ni productos lácteos.

Cómo tomar su preparación

Dosis 1 - El día antes de tu procedimiento a 7:00 PM

Traga 1 pastilla cada 1-2 minutos. Deberías terminar las 16 onzas completas de agua en 20 minutos.

Sigue con 32 onzas de agua.

Dosis 2 - El día de tu colonoscopia, 6 horas antes de su hora de llegada

Traga 1 pastilla cada 1-2 minutos. Deberías terminar las 16 onzas completas de agua en 20 minutos.

Sigue con 32 onzas de agua.

El día de su procedimiento

  • Puede que tengas líquidos claros hasta 4 horas antes del procedimiento.
  • Si tomas medicación para la tensión, ansiedad, convulsiones o tiroides, tómalos según las indicaciones y un pequeño sorbo de agua.
  • No tomes pastillas para la diabetes.
  • Reduce la dosis de insulina a la mitad.
Importante

Si experimentas vómitos, por favor contacta con la consulta o con el médico de guardia.

DEBES que alguien te lleve a casa; te administrarán medicación intravenosa para que te den sueño.

Por favor, llámanos inmediatamente si tienes alguna pregunta o inquietud.

Colonoscopy prepPreparación para colonoscopia

SUPREP

Woodholme’s official prep instructions. Choose the tab that matches your appointment time.Instrucciones oficiales de preparación de Woodholme. Elija la pestaña que corresponde a la hora de su cita.

Always follow the instructions given to you by our office staff at checkout. If they differ from this page, follow your checkout instructions.Siga siempre las instrucciones que le dio nuestro personal al salir de su cita. Si son diferentes a esta página, siga las instrucciones que le dieron.

Official instructions: SuPrep Instructions

Medications — please read first

You should STOP Iron tablet 1 week before your procedure.

Phentermine, and other weight reduction medications 1 week before your procedure.

You must notify the office of all prescriptions you are taking. Patients with diabetes or heart disease may need specific instructions. It is critical that you notify the doctor if you take any of the following medications.

  • Blood thinners — Eliquis (apixaban), Xarelto (rivaroxaban), Pradaxa (dabigatran), and Savaysa (edoxaban): stop 2 days before your procedure. If you have kidney disease, stop 3 days before.
  • Coumadin (warfarin): stop 5 days before your procedure.
  • Plavix (clopidogrel), Brilinta (ticagrelor), and Effient (prasugrel): stop 5 days before your procedure.
  • It is OK to take 81 mg aspirin the day before your procedure.
  • Follow these instructions unless your provider tells you otherwise.
  • If you take the medications below for any reason other than cardiac, you should hold for 3 days before your procedure.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

The days before

Do not eat: Raw fruits, nuts, vegetables, or fiber supplements 3 days before your procedure.

The day before: clear liquids only

YOU WILL BE ON A CLEAR LIQUID ONLY DIET: with no Red or Orange dye.

Clear liquids include: apple juice, white grape juice, water, broth, coffee or tea without creamer or milk, and Gatorade. You may have Jell-O, clear sodas (7up, ginger ale, sprite), and popsicles as long as they are NOT colored red or orange.

DO NOT HAVE SOLID FOODS, CREAM BASED SOUPS, MILK OR MILK PRODUCTS.

Taking your prep

The day before your procedure

BOTH 6-ounce bottles are required to complete prep.

  1. At 5pm complete steps 1-4 using one (1) 6 ounce bottle.
  2. At 10pm repeat steps 1-4 using the other 6 ounce bottle.

STEP 1: Pour ONE (1) 6-ounce bottle of SUPREP liquid into the mixing container.

STEP 2: Add cool drinking water to the 16-ounce line on the container and mix.

NOTE: Be sure to dilute SUPREP as shown at right before you drink it.

STEP 3: Drink ALL the liquid in the container.

STEP 4: You must drink two (2) more 16-ounce containers of water over the

next hour.

Day of your procedure

  • You may have clear liquids up until 4 hours before procedure. Nothing by mouth during the 4 hours before your arrival time.
  • Do not chew gum or have hard candy the day of your procedure.
  • Do not smoke the day of your procedure.
  • If on blood pressure, anxiety, seizure, or thyroid medications please take as directed with a small sip of water.
  • Do not take diabetes pills.
  • Decrease your insulin dose by ½.
  • You MUST have someone drive you home; you will be given intravenous medication to make you drowsy.
Important

If you experience vomiting, please contact the office or the on-call physician.

Please call us immediately if you have any questions or concerns.

Instrucciones oficiales: Instrucciones de SuPrep

Medicamentos: lea esto primero

Pare de tomar la tableta de hierro 1 semana antes de su procedimiento.

Pare de tomar Fentermina y otros medicamentos para bajar de peso 1 semana antes de su procedimiento.

Debe notificar a la oficina de todos los medicamentos que está tomando. Los pacientes con diabetes o enfermedad cardíaca pueden necesitar instrucciones específicas. Es fundamental que nos notifique si toma alguno de los siguientes medicamentos.

  • Anticoagulantes — Eliquis (apixabán), Xarelto (rivaroxabán), Pradaxa (dabigatrán) y Savaysa (edoxabán): suspéndalos 2 días antes de su procedimiento. Si tiene enfermedad de los riñones, suspéndalos 3 días antes.
  • Coumadin (warfarina): suspéndalo 5 días antes de su procedimiento.
  • Plavix (clopidogrel), Brilinta (ticagrelor) y Effient (prasugrel): suspéndalos 5 días antes de su procedimiento.
  • Puede tomar aspirina de 81 mg el día antes de su procedimiento.
  • Siga estas indicaciones a menos que su proveedor le indique lo contrario.

*Si esta tomando bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro) por cualquier motivo que no sea cardíaco, debe parar de tomarlos 3 días antes de su procedimiento.

Los días antes

No coma: Frutas crudas, nueces, verduras o suplementos de fibra 3 días antes de su procedimiento.

No mastique chicle ni coma caramelos duros el día de su procedimiento.

No fume el día de su procedimiento.

El día antes: solo líquidos claros

SEGUIRÁS UNA DIETA DE SOLO LÍQUIDOS CLAROS: sin tinta rojo o naranja.

Los líquidos claros incluyen: jugo de manzana, jugo de uva blanca, agua, caldo, café o té sin crema ni leche, y Gatorade. Puede comer gelatina, refrescos claros (7up, ginger ale, sprite) y paletas heladas siempre que NO sean de color rojo o naranja.

NO CONSUMA ALIMENTOS SÓLIDOS, SOPAS A BASE DE CREMA, LECHE O PRODUCTOS LÁCTEOS.

Cómo tomar su preparación

El día antes de su procedimiento

Se requieren AMBOS frascos de 6 onzas para completar la preparación.

  1. A las 5 p.m., complete los pasos 1-4 con un (1) frasco de 6 onzas.
  2. A las 10 p.m., repita los pasos 1-4 con el otro frasco de 6 onzas.

PASO 1: Vierta UN (1) frasco de 6 onzas de líquido SUPREP en el recipiente para mezclar.

PASO 2: Agregue agua potable fría a la línea de 16 onzas en el recipiente y mezcle.

NOTA: Asegúrese de diluir SUPREP como se muestra a la derecha antes de beberlo.

PASO 3: Debe beber TODO el líquido del recipiente.

PASO 4: Debe beber dos (2) recipientes más de 16 onzas de agua sobre el próxima hora.

El día de su procedimiento

  • Puede tomar líquidos claros hasta 4 horas antes del procedimiento.
  • Si toma medicamentos para la presión arterial, la ansiedad, las convulsiones o la tiroides, tómelo según las indicaciones con un pequeño sorbo de agua.
  • No tome pastillas para la diabetes.
  • Disminuya su dosis de insulina en 1/2.
Importante

Si experimenta vómitos, comuníquese con el consultorio o con el médico de guardia.

Si usa inhaladores, tráigalos con usted el dia de el procedimiento.

DEBE tener a alguien que lo lleve a casa; Se le administrará un medicamento intravenoso para causarle somnolencia.

Por favor, llámenos inmediatamente si tiene alguna pregunta o inquietud.

Official instructions: SuPrep – Split Prep Instructions

Medications — please read first

You should STOP Iron tablet 1 week before your procedure.

Phentermine, and other weight reduction medications 1 week before your procedure.

You must notify the office of all prescriptions you are taking. Patients with diabetes or heart disease may need specific instructions. It is critical that you notify the doctor if you take any of the following medications.

  • Blood thinners — Eliquis (apixaban), Xarelto (rivaroxaban), Pradaxa (dabigatran), and Savaysa (edoxaban): stop 2 days before your procedure. If you have kidney disease, stop 3 days before.
  • Coumadin (warfarin): stop 5 days before your procedure.
  • Plavix (clopidogrel), Brilinta (ticagrelor), and Effient (prasugrel): stop 5 days before your procedure.
  • It is OK to take 81 mg aspirin the day before your procedure.
  • Follow these instructions unless your provider tells you otherwise.
  • If you take the medications below for any reason other than cardiac, you should hold for 3 days before your procedure.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

The days before

Do not eat: Raw fruits, nuts, vegetables, or fiber supplements 3 days before your procedure.

The day before: clear liquids only

YOU WILL BE ON A CLEAR LIQUID ONLY DIET: with no Red or Orange dye.

Clear liquids include: apple juice, white grape juice, water, broth, coffee or tea without creamer or milk, and Gatorade. You may have Jell-O, clear sodas (7up, ginger ale, sprite), and popsicles as long as they are NOT colored red or orange.

DO NOT HAVE SOLID FOODS, CREAM BASED SOUPS, MILK OR MILK PRODUCTS.

Taking your prep

The day before your procedure

BOTH 6-ounce bottles are required to complete prep.

At 7:00pm complete steps 1-4 using one (1) 6-ounce bottle before going to bed.

STEP 1: Pour ONE (1) 6-ounce bottle of SUPREP liquid into the mixing container.

STEP 2: Add cool drinking water to the 16-ounce line on the container and mix.

NOTE: Be sure to dilute SUPREP as shown at right before you drink it.

STEP 3: Drink ALL the liquid in the container.

STEP 4: You must drink two (2) more 16-ounce containers of water over the next 1 hour.

The morning of your procedure

Starting six hours before your arrival time, repeat steps 1-4 listed above using the other 6-ounce bottle. You must drink all 6 ounces in 15 minutes.

Day of your procedure

  • You may have clear liquids up until 4 hours before procedure. Nothing by mouth during the 4 hours before your arrival time.
  • Do not chew gum or have hard candy the day of your procedure.
  • Do not smoke the day of your procedure.
  • If on blood pressure, anxiety, seizure, or thyroid medications please take as directed with a small sip of water.
  • Do not take diabetes pills.
  • Decrease your insulin dose by ½.
  • You MUST have someone drive you home; you will be given intravenous medication to make you drowsy.
Important

If you experience vomiting, please contact the office or the on-call physician.

Please call us immediately if you have any questions or concerns.

Instrucciones oficiales: SuPrep – Instrucciones de preparación dividida

Medicamentos: lea esto primero

Pare de tomar la tableta de hierro 1 semana antes de su procedimiento.

Pare de tomar Fentermina y otros medicamentos para bajar de peso 1 semana antes de su procedimiento.

Debe notificar a la oficina de todos los medicamentos que está tomando. Los pacientes con diabetes o enfermedad cardíaca pueden necesitar instrucciones específicas. Es fundamental que nos notifique si toma alguno de los siguientes medicamentos.

  • Anticoagulantes — Eliquis (apixabán), Xarelto (rivaroxabán), Pradaxa (dabigatrán) y Savaysa (edoxabán): suspéndalos 2 días antes de su procedimiento. Si tiene enfermedad de los riñones, suspéndalos 3 días antes.
  • Coumadin (warfarina): suspéndalo 5 días antes de su procedimiento.
  • Plavix (clopidogrel), Brilinta (ticagrelor) y Effient (prasugrel): suspéndalos 5 días antes de su procedimiento.
  • Puede tomar aspirina de 81 mg el día antes de su procedimiento.
  • Siga estas indicaciones a menos que su proveedor le indique lo contrario.

*Si esta tomando bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro) por cualquier motivo que no sea cardíaco, debe parar de tomarlos 3 días antes de su procedimiento.

Los días antes

No coma: Frutas crudas, nueces, verduras o suplementos de fibra 3 días antes de su procedimiento.

No mastique chicle ni coma caramelos duros el día de su procedimiento.

No fume el día de su procedimiento.

El día antes: solo líquidos claros

SEGUIRÁS UNA DIETA DE SOLO LÍQUIDOS CLAROS: sin tinta rojo o naranja.

