INSTRUCTIONS FOR OUTPATIENTS
Referring Physician: Please check the preparation for required examination. For preparations not listed or other questions, please call 219-864-2900 or TOLL FREE 888-864-2900.
| a) | Four (4) DULCOLAX (BISACODYL) tablets at 4:00 p.m. day before examination (if not contraindicated). Do not chew or crush. Pills must be swallowed whole and not taken within one hour of antacids or milk. |
| b) | Nothing to eat or drink after midnight (may take medication with small amount of water). |
| c) | DULCOLAX (BISACODYL) suppository per rectum two (2) hours before bedtime night before examination. Insert suppository into rectum as far as possible. Retain for 20 minutes, if possible. |
| d) | See note. |
| Patients having examinations requiring IV contrast - Glucophage should be stopped at the time of or prior to the procedure. See PHYSICIAN INFORMATION. | |
| a) | Six (6) TELEPAQUE tablets at 4:00 p.m.the night before the examination. |
| b) | Nothing to eat or drink after midnight (may take medication with small amount of water). |
| c) | Cleansing enema in early a.m. prior to examination. |
| a) | Preparation starts at 12:00 noon the day before the examination. |
| b) | Patient to drink 8 to 10 glasses of water or juices throughout the day. |
| c) | 12:00 (noon) - begin clear liquid diet. |
| d) | 4:00 PM - Four (4) DULCOLAX (BISACODYL) tablets (if not contraindicated). Do not chew or crush. Pills must be swallowed whole and not taken within one hour of antacids or milk. |
| e) | 5:00 PM - Clear liquid supper. |
| f) | 6:00 PM - Drink one entire bottle of MAGNESIUM CITRATE (10 oz.). |
| g) | Nothing to eat or drink after midnight (may take medication with small amount of water). |
| DAY OF EXAMINATION: | |
| a) | 5:30 AM - DULCOLAX (BISACODYL) suppository in rectum. Retain for 20 minutes if possible. |
| b) | May take medications with a small amount of water. |
| a) | Nothing to eat or drink after midnight (may take medication with small amount of water). |
| b) | See note. |
| c) | If UGI series follows colon, take four (4) DULCOLAX (BISACODYL) tablets at 4:00 p.m. the day before the examination. Do not chew or crush. Pills must be swallowed whole and not taken within one hour of antacids or milk. |
| d) | Encourage liquids following examination. |
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| Up to 2 years - | |||
| a) | Nothing to eat or drink 4 hours prior to exam. | ||
| b) | See note. | ||
| 2 to 12 years - | |||
| a) | One (1) DULCOLAX (BISACODYL) tablet at 4:00 p.m. day before examination. Do not chew or crush. Pills must be swallowed whole and not taken within one hour of antacids or milk. | ||
| b) | Nothing to eat or drink after midnight (may take medication with small amount of water). | ||
| c) | Cleansing enema at bedtime. | ||
| See note. | |||
| a) | Nothing to eat or drink 4 hours prior to exam. | ||
NOTE: IF IN DOUBT, CALL ADVANCED IMAGING CENTER FOR INFORMATION. FOR ADULTS, IF DULCOLAX (BISACODYL) tablets are not available, you may use 2 ounces of castor oil instead. |
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