Capital City Gastroenterology, P.C.
Preparation Instructions for a Colonoscopy
Using HalfLytely (Polyethylene Glycol and Bisacodyl)
Important – Please read these instructions at least two weeks prior to your procedure or as
soon as possible if less than two weeks until your procedure.
Bowel Preparation

You must speak with your primary care
To complete a successful colonoscopy, the physician or a specialist at least two weeks
bowel must be clean so that the physician can before your scheduled colonoscopy if you: clearly view the colon. It is very important that
you read and follow all of the instructions given
Coumadin (warfarin), Plavix
to you for your bowel preparation well in
(clopidogrel), Ticlid (ticlopidine
advance of the procedure. Without proper
hydrochloride), Agrylin (anagrelide), or
preparation, the colonoscopy will not be successful over-the-counter medications like aspirin,
and the test may have to be repeated. At least 5 vitamin E, or other anti-inflammatory
days before the scheduled colonoscopy, we medications;
recommend that you purchase your prescription diabetes and take insulin. You may
need to have your insulin adjusted the day Do not mix the solution until the day before.
before and the day of the procedure; please bring your diabetes medication with you so you can possibly take it after the procedure. Special Conditions
It is important to continue to take all other Tell the physician doing this procedure if you:
prescribed medications. On the day of the medicines (but not blood thinners)with a small sip ƒ have a kidney, lung, or heart condition; Five (5) Days Before the Procedure
ƒ have an artificial heart valve; implanted Do not take bulk-forming agents (such as
ƒ If you have diabetes and take insulin, advise what dose of insulin you should take Do not take iron-containing preparations (such
as multi-vitamins containing iron). These products may make it more difficult for the ƒ have ever been told you need antibiotics physician to see the inside of the colon. Do not take aspirin and other anti-inflammatory
medications unless otherwise directed by your TRANSPORTATION: A responsible
adult must bring you, remain during the
Purchase the HalfLytely prescription kit procedure, and drive you home. The
(polyethylene glycol and Bisacodyl) at your local medication given during the procedure
pharmacy or drugstore. Please contact your may cause drowsiness, making it unsafe to
pharmacist to determine if your insurer covers drive or operate machinery.
Important - Please Read at Least Two
Bloating (a feeling of fullness in your stomach), nausea, and occasional vomiting may occur. Do Weeks Prior to the Procedure
not be alarmed. If you feel nauseated or vomit Preparation
while taking the bowel preparation, wait 30 minutes before drinking more fluid and start with small sips Three (3) Days Before the Procedure
of solution. Some activity (such as walking) or a few soda crackers may help decrease the nausea Do not eat popcorn, seeds, nuts, multigrain you are feeling. If the nausea persists, please
bread, salad, cheese, or high-fiber foods for the contact your health care provider 334 495-2600.
Note: Individual responses to the bowel preparation medication may vary. The solution One (1) Day Before thje Procedure
should cause multiple bowel movements, but may take several hours to work. Your final bowel Do not eat solid foods. It is essential to drink at least 8 ounces of clear liquids every hour after
awakening to avoid dehydration. Clear liquids Once the preparation is finished you may drink water until midnight, but nothing by mouth after midnight until after you procedure. If you have any --clear broth
questions regarding these instructions, please call --coffee or tea (without milk or creamer) our office during normal business hours at 334-495- --Gatorade or other sports drinks (not red, One (1) Day Before the Procedure
Day of the Procedure
Day of the Procedure
--Kool-Aid or other flavored drinks (not red, Related Questions
Be sure to leave all jewelry and valuables at home. --plain Jell-O or other gelatins (not red, Please report to the Endoscopy Center at Baptist Medical Center East on Taylor Road at your scheduled show time. The Endoscopy Center is located at the far rear corner of the hospital and is marked with a blue sign reading ENDOSCOPY
Note: Avoid red, green, and purple-colored drinks, CENTER. Be prepared to spend about three
Jell-o, or popsicles. Do not drink alcohol on the day hours at the Endoscopy Center. Once you have
before or the day of the procedure. signed in, have a seat until you are called back. The person who brings you must remain in the
Instructions for preparing the solution are
waiting room until you are released. That
provided on the preparation kit. The HalfLytely
person must then take you home. The medications solution should be mixed no sooner than 24 hours given during the procedure will make you drowsy prior to its usage by adding tap water to the two and you must not drive or operate machinery the liter level mark and adding one flavor packet (if provided) and shaking or stirring the solution until it is well mixed. Chill in the refrigerator until it is time Related Questions
Getting Prepared
If you have any questions regarding these Sometime between 1:00 p.m. and 2:00 p.m. instructions, please call our office at 334 495-2600.