Los líquidos claros incluyen: jugo de manzana, jugo de uva blanca, agua, caldo, café o té sin crema ni leche, y Gatorade. Puede comer gelatina, refrescos claros (7up, ginger ale, sprite) y paletas heladas siempre que NO sean de color rojo o naranja.

NO CONSUMA ALIMENTOS SÓLIDOS, SOPAS A BASE DE CREMA, LECHE O PRODUCTOS LÁCTEOS.

Cómo tomar su preparación

El día antes de su procedimiento

Se requieren AMBOS frascos de 6 onzas para completar la preparación.

  1. A las 7:00 p.m., complete los pasos 1-4 con un (1) fracso de 6 onzas antes de acostarse.

PASO 1: Vierta UN (1) frasco de 6 onzas de líquido SUPREP en el recipiente para mezclar.

PASO 2: Agregue agua potable fría a la línea de 16 onzas en el recipiente y mezcle.

NOTA: Asegúrese de diluir SUPREP como se muestra a la derecha antes de beberlo.

PASO 3: Debe beber TODO el líquido del recipiente.

PASO 4: Debe beber dos (2) recipientes más de 16 onzas de agua sobre el

siguiente 1 hora.

La mañana de su procedimiento
  1. A partir de 6 horas antes de su hora de llegada, repita los pasos 1-4 enumerados anteriormente con el otro frasco de 6 onzas.
  2. Debería haber terminado la solución a más tardar 4 horas antes de su hora de llegada.

El día de su procedimiento

Puede tomar líquidos claros hasta 4 horas antes del procedimiento.

  1. Si toma medicamentos para la presión arterial, la ansiedad, las convulsiones o la tiroides, tómelo según las indicaciones con un pequeño sorbo de agua.
  2. No tome pastillas para la diabetes.
  3. Disminuya su dosis de insulina en 1/2.
Importante

Si experimenta vómitos, comuníquese con el consultorio o con el médico de guardia.

Si usa inhaladores, tráigalos con usted el dia de el procedimiento.

DEBE tener a alguien que lo lleve a casa; Se le administrará un medicamento intravenoso para causarle somnolencia.

Por favor, llámenos inmediatamente si tiene alguna pregunta o inquietud.

Colonoscopy prepPreparación para colonoscopia

SUFLAVE

Woodholme’s official prep instructions. Choose the tab that matches your appointment time.Instrucciones oficiales de preparación de Woodholme. Elija la pestaña que corresponde a la hora de su cita.

Always follow the instructions given to you by our office staff at checkout. If they differ from this page, follow your checkout instructions.Siga siempre las instrucciones que le dio nuestro personal al salir de su cita. Si son diferentes a esta página, siga las instrucciones que le dieron.

Official instructions: Suflave Instructions

Medications — please read first

You should STOP Iron tablet 1 week before your procedure.

Phentermine, and other weight reduction medications 1 week before your procedure.

You must notify the office of all prescriptions you are taking. Patients with diabetes or heart disease may need specific instructions. It is critical that you notify the doctor if you take any of the following medications.

  • Blood thinners — Eliquis (apixaban), Xarelto (rivaroxaban), Pradaxa (dabigatran), and Savaysa (edoxaban): stop 2 days before your procedure. If you have kidney disease, stop 3 days before.
  • Coumadin (warfarin): stop 5 days before your procedure.
  • Plavix (clopidogrel), Brilinta (ticagrelor), and Effient (prasugrel): stop 5 days before your procedure.
  • It is OK to take 81 mg aspirin the day before your procedure.
  • Follow these instructions unless your provider tells you otherwise.
  • If you take the medications below for any reason other than cardiac, you should hold for 3 days before your procedure.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

The days before

Do not eat: Raw fruits, nuts, vegetables, or fiber supplements.

The day before: clear liquids only

YOU WILL BE ON A CLEAR LIQUID ONLY DIET: with no Red or Orange dye.

Clear liquids include: apple juice, white grape juice, water, broth, coffee or tea without creamer or milk, and Gatorade. You may have Jell-O, clear sodas (7up, ginger ale, sprite), and popsicles as long as they are NOT colored red or orange.

DO NOT HAVE SOLID FOODS, CREAM BASED SOUPS, MILK OR MILK PRODUCTS.

Taking your prep

The day before your procedure
  1. A total of 2 bottles are required for complete preparation for colonoscopy.
  2. At 5pm complete steps 1-4 using one (1) bottle and one (1) flavor enhancing packet.
  3. At 10pm repeat steps 1-4 using the other bottle and flavor enhancing packet.

STEP 1 Open 1 flavor enhancing packet and pour the contents into 1 bottle.

STEP 2 Fill the provided bottle with lukewarm water up to the fill line. After capping the bottle, gently shake the bottle until all powder has mixed well (dissolved). For best taste, refrigerate the solution for an hour before drinking. Do not freeze. Use within 24 hours.

STEP 3 Drink 8 ounces of solution every 15 minutes until the bottle is empty.

STEP 4 Drink an additional 16 ounces of water during the evening.

Day of your procedure

Do not smoke, chew gum or have hard candy.

You may have clear liquids up until 4 hours before procedure.

  • If on blood pressure, anxiety, seizure, or thyroid medications please take as directed with a small sip of water.
  • Do not take diabetes pills.
  • Decrease your insulin dose by ½.
Important

You MUST have someone drive you home; you will be given intravenous medication to make you drowsy.

If you experience vomiting, please contact the office or the on-call physician.

Please call us immediately if you have any questions or concerns.

Instrucciones oficiales: Instrucciones de Suflave

Medicamentos: lea esto primero

Deberías DEJAR la pastilla de hierro una semana antes del procedimiento.

Fentermina y otros medicamentos para bajar de peso una semana antes del procedimiento.

Debe notificar a la consulta todas las recetas que está tomando. Los pacientes con diabetes o enfermedades cardíacas pueden necesitar instrucciones específicas. Es fundamental que informe al médico si toma alguno de los siguientes medicamentos.

  • Anticoagulantes — Eliquis (apixabán), Xarelto (rivaroxabán), Pradaxa (dabigatrán) y Savaysa (edoxabán): suspéndalos 2 días antes de su procedimiento. Si tiene enfermedad de los riñones, suspéndalos 3 días antes.
  • Coumadin (warfarina): suspéndalo 5 días antes de su procedimiento.
  • Plavix (clopidogrel), Brilinta (ticagrelor) y Effient (prasugrel): suspéndalos 5 días antes de su procedimiento.
  • Puede tomar aspirina de 81 mg el día antes de su procedimiento.
  • Siga estas indicaciones a menos que su proveedor le indique lo contrario.
  • Si tomas los medicamentos que aparecen a continuación por cualquier motivo que no sea cardíaco, deberías esperar durante 3 días antes del procedimiento.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

Los días antes

No comas: frutas crudas, frutos secos, verduras ni suplementos de fibra.

El día antes: solo líquidos claros

ESTARÁS CON UNA DIETA SOLO DE LÍQUIDOS TRANSPARENTES: sin tinte rojo ni naranja.

Los líquidos claros incluyen: zumo de manzana, zumo de uva blanca, agua, caldo, café o té sin nata ni leche, y Gatorade. Puedes tomar gelatina, refrescos transparentes (7up, ginger ale, sprite) y polos siempre que NO sean de color rojo o naranja.

NO CONSUMAS ALIMENTOS SÓLIDOS, SOPAS A BASE DE NATA, LECHE NI PRODUCTOS LÁCTEOS.

Cómo tomar su preparación

El día antes de tu procedimiento
  1. Se requieren un total de 2 frascos para la preparación completa de la colonoscopia.
  2. A las 05:00pm completa los pasos 1-4 usando una (1) botella y un (1) sobre para potenciar el sabor.
  3. A las 10:00pm repite los pasos 1-4 usando la otra botella y el sobre para realzar el sabor.

PASO 1: Abre 1 sobre que realce el sabor y vierte el contenido en una botella.

PASO 2 Llena la botella proporcionada con agua tibia hasta la línea de llenado. Después de tapar la botella, agita suavemente la botella hasta que todo el polvo se haya mezclado bien (disuelto). Para el mejor sabor, refrigera la solución durante una hora antes de beberla. No la congeles. Úsalo en un plazo de 24 horas.

PASO 3: Bebe 8 onzas de solución cada 15 minutos hasta que la botella esté vacía.

PASO 4 Bebe 16 onzas adicionales de agua durante la noche.

El día de su procedimiento

No fumes, no mastiques chicles ni consumas caramelos duros.

Puede que tengas líquidos claros hasta 4 horas antes del procedimiento.

  • Si tomas medicación para la tensión, ansiedad, convulsiones o tiroides, tómalos según las indicaciones con un pequeño sorbo de agua.
  • No tomes pastillas para la diabetes.
  • Reduce la dosis de insulina a la mitad.
Importante

DEBES que alguien te lleve a casa; te administrarán medicación intravenosa para que te den sueño.

Si experimenta vómitos, por favor contacte con la consulta o con el médico de guardia.

Por favor, llámanos inmediatamente si tienes alguna pregunta o inquietud.

Official instructions: Suflave Split Prep Instructions

Medications — please read first

You should STOP Iron tablet 1 week before your procedure.

Phentermine, and other weight reduction medications 1 week before your procedure.

You must notify the office of all prescriptions you are taking. Patients with diabetes or heart disease may need specific instructions. It is critical that you notify the doctor if you take any of the following medications.

  • Blood thinners — Eliquis (apixaban), Xarelto (rivaroxaban), Pradaxa (dabigatran), and Savaysa (edoxaban): stop 2 days before your procedure. If you have kidney disease, stop 3 days before.
  • Coumadin (warfarin): stop 5 days before your procedure.
  • Plavix (clopidogrel), Brilinta (ticagrelor), and Effient (prasugrel): stop 5 days before your procedure.
  • It is OK to take 81 mg aspirin the day before your procedure.
  • Follow these instructions unless your provider tells you otherwise.
  • If you take the medications below for any reason other than cardiac, you should hold for 3 days before your procedure.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

The days before

Do not eat: Raw fruits, nuts, vegetables, or fiber supplements.

The day before: clear liquids only

YOU WILL BE ON A CLEAR LIQUID ONLY DIET: with no Red or Orange dye.

Clear liquids include: apple juice, white grape juice, water, broth, coffee or tea without creamer or milk, and Gatorade. You may have Jell-O, clear sodas (7up, ginger ale, sprite), and popsicles as long as they are NOT colored red or orange.

DO NOT HAVE SOLID FOODS, CREAM BASED SOUPS, MILK OR MILK PRODUCTS.

Taking your prep

The day before your procedure
  1. A total of 2 bottles are required for complete preparation for colonoscopy.
  2. At 7:00pm complete steps 1-4 using one (1) bottle and one (1) flavor enhancing packet.

STEP 1 Open 1 flavor enhancing packet and pour the contents into 1 bottle.

STEP 2 Fill the provided bottle with lukewarm water up to the fill line. After capping the bottle, gently shake the bottle until all powder has mixed well (dissolved). For best taste, refrigerate the solution for an hour before drinking. Do not freeze. Use within 24 hours.

STEP 3 Drink 8 ounces of solution every 15 minutes until the bottle is empty.

STEP 4 Drink an additional 16 ounces of water during the evening.

The morning of your procedure
  1. Starting six hours before your arrival time, repeat steps 1-4 using the other bottle and flavor enhancing packet.

Day of your procedure

Do not smoke, chew gum or have hard candy.

You may have clear liquids up until 4 hours before procedure.

  • If on blood pressure, anxiety, seizure, or thyroid medications please take as directed with a small sip of water.
  • Do not take diabetes pills.
  • Decrease your insulin dose by ½.
Important

You MUST have someone drive you home; you will be given intravenous medication to make you drowsy.

If you experience vomiting, please contact the office or the on-call physician.

Please call us immediately if you have any questions or concerns.

Instrucciones oficiales: Instrucciones de preparación para Suflave Split

Medicamentos: lea esto primero

Deberías DEJAR la pastilla de hierro una semana antes del procedimiento.

Fentermina y otros medicamentos para bajar de peso una semana antes del procedimiento.

Debe notificar a la consulta todas las recetas que está tomando. Los pacientes con diabetes o enfermedades cardíacas pueden necesitar instrucciones específicas. Es fundamental que informe al médico si toma alguno de los siguientes medicamentos.

  • Anticoagulantes — Eliquis (apixabán), Xarelto (rivaroxabán), Pradaxa (dabigatrán) y Savaysa (edoxabán): suspéndalos 2 días antes de su procedimiento. Si tiene enfermedad de los riñones, suspéndalos 3 días antes.
  • Coumadin (warfarina): suspéndalo 5 días antes de su procedimiento.
  • Plavix (clopidogrel), Brilinta (ticagrelor) y Effient (prasugrel): suspéndalos 5 días antes de su procedimiento.
  • Puede tomar aspirina de 81 mg el día antes de su procedimiento.
  • Siga estas indicaciones a menos que su proveedor le indique lo contrario.
  • Si tomas los medicamentos que aparecen a continuación por cualquier motivo que no sea cardíaco, deberías esperar durante 3 días antes del procedimiento.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

Los días antes

No comas: frutas crudas, frutos secos, verduras ni suplementos de fibra.

