Golytely Extended

Preparing for a procedure with UVA Digestive Health, Endoscopy

We are so glad that you chose us to provide your care. Please note that UVA performs endoscopic procedures at two locations.  You can confirm the location of your procedure by referring to your appointment reminder letter. Please follow the endoscopy guidelines and preparation instructions to help make for a successful experience. 

□     IMPORTANT: If you have diabetes or are on a blood thinner other than aspirin, please call the doctor that ordered your procedure at least 10 days before your procedure date for further instructions regarding medication adjustments. 

□     You MUST have a driver on the day of your procedure: As you will receive anesthesia medications on the day of your procedure, you must have a responsible adult 18 years or older who can drive you home.  For your safety, UVA Health recommends that this person stay with you for several hours after your procedure.  You may not drive for 24 hours after your procedure. To help control the number of people in our waiting room, we will only allow 1 visitor per patient in the building. We apologize for the inconvenience, but children will not be allowed in the waiting room.

□     Medication and allergy information: Please bring a complete list of your current medications, their doses, and any allergies you may have.

□     Pacemaker or Internal Defibrillator: Please bring your device information card with you. 

□     CPAP Machine:  If you have sleep apnea and use a CPAP machine at home, please bring it with you even if you rarely use it.  Ensure that all components, including the power cord, are included.

□     Personal belongings: Please leave all jewelry and other valuables at home.  Please do not wear contacts the day of your procedure.  If you wear glasses, hearing aids, or dentures, please bring a case with you to store these items during your procedure.

We strive to provide the safest care for all of our patients.  As a result, some procedures may take longer for some patients than others.  Please arrive 45 minutes prior to your appointment time.  We ask for your patience and that you plan to be with us at least 3 to 4 hours.    

If you must cancel or reschedule your appointment, please call the UVA Endoscopy scheduling team as soon as possible at: (434) 924-9999.

 

Golytely Extended Bowel Preparation Instructions

 

TWO WEEKS BEFORE YOUR PROCEDURE:

□ Call your pharmacy two weeks prior to your procedure. Tell them you are ready for them to fill your prescription for the bowel prep kit.

 

FIVE DAYS BEFORE YOUR PROCEDURE:

□ Start a low fiber diet. See the food list below.

□ Stop iron, including vitamins that contain iron.

□ Have plenty of clear liquids available at home, see list below.

□  If you wish, buy soft toilet paper, moist wipes or external ointment.

 

TWO DAYS BEFORE PROCEDURE:

Taking Your Prep- Do not follow directions on the bottle. Follow directions given to you by your doctor or nurse

□ At 8:00 am you should have two jugs. Do not combine jugs, mix them separately. Add water up to the fill line of the bowel prep jugs. Mix well and place in refrigerator.

□ What You Eat, Have a light breakfast (eggs, yogurt, white toast, Ramen noodles, etc.). Avoid all cereals, fruit, seeds, nuts and meat products.

□ After your light breakfast drink only clear liquids for the entire day. Be sure to drink at least 8 tall glasses (about 8-10 ounces each) of clear liquids throughout the day. It is important that you drink plenty of liquid during the day. Follow the lists below.

□  Start drinking your first jug of bowel prep at 5:00PM. You will need to drink 1 cup (8oz) of prep solution every 10-15 minutes until HALF of first jug is finished. Drink at least 16 ounces of additional clear liquids before bedtime.

□ Stay close to a bathroom. Cleaning your colon causes diarrhea.

 

ONE DAY BEFORE PROCEDURE:

□ At 12:00 PM begin to drink the other half of your first jug of bowel prep.

□  You will need to drink 1 cup (8oz) of the prep every 10-15 minutes until you have finished the other half.

□ At 6:00 PM begin to drink the second jug.

□  You will need to drink 1 cup (8oz) of the prep every 10-15 minutes until HALF of the second jug is gone.

□  Drink only clear liquids all day. Do NOT eat any solid foods or milk products. Be sure to drink at least 12 tall glasses (about 8-10 ounces each) of clear liquids throughout the day in addition to what you drink with your bowel prep.

 

DAY OF PROCEDURE:

□ Begin drinking the rest of your second jug of prep 5 hours before you leave home. You may need to start in the middle of the night for an early am procedure. Timing is essential. You will need to drink 1 cup (8oz) of prep solution every 10-15 minutes until the other HALF of you second jug is finished.

□ Stop drinking all liquids 2 hours before your scheduled procedure time.

 

Frequently Asked Questions:

Why Is It Important To Get Cleaned Inside? Your doctor must be able to see in order to complete the colonoscopy exam. If your colon is “dirty” on the inside, your doctor may not be able to see important things like polyps or cancer.

Is My Prep Working? The bowel movement coming out should look like fluids you are drinking – clear without many particles. You know you are done when the bowel movement coming out is yellow, light, liquid, and clear, like urine.

