Colonoscopy Prep Forms

To ensure a successful exam, please follow all instructions carefully. You MUST arrange a ride for the day of your exam. If you fail to arrange acceptable transportation, your procedure will need to be rescheduled. If you have diabetes, ask your physician for diet and medication instructions. If you are or may be pregnant, please discuss the risks and benefits of this procedure with your doctor.

Please bring a list of all of your current medications, including any over-the-counter medications with you. If you must cancel or reschedule your appointment, please call your doctor’s office as soon as possible.

Steps to Follow For Every Colonoscopy

7 days before

Most people will not need to do anything differently this far in advance of a colonoscopy. However, review you medications with your doctor and ask for specific instructions if you take blood-thinners (like Plavix or Pradaxa).

3 days before

Stop eating nuts, seeds, and popcorn.

2 days before

Drink 8 glasses of water during the day and stop eating after midnight.

The day before

  • Begin a clear liquid diet, in addition to drinking 8 glasses of water during the day.
  • At 6pm, you will need to take the laxative preparation prescribed by your doctor according to the specific instructions.
  • Stay near the toilet after you begin taking the prep solution.

Day of your exam

While some of the colonoscopy prep solutions are only taken the previous day, others will need to be repeated the morning of your exam. The instructions for each solution are below.

  • No smoking on the day of your procedure
  • Take any morning medications at least 3 hours before your exam with 4oz of water.
  • Stop drinking liquids 3 hours before your exam.
  • Bring a list of all your current prescription and over-the-counter medications
  • Arrange for a ride to and from the doctor