El día antes: solo líquidos claros

ESTARÁS CON UNA DIETA SOLO DE LÍQUIDOS TRANSPARENTES: sin tinte rojo ni naranja.

Los líquidos claros incluyen: zumo de manzana, zumo de uva blanca, agua, caldo, café o té sin nata ni leche, y Gatorade. Puedes tomar gelatina, refrescos transparentes (7up, ginger ale, sprite) y polos siempre que NO sean de color rojo o naranja.

NO CONSUMAS ALIMENTOS SÓLIDOS, SOPAS A BASE DE NATA, LECHE NI PRODUCTOS LÁCTEOS.

Cómo tomar su preparación

El día antes de tu procedimiento
  1. Se requieren un total de 2 frascos para la preparación completa de la colonoscopia.
  2. A las 7:00pm completad los pasos 1-4 usando una (1) botella y un (1) paquete para potenciar el sabor.

PASO 1: Abre 1 sobre que realce el sabor y vierte el contenido en una botella.

PASO 2 Llena la botella proporcionada con agua tibia hasta la línea de llenado. Después de tapar la botella, agita suavemente la botella hasta que todo el polvo se haya mezclado bien (disuelto). Para el mejor sabor, refrigera la solución durante una hora antes de beberla. No la congeles. Úsalo en un plazo de 24 horas.

PASO 3: Bebe 8 onzas de solución cada 15 minutos hasta que la botella esté vacía.

PASO 4 Bebe 16 onzas adicionales de agua durante la noche.

La mañana de tu procedimiento
  1. A partir de 6 horas antes de su hora de llegada, repite los pasos 1-4 usando la otra botella y el sobre para realzar el sabor.

El día de su procedimiento

No fumes, no mastiques chicles ni consumas caramelos duros.

Puede que tengas líquidos claros hasta 4 horas antes del procedimiento.

  • Si tomas medicación para la tensión, ansiedad, convulsiones o tiroides, tómalos según las indicaciones con un pequeño sorbo de agua.
  • No tomes pastillas para la diabetes.
  • Reduce la dosis de insulina a la mitad.
Importante

DEBES que alguien te lleve a casa; te administrarán medicación intravenosa para que te den sueño.

Si experimenta vómitos, por favor contacte con la consulta o con el médico de guardia.

Por favor, llámanos inmediatamente si tienes alguna pregunta o inquietud.

Colonoscopy prep

MoviPrep

A two-liter split-dose solution, plus extra clear liquid. Standard template below.

Reminder: follow the low-fiber, then clear-liquid diet on the main prep page first.

Mixing

For each liter, empty one Pouch A and one Pouch B into the container and add water to the 1-liter line. Stir until dissolved and chill. You'll make two liters total.

Split-dose schedule

Evening before — around 5:00 PM

Drink the first liter — 8 oz every 15 minutes — then at least 16 oz of additional clear liquid.

Day of — 5 to 6 hours before

Drink the second liter the same way, plus 16 oz clear liquid. Finish 4 hours before arrival.

Colonoscopy prepPreparación para colonoscopia

CLENPIQ

Woodholme’s official prep instructions. Choose the tab that matches your appointment time.Instrucciones oficiales de preparación de Woodholme. Elija la pestaña que corresponde a la hora de su cita.

Always follow the instructions given to you by our office staff at checkout. If they differ from this page, follow your checkout instructions.Siga siempre las instrucciones que le dio nuestro personal al salir de su cita. Si son diferentes a esta página, siga las instrucciones que le dieron.

Official instructions: Clenpiq Instructions

Medications — please read first

You should STOP Iron tablet 1 week before your procedure.

Phentermine, and other weight reduction medications 1 week before your procedure.

You must notify the office of all prescriptions you are taking. Patients with diabetes or heart disease may need specific instructions. It is critical that you notify the doctor if you take any of the following medications.

  • Blood thinners — Eliquis (apixaban), Xarelto (rivaroxaban), Pradaxa (dabigatran), and Savaysa (edoxaban): stop 2 days before your procedure. If you have kidney disease, stop 3 days before.
  • Coumadin (warfarin): stop 5 days before your procedure.
  • Plavix (clopidogrel), Brilinta (ticagrelor), and Effient (prasugrel): stop 5 days before your procedure.
  • It is OK to take 81 mg aspirin the day before your procedure.
  • Follow these instructions unless your provider tells you otherwise.
  • If you take the medications below for any reason other than cardiac, you should hold for 3 days before your procedure.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

The days before

Do not eat: Raw fruits, nuts, vegetables, or fiber supplements 3 days before your procedure.

Do not chew gum or have hard candy the day of your procedure.

Do not smoke the day of your procedure.

The day before: clear liquids only

You are to have only CLEAR liquids with no Red or Orange dye.

Clear liquids include: apple juice, white grape juice, water, broth, coffee or tea without creamer or milk, and Gatorade. You may have Jell-O, clear sodas (7up, ginger ale, sprite), and popsicles as long as they are not colored red or orange.

Do not have: solid foods, milk or milk products.

Taking your prep

The day before your procedure · Dose 1- At 5:00pm drink one bottle of Clenpiq right from the bottle.

Drink 5 cups (8 oz each) of clear liquids. Finish liquids over the next 5 hours.

Dose 2- At 10:00pm drink one bottle of Clenpiq right from the bottle.

Drink 3 cups (8 oz each) of clear liquids. Finish liquids over the next 5 hours.

Day of your procedure

  • You may have clear liquids up until 4 hours before procedure.
  • If on blood pressure, anxiety, seizure, or thyroid medications please take as directed with a small sip of water (at least 2hrs before the procedure).
  • Do not take diabetes pills.
  • Decrease your insulin dose by ½.
  • If you use inhalers for asthma or COPD, bring them with you.
Important

If you experience vomiting, please contact the office or the on-call physician.

You MUST have someone drive you home; you will be given intravenous medication to make you drowsy.

Please call us immediately if you have any questions or concerns.

Instrucciones oficiales: Clenpiq Instructions

Medicamentos: lea esto primero

Deberías DEJAR la pastilla de hierro una semana antes del procedimiento.

Fentermina y otros medicamentos para bajar de peso una semana antes del procedimiento.

Debes notificar a la oficina de todas las recetas que tomes. Los pacientes con diabetes o enfermedades cardíacas pueden necesitar instrucciones específicas. Es fundamental que avises al médico si tomas alguno de los siguientes medicamentos.

  1. Anticoagulantes — Eliquis (apixabán), Xarelto (rivaroxabán), Pradaxa (dabigatrán) y Savaysa (edoxabán): suspéndalos 2 días antes de su procedimiento. Si tiene enfermedad de los riñones, suspéndalos 3 días antes.
  2. Coumadin (warfarina): suspéndalo 5 días antes de su procedimiento.
  3. Plavix (clopidogrel), Brilinta (ticagrelor) y Effient (prasugrel): suspéndalos 5 días antes de su procedimiento.
  4. Puede tomar aspirina de 81 mg el día antes de su procedimiento.
  5. Siga estas indicaciones a menos que su proveedor le indique lo contrario.
  6. Si tomas los medicamentos que aparecen a continuación por cualquier motivo que no sea cardíaco, deberías esperar durante 3 días antes del procedimiento.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

Los días antes

No comas: frutas crudas, frutos secos, verduras o suplementos de fibra 3 días antes del procedimiento.

No mastiques chicle ni comas caramelos duros el día del procedimiento.

No fumes el día de tu procedimiento.

El día antes: solo líquidos claros

Solo debes tomar líquidos TRANSPARENTES sin tinte rojo ni naranja.

Los líquidos claros incluyen: zumo de manzana, zumo de uva blanca, agua, caldo, café o té sin nata ni leche, y Gatorade. Puedes tomar gelatina, refrescos transparentes (7up, ginger ale, sprite) y polos siempre que no sean de color rojo o naranja.

No consumas: alimentos sólidos, leche ni productos lácteos.

Cómo tomar su preparación

El día antes de tu procedimiento · Dosis 1 - A las 05:00pm bebe una botella de Clenpiq directamente de la botella.

Bebe 5 tazas (8 oz cada una) de líquidos claros. Termina los líquidos en las próximas 5 horas.

Dosis 2 - A las 10:00pm bebe una botella de Clenpiq directamente de la botella.

Bebe 3 tazas (8 oz cada una) de líquidos transparentes.

El día de su procedimiento

  1. Puede que tengas líquidos claros hasta 4 horas antes del procedimiento. DEJA de beber 4 horas antes de su hora de llegada, incluso agua.
  2. DEBES que alguien te lleve a casa; Te recetarán medicación intravenosa para que te den sueño.
  3. Si tomas medicación para la tensión, ansiedad, convulsiones o tiroides, tómalos según las indicaciones con un pequeño sorbo de agua (al menos 2 horas antes del procedimiento).
  4. No tomes pastillas para la diabetes.
  5. Reduce la dosis de insulina a la mitad.
  6. Si usas inhaladores para el asma o la EPOC, llévatelos contigo.
Importante

Si experimenta vómitos, por favor contacte con la consulta o con el médico de guardia.

Por favor, llámanos inmediatamente si tienes alguna pregunta o inquietud.

Official instructions: Clenpiq Split Prep Instructions

Medications — please read first

You should STOP Iron tablet 1 week before your procedure.

Phentermine, and other weight reduction medications 1 week before your procedure.

You must notify the office of all prescriptions you are taking. Patients with diabetes or heart disease may need specific instructions. It is critical that you notify the doctor if you take any of the following medications.

  • Blood thinners — Eliquis (apixaban), Xarelto (rivaroxaban), Pradaxa (dabigatran), and Savaysa (edoxaban): stop 2 days before your procedure. If you have kidney disease, stop 3 days before.
  • Coumadin (warfarin): stop 5 days before your procedure.
  • Plavix (clopidogrel), Brilinta (ticagrelor), and Effient (prasugrel): stop 5 days before your procedure.
  • It is OK to take 81 mg aspirin the day before your procedure.
  • Follow these instructions unless your provider tells you otherwise.
  • If you take the medications below for any reason other than cardiac, you should hold for 3 days before your procedure.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

The days before

Do not eat: Raw fruits, nuts, vegetables, or fiber supplements 3 days before your procedure.

Do not chew gum or have hard candy the day of your procedure.

Do not smoke the day of your procedure.

The day before: clear liquids only

You are to have only CLEAR liquids with no Red or Orange dye.

Clear liquids include: apple juice, white grape juice, water, broth, coffee or tea without creamer or milk, and Gatorade. You may have Jell-O, clear sodas (7up, ginger ale, sprite), and popsicles as long as they are not colored red or orange.

Do not have: solid foods, milk or milk products.

Taking your prep

The day before your procedure · Dose 1- At 7:00pm drink one bottle of Clenpiq right from the bottle.

Drink 5 cups (8 oz each) of clear liquids. Finish liquids over the next 5 hours.

The morning of your procedure · Dose 2- Six hours before your arrival time, drink one bottle of Clenpiq right from the bottle.

Drink 4 cups (8 oz each) of clear liquids. Finish liquids over the next 4 hours.

Day of your procedure

  • You may have clear liquids up until 4 hours before procedure.
  • If on blood pressure, anxiety, seizure, or thyroid medications please take as directed with a small sip of water (at least 2hrs before the procedure).
  • Do not take diabetes pills.
  • Decrease your insulin dose by ½.
  • If you use inhalers for asthma or COPD, bring them with you.
Important

If you experience vomiting, please contact the office or the on-call physician.

You MUST have someone drive you home; you will be given intravenous medication to make you drowsy.

Please call us immediately if you have any questions or concerns.

Instrucciones oficiales: Instrucciones de preparación para Clenpiq Split

Medicamentos: lea esto primero

Deberías DEJAR la pastilla de hierro una semana antes del procedimiento.

Fentermina y otros medicamentos para bajar de peso una semana antes del procedimiento.

Debe notificar a la consulta todas las recetas que está tomando. Los pacientes con diabetes o enfermedades cardíacas pueden necesitar instrucciones específicas. Es fundamental que informe al médico si toma alguno de los siguientes medicamentos.