What are the effects of the “bowel prep?” You will have lots of diarrhea from the bowel prep. This will start anywhere from a few minutes to 3 hours after you start your prep. Many people have bloating, abdominal discomfort, and/or nausea. Some people do not like the taste or smell of the medicine. Please do not let this get in the way of taking the medicine as directed.

Rarely, some people throw up while taking the prep. If you throw up, stop taking the prep for 30-60 minutes. Then try taking the prep again. If you are unable to finish the bowel prep, your colon may not be clean enough for your exam.

My prep hasn't started working yet. What do I do? Different people respond differently to the bowel prep. If you have waited more than 3 hours without a response, then it may not be working well. Be sure you are drinking enough fluid. If that doesn’t work, drink the second part of your prep and continue to drink fluids. It should work eventually. Call the UVA Endoscopy Unit at (434) 924-9999 after 8 am on the morning of your procedure if the medicine is still not working.

LOW RESIDUE / LOW FIBER DIET

Start this diet FIVE DAYS before your procedure. You will return to your regular diet after the procedure.

FOODS TO EAT

FOODS TO AVOID:

BREADS/GRAINS

Refined breads, toast, rolls,   biscuits, muffins, crackers, pancakes, and waffles.

Enriched white or light rye bread or rolls. Saltines, Melba toast

Refined ready-to-eat cereals such as puffed rice and   puffed wheat Cooked refined wheat, corn, or rice cereal

Strained oatmeal, grits and farina

Refined cold cereals   made from rice, corn or oats (Rice Krispies, Cornflakes, Cheerios)

White rice, refined pasta,   macaroni, noodles

VEGETABLES:

Most tender cooked and canned vegetables without   seeds such as carrots, asparagus tips, beets, green or waxed beans, pumpkin,   spinach, squash (acorn) without seeds, potato (no skin), pureed or cooked   strained lima beans, and peas (no skin)

FRUITS:

Most canned or cooked fruits, fruit cocktail, avocado, canned   applesauce, apricots, peaches, pears (all without skin and seeds), pureed   plums and ripe bananas

Strained fruit juice

MILK/DAIRY:

Milk, mild cheese, cottage cheese Yogurt (no berries)

Ice Cream (no fruit or nuts)

*limit milk/milk   products to 2 cups per day

MEAT:

Ground or well-cooked, tender beef, lamb, ham, veal, pork, fish shellfish, poultry (no skin), and organ meats, eggs

Smooth peanut butter

FAT/SNACKS:

Margarine, butter, vegetable oils, mayo, cream substitutes, Crisp   bacon

Plain gravies, and salad dressings

Chocolate

Broth, strained cream soups (no corn) made with allowed ingredients

MISC:

Salt, soy sauce, ketchup

Mild spices in moderation, white sauce Sugar, honey, jelly, syrup

Lemon juice, vinegar, vanilla and   other flavoring extracts Coffee, tea, carbonated beverages and fruit drink   (without pulp)

BREADS/GRAINS

Any   bread product made with whole-grain flour or graham flour, bran, seeds, nuts,   coconut, or raw or dried fruit, cornbread, and graham crackers Any   whole-grain, bran, or granola cereal, oatmeal and cereal with seeds, nuts,   coconut or dried fruit Bran, barley, brown and wild rice

 

 

 

VEGETABLES:

Raw vegetables and vegetables with seeds, sauerkraut,   winter squash, and peas

 

 

 

 

FRUITS:

Raw or dried fruit, all berries,  Prune   juice

 

 

 

MILK/DAIRY:

Yogurt   containing fruit skins or seeds

 

MEAT:

Tough fibrous meats with gristle, shellfish with   tough connective tissue

Meats prepared with whole-grain ingredients, seeds,   or nuts

Dry beans, legumes, peas and lentils Chunky peanut butter

Raw clams and oysters

 

FAT/SNACKS:

Any made with whole-grain flour, bran, nuts, seeds,   coconut, or dried fruit

Nuts, and popcorn

Raisins, seeds, seed spices, pickles, olives, Spicy mustards,   and relish

Highly spiced  salad dressings

Jam or marmalade with nuts and seeds

 

MISC:

Beverages and gelatins that are red or purple in   color up to 24hrs. prior to procedure

 

CLEAR LIQUID DIET

Change to this diet ONE DAY before your Colonoscopy.

You will return to your regular diet after the procedure. 

Drink/Eat

Do not drink

  Water (plain, carbonated or flavored)

  •   Fruit juices without pulp, such as apple or white grape juice
  •   Fruit-flavored beverages, such as fruit punch or lemonade
  •   Carbonated drinks, including dark sodas

(cola and root beer)

  •   Gelatin (Jell-O)
  •   Tea or coffee without milk or cream
  •   Sports drinks
  •   Clear, fat-free broth (bouillon or consommé)
  •   Honey or sugar
  •   Ice pops without ANY milk, bits of fruit, seeds or nuts

 

  • Anything red or purple. These liquids can look like blood in the   colon.
  •   Milk
  •   Artificial creamers
  •   Fruit or vegetable smoothies
  •   Alcohol