swallow four (4) Bisacodyl tablets with water (do Following the instructions exactly will provide
not crush or chew tablets). Wait two (2) hours
the best opportunity for a successful
and begin drinking the HalfLytely preparation.
procedure. Incomplete preparation may result
Drink one 8 ounce glass every ten (10) minutes
in preparation for another procedure.
until all the solution is gone. It is better to
rapidly drink the whole glass rather than begin to have watery bowel movements. Once the solution is gone, continue to drink 8 ounces of water each half hour until bedtime. Please Read Prior to the Procedure
A colonoscopy is an outpatient procedure in diagnosis and treatment of colorectal problems which the inside of the large intestine (colon and rectum) is examined. A colonoscopy is commonly used to evaluate gastrointestinal Colonoscopy Overview and Additional
Procedure Information
bleeding, abdominal pain, or changes in bowel ● You are asked to wear a hospital gown and habits. Colonoscopies are also performed in individuals without symptoms to check for ● You are given a pain reliever and a sedative colorectal polyps or cancer. A screening intravenously (in your vein); you will feel colonoscopy is recommended for anyone 50 years of age and older, and for anyone with ● You will lie on the left side, with your knees parents, siblings or children with a history of A small amount of air is used to expand the To complete a successful colonoscopy, the colon so the physician can see the colon bowel must be clean so that the physician can clearly view the colon. It is very important that
● The colonoscope is slowly withdrawn while you read and follow all of the instructions
the lining of your bowel is carefully examined. given to you for your bowel preparation well
The procedure may last from 30 minutes to one in advance of the procedure. Without proper
preparation, the colonoscopy will not be successful ● You will stay in a recovery room for observation until you are ready for discharge. If you feel nauseated or vomit while taking the ● You may feel some cramping or a sensation bowel preparation, wait 30 minutes before drinking more fluid and start with small sips of ● A responsible adult must drive you to the
solution. Some activity (such as walking) or a Endoscopy Center and home following your
procedure; avoid alcohol, driving, and operating
nausea you are feeling. If the nausea persists, machinery for 24 hours following the procedure. please contact your health care provider. ● Unless otherwise instructed, you may You may experience skin irritation around the immediately resume your normal diet, but we anus due to the passage of liquid stools. In recommend you wait until the day after your order to prevent and treat skin irritation, you ● If polyps were removed or a biopsy was ● Apply Vaseline or Desitin ointment to the skin around the anus before drinking the bowel containing aspirin, or anti-inflammatory drugs preparation medications; these products can (such as ibuprofen [Advil, Motrin], naproxen [Naprosyn] or indomethacin [Indocin]) for two ● Wipe the skin after each bowel movement with disposable wet wipes instead of toilet decrease the risk of bleeding; you may take paper. These are found in the toilet paper acetaminophen (such as Tylenol) if needed. ● If you are taking Coumadin, Plavix, Ticlid, or ● Sit in a bathtub filled with warm water for 10 to 15 minutes after you finish passing a stool; colonoscopy will advise you when it is safe to after soaking, blot the skin dry with a soft cloth, apply Vaseline or Desitin ointment to ● If a biopsy was taken or a polyp was the anal area, and place a cotton ball just removed, you may notice light rectal bleeding outside your anus to absorb leaking fluid. for one to two days after the procedure; large amounts of bleeding, the passage of clots, or physician uses a colonoscope (a long, flexible instrument about 1/2 inch in diameter) to view the lining of the colon. The colonoscope is ● If a biopsy was taken or a polyp was
inserted into the rectum and advanced through removed, please call our office three to five
the large intestine. If necessary during a days after your procedure to get the results of
colonoscopy, small amounts of tissue may be the pathology examination.
removed for analysis (a biopsy) and polyps can be identified and entirely removed. In many Office Telephone (334) 495-2600


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