  • Anticoagulantes — Eliquis (apixabán), Xarelto (rivaroxabán), Pradaxa (dabigatrán) y Savaysa (edoxabán): suspéndalos 2 días antes de su procedimiento. Si tiene enfermedad de los riñones, suspéndalos 3 días antes.
  • Coumadin (warfarina): suspéndalo 5 días antes de su procedimiento.
  • Plavix (clopidogrel), Brilinta (ticagrelor) y Effient (prasugrel): suspéndalos 5 días antes de su procedimiento.
  • Puede tomar aspirina de 81 mg el día antes de su procedimiento.
  • Siga estas indicaciones a menos que su proveedor le indique lo contrario.
  • Si tomas los medicamentos que aparecen a continuación por cualquier motivo que no sea cardíaco, deberías esperar durante 3 días antes del procedimiento.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

Los días antes

No comas: frutas crudas, frutos secos, verduras o suplementos de fibra 3 días antes del procedimiento.

No mastiques chicle ni comas caramelos duros el día del procedimiento.

No fumes el día de tu procedimiento.

El día antes: solo líquidos claros

Solo debes tomar líquidos claros sin tinte rojo ni naranja.

Los líquidos claros incluyen: zumo de manzana, zumo de uva blanca, agua, caldo, café o té sin nata ni leche, y Gatorade. Puedes tomar gelatina, refrescos transparentes (7up, ginger ale, sprite) y polos siempre que no sean de color rojo o naranja.

No consumas: alimentos sólidos, leche ni productos lácteos.

Cómo tomar su preparación

El día antes de tu procedimiento · Dosis 1- En 07:00pm Bebe una botella de Clenpiq directamente de la botella.

Bebe 5 tazas (8 oz cada una) de líquidos claros. Termina los líquidos durante las siguientes 5 horas.

La mañana de tu procedimiento · Dosis 2- 6 horas antes de su hora de llegada, bebe una botella de Clenpiq directamente de la botella.

Bebe 4 tazas (8 oz cada una) de líquidos claros.

El día de su procedimiento

  • Puede que tengas líquidos claros hasta 4 horas antes del procedimiento.
  • DEBES que alguien te lleve a casa; te administrarán medicación intravenosa para que te den sueño.
  • Si tomas medicación para la tensión, ansiedad, convulsiones o tiroides, tómalos según las indicaciones con un pequeño sorbo de agua (al menos 2 horas antes del procedimiento).
  • No tomes pastillas para la diabetes.
  • Reduce la dosis de insulina a la mitad.
  • Si usas inhaladores para el asma o la EPOC, llévatelos contigo.
Importante

Si experimenta vómitos, por favor contacte con la consulta o con el médico de guardia.

Por favor, llámanos inmediatamente si tienes alguna pregunta o inquietud.

Colonoscopy prepPreparación para colonoscopia

GoLYTELY / GaviLyte / PEG

Woodholme’s official prep instructions. Choose the tab that matches your appointment time.Instrucciones oficiales de preparación de Woodholme. Elija la pestaña que corresponde a la hora de su cita.

Always follow the instructions given to you by our office staff at checkout. If they differ from this page, follow your checkout instructions.Siga siempre las instrucciones que le dio nuestro personal al salir de su cita. Si son diferentes a esta página, siga las instrucciones que le dieron.

Official instructions: GoLytely / Gavilyte-G / PEG – Morning Appointment (7–11 AM) Instructions

Medications — please read first

You should STOP Iron tablet 1 week before your procedure.

Phentermine, and other weight reduction medications 1 week before your procedure.

You must notify the office of all prescriptions you are taking. Patients with diabetes or heart disease may need specific instructions. It is critical that you notify the doctor if you take any of the following medications.

  • Blood thinners — Eliquis (apixaban), Xarelto (rivaroxaban), Pradaxa (dabigatran), and Savaysa (edoxaban): stop 2 days before your procedure. If you have kidney disease, stop 3 days before.
  • Coumadin (warfarin): stop 5 days before your procedure.
  • Plavix (clopidogrel), Brilinta (ticagrelor), and Effient (prasugrel): stop 5 days before your procedure.
  • It is OK to take 81 mg aspirin the day before your procedure.
  • Follow these instructions unless your provider tells you otherwise.
  • If you take the medications below for any reason other than cardiac, you should hold for 3 days before your procedure.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

The days before

Do not eat raw fruits, vegetables, or fiber supplements 3 days prior to your procedure.

Do not chew gum or have hard candy the day of your procedure.

Do not smoke the day of your procedure.

The day before: clear liquids only

You are to have only CLEAR liquids with no Red dye .

Clear liquids include: Juices without pulp, water, broth, black coffee, or black tea, and Gatorade. You may have Jell-O, soda, and popsicles so long as they are not colored red.

Do not have: solid foods, milk or milk products.

Taking your prep

The day before your procedure

Step 1:

This product can be used with or without one of the flavor packs that comes with the bottle.

If adding flavor, tear open flavor pack and pour contents into the bottle BEFORE reconstitution. Discard unused flavor packs.

Step 2:

Add lukewarm drinking water to top line on bottle. Cap the bottle and shake to dissolve the powder.

The mixed solution will be clear and colorless. Do not add anything else, such as additional flavorings, to the solution.

When reconstituted, keep solution refrigerated. However chilled solution is not recommended for infants.

The reconstituted solution should be used within 48 hours. Discard unused portion.

Step 3:

The first bowel movement usually occurs approximately 1 hour after you start drinking the prep.

Step 4:

Starting at 5:00pm drink half of the solution 1 (8 oz) glass every 10 minutes. Rapidly drinking of each portion is better than drinking small amounts continuously. The first bowel movement should begin approximately 1 hour after the start of taking the prep.

At 10:00 PM the evening before your procedure

Drink the remaining half of the solution, 8oz every 10 minutes until is gone.

Day of your procedure

  • You may drink clear fluids only up to 4 hours before procedure.
  • If on blood pressure, anxiety, seizure or thyroid medications please take at least 2 hours prior to procedure with a small sip of water.
  • Do not take diabetes pills.
  • Decrease your insulin dose by ½.
Important

If you experience vomiting, please contact the office or the on call physician.

If you use inhalers bring them with you to the endocenter.

You MUST have someone drive you home; you will be given intravenous medication to make you drowsy.

Please call us immediately if you have any questions or concerns.

Instrucciones oficiales: GoLytely / Gavilyte-G / PEG: instrucciones para citas en la mañana (7–11 a. m.)

Medicamentos: lea esto primero

Deje de tomar las pastillas de hierro 1 semana antes de su procedimiento.

Deje de tomar fentermina y otros medicamentos para bajar de peso 1 semana antes de su procedimiento.

Debe informar a la oficina de todos los medicamentos recetados que toma. Los pacientes con diabetes o enfermedades del corazón pueden necesitar instrucciones específicas. Es muy importante que le avise al médico si toma alguno de los siguientes medicamentos.

  • Anticoagulantes — Eliquis (apixabán), Xarelto (rivaroxabán), Pradaxa (dabigatrán) y Savaysa (edoxabán): suspéndalos 2 días antes de su procedimiento. Si tiene enfermedad de los riñones, suspéndalos 3 días antes.
  • Coumadin (warfarina): suspéndalo 5 días antes de su procedimiento.
  • Plavix (clopidogrel), Brilinta (ticagrelor) y Effient (prasugrel): suspéndalos 5 días antes de su procedimiento.
  • Puede tomar aspirina de 81 mg el día antes de su procedimiento.
  • Siga estas indicaciones a menos que su proveedor le indique lo contrario.
  • Si toma alguno de los medicamentos siguientes por cualquier motivo que no sea cardíaco, debe suspenderlo 3 días antes de su procedimiento.

bexagliflozina (Brenzavvy), canagliflozina (Invokana), dapagliflozina (Farxiga), empagliflozina (Jardiance), ertugliflozina (Steglatro)

Los días antes

No coma frutas crudas, verduras ni suplementos de fibra 3 días antes de su procedimiento.

No mastique chicle ni coma caramelos duros el día de su procedimiento.

No fume el día de su procedimiento.

El día antes: solo líquidos claros

Solo debe tomar líquidos CLAROS sin colorante rojo.

Los líquidos claros incluyen: jugos sin pulpa, agua, caldo, café negro o té negro, y Gatorade. Puede tomar gelatina, refrescos y paletas heladas siempre que no sean de color rojo.

No consuma: alimentos sólidos, leche ni productos lácteos.

Cómo tomar su preparación

El día antes de su procedimiento

Paso 1:

Este producto puede usarse con o sin uno de los sobres de sabor que vienen con el frasco.

Si agrega sabor, abra el sobre y vierta el contenido en el frasco ANTES de mezclar con agua. Deseche los sobres de sabor que no use.

Paso 2:

Agregue agua potable tibia hasta la línea superior del frasco. Tape el frasco y agítelo para disolver el polvo.

La solución mezclada será transparente e incolora. No le agregue nada más, como saborizantes adicionales.

Una vez mezclada, mantenga la solución en el refrigerador. Sin embargo, no se recomienda la solución fría para bebés.

La solución mezclada debe usarse dentro de las 48 horas. Deseche lo que no use.

Paso 3:

La primera evacuación suele ocurrir aproximadamente 1 hora después de empezar a tomar la preparación.

Paso 4:

A partir de las 5:00 p.m. tome la mitad de la solución, 1 vaso (8 oz) cada 10 minutos. Es mejor tomar cada porción rápidamente que tomar pequeñas cantidades continuamente. La primera evacuación debe comenzar aproximadamente 1 hora después de empezar a tomar la preparación.

A las 10:00 p.m. de la noche antes de su procedimiento

Tome la otra mitad de la solución, 8 oz cada 10 minutos, hasta terminarla.

El día de su procedimiento

  • Puede tomar líquidos claros solo hasta 4 horas antes del procedimiento.
  • Si toma medicamentos para la presión arterial, la ansiedad, las convulsiones o la tiroides, tómelos al menos 2 horas antes del procedimiento con un pequeño sorbo de agua.
  • No tome pastillas para la diabetes.
  • Reduzca su dosis de insulina a la mitad.
Importante

Si tiene vómitos, comuníquese con la oficina o con el médico de guardia.

Si usa inhaladores, tráigalos al Endocentro.

DEBE tener a alguien que lo lleve a casa; se le administrará un medicamento por vía intravenosa que le dará sueño.

Por favor, llámenos de inmediato si tiene alguna pregunta o inquietud.

Official instructions: Golytely / Gavilyte-G / PEG Instructions

Medications — please read first

You should STOP Iron tablet 1 week before your procedure.

Phentermine, and other weight reduction medications 1 week before your procedure.

You must notify the office of all prescriptions you are taking. Patients with diabetes or heart disease may need specific instructions. It is critical that you notify the doctor if you take any of the following medications.

  • Blood thinners — Eliquis (apixaban), Xarelto (rivaroxaban), Pradaxa (dabigatran), and Savaysa (edoxaban): stop 2 days before your procedure. If you have kidney disease, stop 3 days before.
  • Coumadin (warfarin): stop 5 days before your procedure.
  • Plavix (clopidogrel), Brilinta (ticagrelor), and Effient (prasugrel): stop 5 days before your procedure.
  • It is OK to take 81 mg aspirin the day before your procedure.
  • Follow these instructions unless your provider tells you otherwise.
  • If you take the medications below for any reason other than cardiac, you should hold for 3 days before your procedure.

bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

The days before

Do not eat raw fruits, vegetables, or fiber supplements 3 days prior to your procedure.

Do not chew gum or have hard candy the day of your procedure.

Do not smoke the day of your procedure.

The day before: clear liquids only

You are to have only CLEAR liquids with no Red dye .

Clear liquids include: Juices without pulp, water, broth, black coffee, or black tea, and Gatorade. You may have Jell-O, soda, and popsicles so long as they are not colored red.

Do not have: solid foods, milk or milk products.

Taking your prep

The day before your procedure

Step 1:

This product can be used with or without one of the flavor packs that comes with the bottle.

If adding flavor, tear open flavor pack and pour contents into the bottle BEFORE reconstitution. Discard unused flavor packs.

Step 2:

Add lukewarm drinking water to top line on bottle. Cap the bottle and shake to dissolve the powder.

The mixed solution will be clear and colorless. Do not add anything else, such as additional flavorings, to the solution.

When reconstituted, keep solution refrigerated. However chilled solution is not recommended for infants.

The reconstituted solution should be used within 48 hours. Discard unused portion.

Step 3:

The first bowel movement usually occurs approximately 1 hour after you start drinking the prep.

Step 4:

Starting at 7:00pm drink half of the solution 1 (8 oz) glass every 10 minutes. Rapidly drinking of each portion is better than drinking small amounts continuously. The first bowel movement should begin approximately 1 hour after the start of taking the prep.

The morning of the procedure, six hours before your arrival time

Drink the remaining half of the solution 8oz every 10 minutes until is gone.

Day of your procedure

  • You may drink clear fluids only up to 4 hours before procedure.
  • If on blood pressure, anxiety, seizure or thyroid medications please take at least 2 hours prior to procedure with a small sip of water.
  • Do not take diabetes pills.
  • Decrease your insulin dose by ½.
Important

If you experience vomiting, please contact the office or the on call physician.

If you use inhalers bring them with you to the endocenter.

You MUST have someone drive you home; you will be given intravenous medication to make you drowsy.

Please call us immediately if you have any questions or concerns.

Instrucciones oficiales: Instrucciones de preparación dividida con GoLytely / Gavilyte-G / PEG

Medicamentos: lea esto primero

Deje de tomar las pastillas de hierro 1 semana antes de su procedimiento.

Deje de tomar fentermina y otros medicamentos para bajar de peso 1 semana antes de su procedimiento.

Debe informar a la oficina de todos los medicamentos recetados que toma. Los pacientes con diabetes o enfermedades del corazón pueden necesitar instrucciones específicas. Es muy importante que le avise al médico si toma alguno de los siguientes medicamentos.

  • Anticoagulantes — Eliquis (apixabán), Xarelto (rivaroxabán), Pradaxa (dabigatrán) y Savaysa (edoxabán): suspéndalos 2 días antes de su procedimiento. Si tiene enfermedad de los riñones, suspéndalos 3 días antes.
  • Coumadin (warfarina): suspéndalo 5 días antes de su procedimiento.
  • Plavix (clopidogrel), Brilinta (ticagrelor) y Effient (prasugrel): suspéndalos 5 días antes de su procedimiento.
  • Puede tomar aspirina de 81 mg el día antes de su procedimiento.
  • Siga estas indicaciones a menos que su proveedor le indique lo contrario.
  • Si toma alguno de los medicamentos siguientes por cualquier motivo que no sea cardíaco, debe suspenderlo 3 días antes de su procedimiento.

bexagliflozina (Brenzavvy), canagliflozina (Invokana), dapagliflozina (Farxiga), empagliflozina (Jardiance), ertugliflozina (Steglatro)

Los días antes

No coma frutas crudas, verduras ni suplementos de fibra 3 días antes de su procedimiento.

No mastique chicle ni coma caramelos duros el día de su procedimiento.

No fume el día de su procedimiento.

El día antes: solo líquidos claros

Solo debe tomar líquidos CLAROS sin colorante rojo.

Los líquidos claros incluyen: jugos sin pulpa, agua, caldo, café negro o té negro, y Gatorade. Puede tomar gelatina, refrescos y paletas heladas siempre que no sean de color rojo.

No consuma: alimentos sólidos, leche ni productos lácteos.

Cómo tomar su preparación

El día antes de su procedimiento

Paso 1:

Este producto puede usarse con o sin uno de los sobres de sabor que vienen con el frasco.

Si agrega sabor, abra el sobre y vierta el contenido en el frasco ANTES de mezclar con agua. Deseche los sobres de sabor que no use.

Paso 2:

Agregue agua potable tibia hasta la línea superior del frasco. Tape el frasco y agítelo para disolver el polvo.

La solución mezclada será transparente e incolora. No le agregue nada más, como saborizantes adicionales.

Una vez mezclada, mantenga la solución en el refrigerador. Sin embargo, no se recomienda la solución fría para bebés.

La solución mezclada debe usarse dentro de las 48 horas. Deseche lo que no use.

Paso 3:

La primera evacuación suele ocurrir aproximadamente 1 hora después de empezar a tomar la preparación.

Paso 4:

A partir de las 7:00 p.m. tome la mitad de la solución, 1 vaso (8 oz) cada 10 minutos. Es mejor tomar cada porción rápidamente que tomar pequeñas cantidades continuamente. La primera evacuación debe comenzar aproximadamente 1 hora después de empezar a tomar la preparación.

La mañana del procedimiento, 6 horas antes de su hora de llegada

Tome la otra mitad de la solución, 8 oz cada 10 minutos, hasta terminarla.

El día de su procedimiento

  • Puede tomar líquidos claros solo hasta 4 horas antes del procedimiento.
  • Si toma medicamentos para la presión arterial, la ansiedad, las convulsiones o la tiroides, tómelos al menos 2 horas antes del procedimiento con un pequeño sorbo de agua.
  • No tome pastillas para la diabetes.
  • Reduzca su dosis de insulina a la mitad.
Importante

Si tiene vómitos, comuníquese con la oficina o con el médico de guardia.

Si usa inhaladores, tráigalos al Endocentro.

DEBE tener a alguien que lo lleve a casa; se le administrará un medicamento por vía intravenosa que le dará sueño.

Por favor, llámenos de inmediato si tiene alguna pregunta o inquietud.

Diet therapy

Eosinophilic Esophagitis (EoE) Diets

EoE is an allergic condition where certain foods inflame the esophagus, causing trouble swallowing, food sticking, and chest discomfort. Removing trigger foods can control it without medication. Which foods come out — and in what order — is decided with your doctor, and progress is checked with follow-up endoscopy. The plans below run from the simplest (one food) to the most complete (elemental).

Important: Foods are reintroduced one at a time with an endoscopy after each step to find your specific trigger. Work closely with your GI doctor, and ideally a dietitian, so the diet stays nutritionally complete.
EoE diet

Two-Food Elimination

A "step-up" approach that removes only the two most common triggers to start. If symptoms and inflammation improve, you may not need further restriction.

Remove these two

  • Dairy / milk — the single most common EoE trigger
  • Wheat / gluten

Still allowed

  • Eggs, soy, nuts, fish and shellfish
  • All fruits, vegetables, rice, corn, meats and poultry
  • Dairy-free and wheat-free substitutes
Watch labels for: whey, casein, milk solids (dairy); and wheat, semolina, malt, most soy sauce (wheat).
EoE diet

Six-Food Elimination

Removes the six food groups responsible for most EoE. Highly effective, and each group is reintroduced one at a time to pinpoint your triggers.

Remove all six

  • Milk / dairy
  • Wheat / gluten
  • Eggs
  • Soy (and often legumes)
  • Nuts — peanuts and tree nuts
  • Fish and shellfish

Freely allowed

  • All meats and poultry
  • All fruits and vegetables
  • Rice, corn, oats, quinoa, potato
  • Olive and other non-soy oils
Nutrition matters: Because this removes several staples, a dietitian's help keeps your diet balanced and makes label-reading manageable.
EoE diet

Elemental Diet

All nutrition comes from a special amino-acid-based formula, with no regular food. Because it removes every possible food protein, it's the most effective diet for EoE — but also the most demanding, so it's usually used for severe cases or for a defined period.

What it involves

  • Drink a prescribed amino-acid (elemental) formula for all calories and nutrition.
  • No table food during the strict phase, unless your doctor specifies allowed items.
  • Some people need the formula through a feeding tube if the taste is hard to tolerate.
  • After healing is confirmed by endoscopy, foods are added back one at a time, each followed by a scope, to map your triggers.
Always supervised: This diet is managed together with your GI doctor and a dietitian, often with an allergist. Do not attempt it on your own.
Diet guide

Mediterranean Diet

Not a restrictive diet but a way of eating built around whole, plant-forward foods and healthy fats. It supports gut health, reduces inflammation, and benefits the heart, liver, and metabolism.

The basics

Build meals around

  • Vegetables and fruit at most meals
  • Whole grains — oats, brown rice, whole-grain bread
  • Beans, lentils, and chickpeas
  • Olive oil as your main fat
  • Nuts and seeds
  • Fish and seafood, 2+ times a week

Keep occasional

  • Red meat — a few times a month
  • Processed and cured meats
  • Sweets, pastries, sugary drinks
  • Refined white bread and snacks
  • Butter and heavily processed foods

Poultry, eggs, and dairy (especially yogurt and cheese) fit in moderate amounts. Water is the main drink.

Why it helps your gut

  • Fiber from plants feeds healthy gut bacteria and supports regular bowel habits.
  • Olive oil and fish provide anti-inflammatory fats.
  • It's a leading dietary approach for fatty liver disease and long-term digestive health.
Procedure & recovery

Clear Liquid Diet

Only liquids you can see through. Used before some procedures, during a flare, or when easing back into eating. It isn't complete nutrition, so it's meant for a short time only.

Allowed

  • Water, clear broth (chicken, beef, vegetable)
  • Apple or white grape juice (no pulp)
  • Clear sports drinks, clear soda
  • Plain gelatin and ice pops (no fruit or cream)
  • Black coffee or tea (no milk or cream)
  • Honey, hard candy

Not allowed

  • Anything you can't see through
  • Milk, cream, and dairy
  • Juice with pulp, smoothies
  • Soup with noodles or pieces
  • Alcohol
Before a colonoscopy: avoid anything colored red, purple, or blue.
Procedure & recovery

Low-Fiber / Low-Residue Diet

Limits fiber so there's less material moving through the bowel. Used to rest the gut during a flare, with a narrowing (stricture), or around certain procedures.

Easier to tolerate

  • White bread, white rice, refined pasta
  • Low-fiber cereals (not whole grain)
  • Well-cooked vegetables without skins
  • Canned or soft fruit without skin; ripe banana
  • Tender meat, poultry, fish, eggs
  • Dairy in moderation, if tolerated

Limit

  • Whole grains and bran
  • Nuts, seeds, popcorn
  • Raw vegetables and fruit skins
  • Beans, lentils, and other legumes
  • Dried fruit
Tip: peeling, cooking soft, and avoiding seeds are the easiest ways to bring fiber down.
Procedure & recovery

After Your Procedure

General guidance for the hours and day after an endoscopy or colonoscopy with sedation. Always follow the specific discharge instructions we gave you.

Right after

Start with clear liquids and small sips. Your throat or belly may feel mildly off for a short while.

Rest of the day

Eat light, low-fiber foods. Avoid alcohol, and heavy, greasy, or spicy meals. Do not drive or make important decisions — the sedation is still wearing off.

If a polyp was removed or a biopsy taken

You may be asked to stay on low-fiber foods and to hold blood thinners or NSAIDs for a few days. Follow the specific instructions we gave you.

The next day

Most people return to their normal diet unless we told you otherwise.

Call us right away for: heavy or ongoing rectal bleeding, severe or worsening belly pain, a firm swollen abdomen, fever, or trouble breathing.
Condition diet

Acid Reflux (GERD) Diet

Food choices and habits that reduce heartburn and reflux. Triggers vary from person to person, so use this as a starting point and adjust to what affects you.

Usually helpful

  • Vegetables and non-citrus fruit
  • Whole grains, oatmeal
  • Lean proteins — chicken, fish, tofu
  • Low-fat dairy
  • Ginger

Common triggers

  • Fried and fatty foods
  • Chocolate, peppermint
  • Coffee, caffeine, alcohol
  • Carbonated drinks
  • Citrus, tomato, spicy foods
  • Large or late-night meals
Habits matter as much as food: eat smaller meals, stay upright for about 3 hours after eating, raise the head of your bed, and lose weight if it's a factor.
Condition diet

Gastroparesis Diet

When the stomach empties slowly, smaller, lower-fat, lower-fiber meals are easier to handle. Liquids often go down better than solids.

Easier to digest

  • Small, frequent meals
  • Well-cooked vegetables (no skins)
  • Refined grains — white bread, rice, pasta
  • Tender lean protein, eggs
  • Soups, smoothies, nutrition drinks

Harder to digest

  • High-fat and fried foods
  • Raw vegetables, skins, whole grains
  • Nuts, seeds, legumes
  • Carbonated drinks
  • Large meals
Tip: chew thoroughly, sit upright for a while after eating, and lean on liquid meals on tougher days.
Condition diet

Diverticulitis Diet

During a flare the bowel needs rest, then fiber is added back gradually. Follow our guidance on when to move between stages.

During a flare

Clear liquids only for a few days while symptoms settle.

As you improve

Advance to low-fiber foods — white bread, rice, well-cooked vegetables without skins.

Once fully recovered

Gradually return to a high-fiber diet — vegetables, fruit, whole grains, legumes — and drink plenty of water to help prevent future attacks.

Good news: the old advice to permanently avoid nuts, seeds, and popcorn is no longer recommended — they don't trigger attacks.
Condition diet

Celiac / Gluten-Free Diet

In celiac disease, gluten damages the small intestine — so it must be avoided completely and for life, even in small amounts.

Naturally gluten-free

  • Rice, corn, potato, quinoa
  • Meat, fish, eggs, dairy
  • Fruits and vegetables
  • Beans, nuts
  • Certified gluten-free oats and products

Contains gluten

  • Wheat, barley, rye
  • Most bread, pasta, cereal, baked goods
  • Beer and many sauces
  • Hidden sources — malt, some soy sauce
Watch cross-contamination: shared toasters, fryers, and utensils can add gluten. Read labels, look for certified gluten-free, and a dietitian can make this much easier.
Condition diet

Lactose Intolerance Diet

Trouble digesting lactose (the sugar in dairy) can cause gas, bloating, and diarrhea. Tolerance varies — many people handle small amounts.

Usually fine

  • Lactose-free milk
  • Hard, aged cheeses (cheddar, parmesan)
  • Yogurt with live cultures
  • Plant milks — almond, soy, oat
  • Lactase enzyme supplements with dairy

More likely to bother you

  • Milk and cream
  • Ice cream
  • Soft cheeses
  • Hidden lactose in some baked and processed foods
Tip: small amounts taken with a meal are usually better tolerated than a large serving on an empty stomach.
Condition diet

IBD Nutrition — Crohn's & Colitis

There's no single IBD diet. What works changes between a flare and remission. The goals are steady nutrition and avoiding your own personal triggers.

During a flare

Easier

  • Low-fiber, well-cooked foods
  • Refined grains
  • Smaller, more frequent meals
  • Plenty of fluids

Often worsen symptoms

  • High-fiber and raw vegetables
  • Nuts and seeds
  • Greasy or spicy foods
  • High-lactose foods if sensitive
  • Caffeine and alcohol

In remission

Broaden your diet and aim for variety. A Mediterranean-style pattern is a good target for most people when symptoms are quiet.

Ask us about: formula-based (enteral) nutrition and specific exclusion diets, which help some patients. A dietitian who works with IBD is a big advantage.
Liver & pancreas

Chronic Pancreatitis / Low-Fat Diet

A lower-fat diet eases the workload on the pancreas. Small, frequent meals and avoiding alcohol are key.

Focus on

  • Lean proteins — chicken, fish, egg whites
  • Fruits and vegetables
  • Whole and refined grains
  • Low-fat dairy
  • Small, frequent meals

Limit or avoid

  • Fried and fatty foods
  • Full-fat dairy, fatty meats
  • Butter and heavy oils
  • Alcohol — avoid entirely
If you were prescribed pancreatic enzymes, take them with meals and snacks as directed. Ask us about fat-soluble vitamins (A, D, E, K).
Liver & pancreas

Fatty Liver (MASLD) Diet

The most effective treatment for fatty liver is gradual weight loss and a Mediterranean-style way of eating, with less sugar and refined carbohydrate.

Build meals around

  • Vegetables, fruit, whole grains
  • Legumes, nuts, seeds
  • Fish and olive oil
  • Unsweetened coffee (may help the liver)

Cut back on

  • Sugary drinks and sweets
  • Refined carbs and white bread
  • Fried foods
  • Red and processed meat
  • Alcohol
The main goal: steady weight loss of about 7–10% of body weight, with regular activity. Avoid crash diets — slow and steady protects the liver.
Liver & pancreas

Cirrhosis Nutrition

Good nutrition helps protect muscle and energy when the liver is scarred. Most people need more frequent meals and enough protein — not less.

Key points

  • Don't restrict protein unless we specifically tell you to — it helps prevent muscle loss.
  • Eat 4 to 6 small meals across the day rather than a few large ones.
  • Have a bedtime snack with carbohydrate and protein to get through the overnight fast.
  • Make sure you're getting enough total calories.
Important: if you have fluid buildup or swelling (ascites), follow the low-sodium guide. Avoid alcohol completely, and ask us about vitamins.
Liver & pancreas

Low-Sodium Diet

Lowering sodium (often under about 2,000 mg a day) helps control fluid buildup and blood pressure. Most sodium comes from packaged and restaurant food, not the salt shaker.

Naturally low

  • Fresh and home-cooked foods
  • Fresh meat, poultry, fish
  • Fruits and vegetables
  • Herbs, spices, citrus, garlic for flavor

High in sodium

  • Table salt and salty snacks
  • Canned, cured, and processed foods
  • Deli meats and bacon
  • Most restaurant and fast food
  • Many soups, sauces, and seasonings
Tips: check labels for sodium per serving, rinse canned foods, cook without added salt, and remember "sea salt" counts the same.
EoE diet

One-Food Elimination

The simplest starting point — remove only dairy, the single most common EoE trigger. If it settles the inflammation, you may not need to remove anything else.

Remove

  • Milk / dairy — including whey, casein, and milk solids

Still allowed

  • Wheat, egg, soy, nuts, fish, and shellfish
  • All other foods
Watch labels for: whey, casein, and milk solids, which appear in many packaged foods.
EoE diet

Four-Food Elimination

A middle step between two-food and six-food — remove the four most common triggers, then reintroduce them one at a time with follow-up endoscopy.

Remove these four

  • Milk / dairy
  • Wheat / gluten
  • Egg
  • Soy

Still allowed

  • Nuts, fish, and shellfish
  • All meats, fruits, and vegetables
  • Rice, corn, and other non-wheat grains
Procedure & recovery

Trouble With Your Prep?

Feeling nauseated during prep is common, and there's usually a way to get back on track so your colonoscopy can still go ahead. Work through the steps below, and call us at 410.602.7782 if you're unsure.

Nauseated or vomiting a little

  • Pause for 30–45 minutes, then start again — sip slowly in small amounts every few minutes instead of drinking large glasses quickly.
  • Keep the prep cold and rinse your mouth with a clear liquid between sips.

An over-the-counter anti-nausea medicine can help you keep it down. Take a dose, wait 30–60 minutes, then resume sipping:

May help (over the counter)

  • Dramamine (dimenhydrinate, 50 mg tablets) — 1–2 tablets every 4–6 hours; no more than 8 tablets (400 mg) in 24 hours
  • Meclizine (25 mg tablets) — 1–2 tablets (25–50 mg) once a day; may repeat after 24 hours
  • Unisom (doxylamine, 25 mg) — 1 tablet once a day; it’s a strong sedative, so do not repeat within 24 hours

Do not use

  • Pepto-Bismol / Kaopectate (bismuth subsalicylate) — it coats and darkens the colon lining and slows the bowel, working against both the cleanout and the exam
These medicines can make you drowsy — that's expected. Just be sure you still have a ride arranged for your procedure.

You vomited most of the prep

You can switch to a MiraLAX prep. MiraLAX and Gatorade are sold over the counter — no prescription needed — so you can still complete a proper cleanout and keep your colonoscopy. Buy a 238 g bottle of MiraLAX and 64 oz of Gatorade and follow the MiraLAX instructions, sipping slowly.

You finished the prep but aren't clear yet

"Not clean" means your stool is still brown or has solid pieces rather than a clear or pale-yellow liquid. To finish the job, you can:

  • Take an extra dose of MiraLAX (238 g dissolved in about 32–64 oz of clear liquid), sipped over an hour, or
  • Drink one bottle of magnesium citrate (about 300 mL).

Keep drinking clear fluids. You're ready when what you pass is a clear or pale-yellow liquid with no solid pieces.

Go to the ER instead of trying to salvage if you are vomiting blood, have severe or worsening abdominal pain, a hard or swollen belly, can't keep any liquids down or feel faint, or have chest pain or trouble breathing.
Still stuck? Call us at 410.602.7782. It's always better to call than to arrive not fully prepped — we can help or reschedule.
Understanding your diagnosis

Gastritis

Gastritis means the lining of your stomach is inflamed or irritated. It's very common and usually treatable.

Gastritis overview: what it is, main causes, symptoms, and how it is diagnosed

What causes it

Gastritis develops when the stomach's protective lining is worn down or irritated. Common causes include:

  • H. pylori infection — a bacterium that lives in the stomach lining and is the most common cause worldwide.
  • Pain relievers (NSAIDs) — regular use of ibuprofen, naproxen, or aspirin.
  • Alcohol — irritates and erodes the lining.
  • Physical stress — from serious illness, major surgery, or injury (sometimes called stress gastritis).
  • Autoimmune gastritis — the immune system attacks the stomach lining, which can also lower vitamin B12 levels.
  • Bile reflux — backup of bile from the small intestine into the stomach.
  • Smoking, and less commonly certain other medications or infections.

Common symptoms

  • Burning or gnawing pain in the upper belly
  • Nausea, vomiting, bloating, or feeling full quickly
  • Loss of appetite
  • Sometimes no symptoms at all

How we treat it

Treatment calms the irritation, lets the lining heal, and removes the cause.

  • Acid-reducing medicine. A proton-pump inhibitor (PPI) such as omeprazole or pantoprazole is the mainstay; an H2 blocker like famotidine or an antacid may be added for extra relief.
  • Treating H. pylori if it's found — see the box below.
  • Stopping the irritant. Avoiding NSAIDs, cutting back on alcohol, and stopping smoking. If you need a pain reliever, we'll suggest a safer option or add stomach protection.
  • Addressing the specific type. Autoimmune gastritis may need vitamin B12 replacement; bile reflux is treated with its own medicines.
  • Follow-up. In some cases we repeat an endoscopy to confirm the lining has healed.
Treating H. pylori: usually 10–14 days of two antibiotics plus an acid-reducing medicine (sometimes with bismuth). Take every dose and finish the full course — then we confirm it has cleared with a follow-up breath or stool test.
Understanding your diagnosis

Duodenitis & Enteritis

Duodenitis and enteritis both mean inflammation of the small intestine. Duodenitis affects the first part — the duodenum, just past the stomach — while enteritis affects the rest (the jejunum and ileum).

Duodenitis and enteritis: inflammation of different parts of the small intestine

What causes it

Duodenitis often has the same causes as gastritis:

  • H. pylori infection
  • Pain relievers (NSAIDs such as ibuprofen or naproxen)
  • Alcohol

Enteritis is most often caused by:

  • An infection from contaminated food or water (a stomach bug or food poisoning)
  • Less commonly: certain medications, radiation, or conditions such as Crohn's disease or celiac disease

Common symptoms

  • Upper or mid-belly pain and cramping
  • Nausea, vomiting, and bloating
  • Diarrhea (more common with enteritis)
  • Loss of appetite

How we treat it

  • Duodenitis: acid-reducing medicine (a PPI) to let the lining heal, treating H. pylori if present, and avoiding NSAIDs and alcohol.
  • Enteritis: often improves on its own with rest and plenty of fluids. A bacterial infection may need antibiotics, and lasting cases are checked for causes such as Crohn's or celiac disease.
Seek care for signs of dehydration, a high fever, blood in the stool, or severe or lasting belly pain.
Understanding your diagnosis

Esophagitis

Esophagitis is inflammation of the esophagus — the tube that carries food from your mouth to your stomach.

Esophagitis: common causes (reflux, infection, medication, eosinophilic), esophageal anatomy, and common symptoms

What causes it

  • Acid reflux (the most common cause)
  • Pills that irritate the lining if taken without enough water
  • Infection
  • An allergic condition called EoE

Common symptoms

  • Heartburn or chest discomfort
  • Painful or difficult swallowing

How we treat it

  • Acid-reducing medicine and treating the underlying cause
  • Reflux-friendly habits and food choices
Understanding your diagnosis

Eosinophilic Esophagitis (EoE)

EoE is an allergic condition where a type of white blood cell called an eosinophil builds up in the esophagus and causes inflammation.

Eosinophilic esophagitis: pathogenesis, clinical features, diagnosis, and management

What it means for you

  • It's often linked to food allergies or sensitivities
  • The inflammation can make the esophagus narrow and stiff over time

Common symptoms

  • Trouble swallowing, or food getting stuck
  • Chest or throat discomfort

How we treat it

  • Removing trigger foods with an elimination diet
  • Acid-reducing medicine
  • Swallowed steroid medicine
  • Progress is checked with follow-up endoscopy
Understanding your diagnosis

Gastric Intestinal Metaplasia

Gastric intestinal metaplasia (GIM) means some cells in your stomach lining have changed to look more like the lining of the intestine.

Gastric intestinal metaplasia: healthy vs changed stomach lining, causes, and how it is managed

What it means

  • It usually develops after long-standing irritation — often from H. pylori or chronic gastritis
  • It is considered a precancerous change, meaning it slightly raises the long-term risk of stomach cancer — but it is not cancer

What we do about it

  • Test for and treat H. pylori if it's present
  • Reduce ongoing irritation
  • We may recommend a repeat (surveillance) endoscopy from time to time to keep an eye on it
Reassurance: most people with GIM never develop cancer. Monitoring is simply a precaution.
Understanding your diagnosis

Colon Polyps, Removal & Clips

Polyps are small growths on the lining of the colon. Most are harmless, but some can slowly turn into cancer over years — which is why we find and remove them during colonoscopy.

Colon polyps: healthy colon, polyp formation, polyp removal (polypectomy), and how early removal interrupts progression to colon cancer

Why polyps matter

  • Most polyps are harmless, but certain kinds (adenomas) can become cancerous if left alone
  • Removing them during colonoscopy prevents future cancer

How they’re removed (polypectomy)

  • Small polyps are removed with a wire snare or forceps passed through the scope
  • The procedure is painless and adds only a little time

About the clips

  • For larger polyps, we may place one or more tiny metal clips to close the area and prevent bleeding
  • The clips are safe, fall off on their own, and pass in your stool over the following days to weeks — you usually won’t notice

What happens next

  • Polyps we remove are sent to the lab
  • Your pathology results guide when you’ll need your next colonoscopy
After removal, mild gas is normal. Call us or go to the ER for heavy rectal bleeding or severe belly pain.
Understanding your diagnosis

Diverticulosis & Diverticulitis

Diverticulosis means small pouches (diverticula) have formed in the wall of your colon. It's very common with age and usually causes no symptoms.

Colon anatomy, diverticulosis, and diverticulitis: healthy colon, pouches forming, and an inflamed pouch

When it becomes diverticulitis

  • Diverticulitis is when one of those pouches becomes inflamed or infected
  • It can cause belly pain (often the lower left), fever, and changes in bowel habits

What helps

  • A high-fiber diet and good hydration help prevent problems
  • Flares are treated with diet changes and sometimes antibiotics
Understanding your diagnosis

Ulcerative Colitis & Crohn's Disease

Inflammatory bowel disease (IBD) is ongoing inflammation of the digestive tract. The two main types are ulcerative colitis and Crohn's disease.

Crohn's disease vs ulcerative colitis: where each occurs, pattern, depth of inflammation, and complications

The difference

  • Ulcerative colitis affects the colon and rectum in a continuous pattern
  • Crohn's disease can affect any part of the digestive tract, in patches

Common symptoms

  • Diarrhea, sometimes with blood
  • Belly pain and urgency
  • Weight loss and fatigue

How it's managed

  • Long-term medicines to control the inflammation
  • Monitoring with endoscopy
  • Supportive nutrition through flares and remission
IBD is not the same as IBS — IBD involves visible inflammation and needs ongoing medical treatment.
Understanding your diagnosis

Barrett's Esophagus

Barrett's esophagus is a change in the lining of the lower esophagus, usually caused by long-standing acid reflux.

Barrett’s esophagus: healthy esophagus, long-term acid reflux damage, and the changed Barrett’s lining

What it means

  • The normal lining is replaced by one that looks more like the lining of the intestine
  • It slightly raises the long-term risk of esophageal cancer — but most people with Barrett's never develop it

What we do about it

  • Control reflux with acid-reducing medicine and reflux-friendly habits
  • Periodic surveillance endoscopy with biopsies to catch any changes early
Reassurance: Barrett's is monitored precisely so that any change is found and treated early.
Understanding your diagnosis

Hiatal Hernia

A hiatal hernia is when part of the stomach pushes up through the diaphragm into the chest. It's common and often causes no symptoms.

Hiatal hernia types: normal anatomy, sliding hiatal hernia, and paraesophageal hiatal hernia

What it can cause

  • It can worsen heartburn and acid reflux

How it's managed

  • Usually managed like reflux — acid-reducing medicine and habits
  • Large hernias occasionally need surgery
Understanding your diagnosis

Peptic Ulcer Disease

A peptic ulcer is an open sore in the lining of the stomach (gastric ulcer) or the first part of the small intestine (duodenal ulcer).

Peptic ulcer disease: anatomy, aggressive vs protective factors, clinical features, complications, and treatment

What causes it

  • H. pylori infection
  • Regular use of NSAID pain relievers

Symptoms & treatment

  • Burning upper-belly pain and nausea
  • Treated with acid-reducing medicine to heal the ulcer, treating H. pylori, and stopping NSAIDs
Seek care right away for black or tarry stools, or vomiting blood — these can be signs of a bleeding ulcer.
Understanding your diagnosis

H. pylori Infection

H. pylori is a common bacterial infection of the stomach. Many people carry it without symptoms, but it can cause gastritis and ulcers.

Helicobacter pylori: common symptoms, where the bacteria live in the stomach lining, how it spreads, and treatment

Why we treat it

  • It's linked to gastritis, stomach and duodenal ulcers, and long-term changes in the stomach lining

Treatment

  • A 10–14 day course of antibiotics plus acid-reducing medicine
  • Take every dose and finish the entire course
  • We confirm it has cleared with a follow-up breath or stool test a few weeks later
Tip: follow the instructions on your antibiotics carefully — some should not be taken with alcohol.
Understanding your diagnosis

Hemorrhoids & Anal Fissure

Hemorrhoids and anal fissures are common, usually harmless causes of pain and bleeding around the anus.

Anal canal anatomy comparing internal and external hemorrhoids (swollen veins) with an anal fissure (a small tear)

Hemorrhoids

Hemorrhoids are swollen veins in and around the anus and lower rectum.

  • Symptoms: bright red blood with bowel movements, itching, discomfort, or a lump
  • What helps: more fiber and water, avoiding straining, limiting time on the toilet, warm sitz baths, and over-the-counter creams

Anal Fissure

An anal fissure is a small tear in the lining of the anus, often from passing a hard stool. It can be quite painful.

  • Symptoms: sharp pain and bright red bleeding with bowel movements
  • What helps: fiber and water to keep stools soft, warm sitz baths, and prescribed creams — most fissures heal with time
Always have rectal bleeding checked to be sure it's only hemorrhoids or a fissure and not something else. See us if a fissure doesn't heal within a few weeks.
Understanding your diagnosis

Gallstones & Bile Duct Stones

Gallstones are hardened deposits that form in the gallbladder. Sometimes a stone moves into the bile duct and blocks it.

Gallstones (cholelithiasis) in the gallbladder and bile duct stones (choledocholithiasis) in the biliary anatomy

Symptoms

  • Pain in the upper-right belly, often after fatty meals, with nausea
  • A blocked bile duct can cause yellowing of the skin or eyes (jaundice), fever, or dark urine

Treatment

  • Gallbladder stones are often treated by removing the gallbladder
  • A stone stuck in the bile duct can be removed with a procedure called ERCP
Seek care promptly for jaundice, or fever with belly pain.
Understanding your diagnosis

Esophageal Stricture & Dilation

An esophageal stricture is a narrowing of the swallowing tube, which can make food feel like it sticks.

Esophageal stricture: types (benign vs malignant), the main symptom of trouble swallowing, and treatments including dilation, medication, surgery, and stenting

What causes it

  • Long-standing acid reflux, inflammation (including EoE), or scarring

Treatment

  • The narrowing can be gently stretched open during endoscopy (dilation), sometimes over more than one session
  • Treating the underlying cause helps keep it from coming back
Understanding your diagnosis

Pancreatic Cyst & Mass

A pancreatic cyst is a fluid-filled sac in the pancreas, and a pancreatic mass is a solid growth. Both are often found on a scan and then looked at closely to decide whether they are harmless or need treatment.

Endoscopic ultrasound of the pancreas with fine-needle aspiration of a cyst and fine-needle biopsy of a mass

How we evaluate it

We use endoscopic ultrasound (EUS) — a thin scope with an ultrasound probe on the tip, passed through the mouth to the stomach and the first part of the small intestine. From there it sits right next to the pancreas and gives very detailed pictures. During the same procedure, we can take a sample with a fine needle:

  • FNA (fine-needle aspiration) — draws fluid and cells from a cyst.
  • FNB (fine-needle biopsy) — takes a small tissue core from a solid mass.

The sample is examined in the lab to guide the diagnosis and the best next step.

What it means

  • Many pancreatic cysts are benign. Some types carry a small risk of turning into cancer over time, so they may be watched or removed.
  • A solid mass is sampled to find out whether it is cancer or something benign, which determines treatment.

What happens next

  • Depending on the results, we may monitor it with repeat imaging or EUS, or refer you for treatment or surgery.
  • Care is often coordinated with a team (surgery, oncology, and radiology) when needed.
EUS with FNA/FNB is a same-day outpatient procedure done under sedation, and it lets us diagnose pancreatic problems without surgery.
Colonoscopy prepPreparación para colonoscopia

Extended (2-Day) PrepPreparación extendida (2 días)

For patients who need a more thorough cleanout — for example, chronic constipation, certain medications, or a previous incomplete prep. The 2-day prep starts two nights before your colonoscopy; the day before, you then follow your regular prep instructions. Use the version our office gave you.Para pacientes que necesitan una limpieza más completa; por ejemplo, con estreñimiento crónico, ciertos medicamentos o una preparación incompleta anterior. La preparación de 2 días comienza dos noches antes de su colonoscopia; el día antes, siga sus instrucciones de preparación habituales. Use la versión que le dio nuestra oficina.

Always follow the instructions given to you by our office staff at checkout. If they differ from this page, follow your checkout instructions.Siga siempre las instrucciones que le dio nuestro personal al salir de su cita. Si son diferentes a esta página, siga las instrucciones que le dieron.

Official instructions: 2-Day Prep for Colonoscopy (MiraLAX)

Two nights before your colonoscopy start your liquid diet. Do not eat any solid food or drink any dairy after taking the laxative.

You are to have only CLEAR liquids with no RED or PURPLE DYE. Clear liquids include: Juices without pulp, water, broth, black coffee, or black tea, and Gatorade. You may have Jell-O, soda, and popsicles so long as they are not colored red.

Do not have: solid foods, milk or milk products.

Miralax and Gatorade Instructions

  • You will need to purchase the following things before your procedure
    • One bottle (238 grams) of Miralax powder (at the drug store/pharmacy)
    • One 64 oz bottle of Gatorade (not red) or two 32 oz bottles.
    • Small box of over the counter Dulcolax Laxatives (you will only need 2 pills)
  • 5:00pm, take 2 Dulcolax Laxative tablets with a glass of clear fluid.
  • 6:00pm, drink a second glass of clear fluid. (1 hour from first dose)
  • 7:00pm, mix the entire container of Miralax with the 64oz bottle of Gatorade (or split between the 2 bottles as evenly as possible- it does not have to be exact). (2 hours from first dose)
  • Drink an 8oz glass every 20-30 minutes until gone.
  • After completing the solution, continue to drink clear fluids.

On the day before your Colonoscopy

Continue your liquid diet and follow the separate instructions for the remainder of your preparation.

Instrucciones oficiales: Preparación de 2 días para la colonoscopia (MiraLAX)

Medicamentos: lea esto primero

Dos noches antes de su colonoscopia, comience su dieta de líquidos. No coma alimentos sólidos ni tome lácteos después de tomar el laxante.

Solo debe tomar líquidos CLAROS sin COLORANTE ROJO NI MORADO. Los líquidos claros incluyen: jugos sin pulpa, agua, caldo, café negro o té negro, y Gatorade. Puede tomar gelatina, refrescos y paletas heladas siempre que no sean de color rojo.

No consuma: alimentos sólidos, leche ni productos lácteos.

Instrucciones de MiraLAX y Gatorade

  • Antes de su procedimiento necesitará comprar lo siguiente:
    • Un frasco (238 gramos) de MiraLAX en polvo (en la farmacia)
    • Una botella de 64 oz de Gatorade (que no sea rojo) o dos botellas de 32 oz.
    • Una caja pequeña de laxantes Dulcolax de venta libre (solo necesitará 2 pastillas)
  • 5:00 p.m.: tome 2 tabletas de laxante Dulcolax con un vaso de líquido claro.
  • 6:00 p.m.: tome un segundo vaso de líquido claro (1 hora después de la primera dosis).
  • 7:00 p.m.: mezcle todo el frasco de MiraLAX con la botella de 64 oz de Gatorade (o repártalo entre las 2 botellas lo más parejo posible; no tiene que ser exacto) (2 horas después de la primera dosis).
  • Tome un vaso de 8 oz cada 20 a 30 minutos hasta terminarlo.
  • Después de terminar la solución, siga tomando líquidos claros.

Cómo tomar su preparación

Continúe con su dieta de líquidos y siga las instrucciones aparte para el resto de su preparación.

Official instructions: 2-Day Prep for Colonoscopy (Magnesium Citrate)

Please purchase 2 bottle of Magnesium Citrate

Two nights before your colonoscopy at 6:00 pm start your liquid diet. Do not eat any solid food or drink any dairy after taking the laxative.

You are to have only CLEAR liquids with no RED or PURPLE DYE. Clear liquids include: Juices without pulp, water, broth, black coffee, or black tea, and Gatorade. You may have Jell-O, soda, and popsicles so long as they are not colored red.

Do not have: solid foods, milk or milk products.

    • At 8:00 pm drink the first bottle of Magnesium Citrate.
    • At 10:00 pm drink the second bottle of magnesium Citrate.
    • After completing the solution, continue to drink clear fluids.

On the day before your Colonoscopy

Continue your liquid diet and follow the separate instructions for the remainder of your preparation.

Instrucciones oficiales: Preparación de 2 días para la colonoscopia (citrato de magnesio)

Medicamentos: lea esto primero

Compre 2 botellas de citrato de magnesio.

Dos noches antes de su colonoscopia, a las 6:00 p.m., comience su dieta de líquidos. No coma alimentos sólidos ni tome lácteos después de tomar el laxante.

Solo debe tomar líquidos CLAROS sin COLORANTE ROJO NI MORADO. Los líquidos claros incluyen: jugos sin pulpa, agua, caldo, café negro o té negro, y Gatorade. Puede tomar gelatina, refrescos y paletas heladas siempre que no sean de color rojo.

No consuma: alimentos sólidos, leche ni productos lácteos.

  • A las 8:00 p.m. tome la primera botella de citrato de magnesio.
  • A las 10:00 p.m. tome la segunda botella de citrato de magnesio.
  • Después de terminar la solución, siga tomando líquidos claros.

Cómo tomar su preparación

Continúe con su dieta de líquidos y siga las instrucciones aparte para el resto de su preparación.

Procedure prepPreparación para procedimientos

Upper Endoscopy (EGD)Endoscopia superior (EGD)

Woodholme’s official instructions.Instrucciones oficiales de Woodholme.

Always follow the instructions given to you by our office staff at checkout. If they differ from this page, follow your checkout instructions.Siga siempre las instrucciones que le dio nuestro personal al salir de su cita. Si son diferentes a esta página, siga las instrucciones que le dieron.

Official instructions: EGD Instructions

Important

  • You may not eat anything after midnight the night before your procedure.
  • Phentermine, and other weight reduction medications 1 week before your procedure. You must notify the office of all prescriptions you are taking.
  • Patients with diabetes or heart disease may need specific instructions. It is critical that you notify the doctor if you take any of the following medications.
  • Blood thinners — Eliquis (apixaban), Xarelto (rivaroxaban), Pradaxa (dabigatran), and Savaysa (edoxaban): stop 2 days before your procedure. If you have kidney disease, stop 3 days before.
  • Coumadin (warfarin): stop 5 days before your procedure.
  • Plavix (clopidogrel), Brilinta (ticagrelor), and Effient (prasugrel): stop 5 days before your procedure.
  • It is OK to take 81 mg aspirin the day before your procedure.
  • Follow these instructions unless your provider tells you otherwise.

If you take the medications below for any reason other than cardiac, you should hold for 3 days before your procedure. bexagliflozin (Brenzavvy), canagliflozin (Invokana), dapagliflozin (Farxiga), empagliflozin (Jardiance), ertugliflozin (Steglatro)

Remember

  • DO NOT Chew gum or have hard candy the day of your procedure.
  • DO NOT Smoke the day of your procedure.

Day of the procedure

  • You may not eat anything including gum and hard candy.
  • You may drink clear fluids only up to 4 hours before your procedure.
  • You MUST have someone drive you home, you will be given intravenous medication to make you drowsy
  • If on blood pressure, seizure, anxiety or thyroid medications please take as directed with a small sip of water.
  • Do not take diabetes pills.
  • Decrease your insulin dose by ½.
  • You may brush your teeth but do not swallow.

Clear Liquids

Water and Mineral Water, Clear Broth, Flavored Gelatin, Popsicles, Hard Candy, Tea, Soda, Apple Juice, Black Coffee-NO Creamer. NO ALCOHOL.

NO RED OR PURPLE COLORS

Important

If you use inhalers bring them with you to the Procedure Center.

Please call us immediately if you have any questions or concerns.

Instrucciones oficiales: Instrucciones de EGD

Importante

No puede comer nada después de la medianoche de la noche anterior a su procedimiento.

**SI ESTA USANDO OZEMPIC, TRULICITY, VICTOZA, SAXENDA, RYBELSUS, WEGOVY, MOUNJARO, BYDUREON O CUALQUIER INYECCIÓN PARA DIABETES O PARA BAJAR DE PESO, DEBE PARAR DE USARLO POR 7 DIAS ANTES DE EL PROCEDIMIENTO**

Debe parar de tomar Fentermina y otros medicamentos para bajar de peso 1 semana antes de su procedimiento.

Debe notificar a la oficina de todas las recetas que está tomando. Los pacientes con diabetes o enfermedad cardíaca pueden necesitar instrucciones específicas.

  • Anticoagulantes — Eliquis (apixabán), Xarelto (rivaroxabán), Pradaxa (dabigatrán) y Savaysa (edoxabán): suspéndalos 2 días antes de su procedimiento. Si tiene enfermedad de los riñones, suspéndalos 3 días antes.
  • Coumadin (warfarina): suspéndalo 5 días antes de su procedimiento.
  • Plavix (clopidogrel), Brilinta (ticagrelor) y Effient (prasugrel): suspéndalos 5 días antes de su procedimiento.
  • Puede tomar aspirina de 81 mg el día antes de su procedimiento.
  • Siga estas indicaciones a menos que su proveedor le indique lo contrario.

Recordar

NO mastique chicle ni coma caramelos duros el día de su procedimiento.

NO fume el día de su procedimiento.

Día del procedimiento

No puede comer nada, incluidos chicles y caramelos duros.

Puede beber líquidos claros solo hasta 4 horas antes de su procedimiento.

Si toma medicamentos para la presión arterial, convulsiones, ansiedad o tiroides, tómelo según las indicaciones con un pequeño sorbo de agua.

No tome pastillas para la diabetes.

Disminuya su dosis de insulina en 1/2.

Puede cepillarse los dientes, pero no tragar.

Líquidos claros

Agua y agua mineral, caldo claro, gelatina saborizada, paletas heladas, caramelos duros, té, refrescos, jugo de manzana, crema de café negro-NO. SIN ALCOHOL.

SIN COLORES ROJOS O MORADOS

Importante

DEBE tener a alguien que lo lleve a casa, se le administrará un medicamento intravenoso para que se sienta somnoliento.

Si usa inhaladores, tráigalos con usted el dia de el procedimiento.

Por favor, llámenos inmediatamente si tiene alguna pregunta o inquietud.

Procedure prepPreparación para procedimientos

Capsule EndoscopyCápsula endoscópica

Woodholme’s official instructions.Instrucciones oficiales de Woodholme.

Always follow the instructions given to you by our office staff at checkout. If they differ from this page, follow your checkout instructions.Siga siempre las instrucciones que le dio nuestro personal al salir de su cita. Si son diferentes a esta página, siga las instrucciones que le dieron.

Official instructions: Small Bowel Capsule Endoscopy – Diet Instructions

Important

Stop taking iron 1 week before your procedure.

MiraLAX PREP: Buy one 4.1 oz bottle of MiraLAX powder and one 32 oz bottle of Gatorade (not red or purple). Mix and drink at dinnertime.

Remember

Do NOT smoke on the day of your procedure.

The night before your procedure

For dinner, have only CLEAR liquids with no red dye.

Clear liquids include: juices without pulp, water, broth, coffee or tea (black only, no creamer), and Gatorade. You may have gelatin, soda, and popsicles (lemon, lime, grape) as long as they are not red.

Do not have: solid foods, milk, or milk products.

If your doctor tells you to, drink the MiraLAX and Gatorade at dinnertime.

Nothing to eat or drink after 10:00 PM.

Day of the procedure

You may not eat anything, including gum and hard candy.

Do not take any medications starting 2 hours before your exam.

You may brush your teeth.

Wear a thin, natural-fiber top, such as a T-shirt long enough to reach at least your hips and that won't ride up above your belt.

Instrucciones oficiales: Cápsula endoscópica del intestino delgado - Instrucciones de dieta

Importante

  1. Pare de tomar hierro 1 semana antes de su procedimiento.

PREPARACIÓN CON MIRALAX: Compre 1 botella de 4.1 oz de MiraLAX en polvo y 1 botella de 32 oz de Gatorade (no rojo ni morado). Mezclar y beber a la hora de la cena.

Recordar

  1. NO fume el día de su procedimiento.

La noche anterior al procedimiento

  1. Para la cena, debe tomar solo líquidos CLAROS sin tinte rojo.

Los líquidos claros incluyen: jugos sin pulpa, agua, caldo, café o té, pero sin crema, solo negros, y Gatorade. Puede comer gelatina, refrescos y paletas heladas (limón, lima, uva) siempre y cuando no sean de color rojo.

  1. No consuma: alimentos sólidos, leche o productos lácteos.
  2. Si se lo indica su médico, beba MiraLAX y Gatorade a la hora de la cena.
  3. Nada de comer o beber después de las 10:00 PM.

Día del procedimiento

  1. No puede comer nada, incluidos chicles y caramelos duros.
  2. No tome ningún medicamento a partir de 2 horas antes de hacerse el examen.
  3. Puede cepillarse los dientes.
  4. Use una prenda superior de fibra natural delgada, como una camiseta que sea lo suficientemente larga como para llegar al menos al nivel de la cadera y que no se suba por encima del cinturón.
Procedure prepPreparación para procedimientos

FibroScan

A quick, painless liver scan. Here is how to prepare.Un estudio del hígado rápido e indoloro. Así se prepara.

Always follow the instructions given to you by our office staff at checkout. If they differ from this page, follow your checkout instructions.Siga siempre las instrucciones que le dio nuestro personal al salir de su cita. Si son diferentes a esta página, siga las instrucciones que le dieron.

Official instructions: Getting a FibroScan – Patient Guide

A painless, non-surgical alternative to a liver biopsy

FibroScan measures liver stiffness using a technique similar to ultrasound. Doctors use this technology to look for liver scarring, or fibrosis, caused by various liver diseases. An accurate measurement of liver stiffness can be an important part of assessing your overall liver health.

How FibroScan works

FibroScan sends out a small pulse of energy, which may feel like a light vibration on the skin. FibroScan calculates the speed of this energy to give your doctor an immediate measurement of your liver stiffness. The exam is painless, quick, and simple.

Is FibroScan right for me?

FibroScan can be used in patients of all ages. Your doctor may recommend FibroScan to help you better understand the condition of your liver and plan your treatment.

What to expect during your FibroScan exam

  • You will lie on your back with your right arm raised.
  • A water-based gel will be applied to your skin, and the probe will be placed on the right side of your rib cage.
  • During the exam, you may feel a light vibration on your skin as the probe sends ultrasound waves to the area for measurement.
  • The exam usually takes 10 to 15 minutes and does not require sedation.
  • Results are available very quickly.
  • Your doctor will review your results and share them with you and your primary care doctor.

Preparing for your FibroScan is simple.

Wear comfortable clothing and have nothing to eat or drink for at least 3 hours before the exam. A loose-fitting shirt and dress pants or a skirt are recommended. You cannot have a FibroScan if you are pregnant or have an implanted device, such as a pacemaker or defibrillator.

Please bring your insurance card and a photo ID on the day of your exam. Please call the office if you need to change your appointment.

Instrucciones oficiales: Hacerse un FibroScan – Guías para pacientes

Una alternativa indola y no quirúrgica a la biopsia hepática

FibroScan mide la rigidez del hígado utilizando una técnica similar a la ecografía. Los médicos utilizan esta tecnología para examinar las cicatrices hepáticas, o fibrosis, causadas por diversas enfermedades hepáticas. Una medición precisa de la rigidez hepática puede ser una parte importante para evaluar la salud general del hígado.

Cómo funciona FibroScan

FibroScan emite un pequeño pulso de energía, que puede sentirse como una ligera vibración en la piel. FibroScan calcula la velocidad de esta energía para proporcionar al médico una medida inmediata de la rigidez de tu hígado. El examen es indoloro, rápido y sencillo.

¿Es FibroScan adecuado para mí?

FibroScan puede utilizarse en pacientes de todas las edades. Tu médico puede recomendarte FibroScan para ayudarte a comprender mejor el estado de tu hígado y planificar tu tratamiento.

Qué esperar durante tu examen de FibroScan

  • Te tumbarás boca arriba, con el brazo derecho levantado.
  • Se aplicará un gel a base de agua sobre la piel y la sonda se colocará en el lado derecho de la caja torácica.
  • Durante el examen, puede que notes una ligera vibración en la piel mientras la sonda envía ondas de ultrasonido a la zona con fines de medición.
  • El examen suele durar entre 10 y 15 minutos y no requiere sedación.
  • Los resultados están disponibles muy rápido.
  • Tu médico revisará tus resultados y se los comunicará a ti y a tu médico de cabecera.

Prepararse para la FibroScan es sencillo.

Lleva ropa cómoda y no comida ni bebida durante al menos 3 horas antes del examen. Se recomienda llevar una camisa holgada y pantalones de vestir o falda. No puedes hacerte una FibroScan si estás embarazada ni si tienes un dispositivo implantable, como un marcapasos o un desfibrilador.

Por favor, lleva tu tarjeta de seguro y un documento con foto el día del examen. Por favor, llama a la oficina si necesitas cambiar tu cita.