HF 7478

Getting Ready for Your Colonoscopy (Golytely, Colyte or Nulytely)

Read this entire document at least 1 week before your test. For a printable version of your bowel prep instructions and checklist click on download & print. Let’s review how to get ready for your colonoscopy using Golytely, Colyte, or Nulytely. These products might be referred to as PEG.

Bowel Prep Video:

View the bowel prep video at: uwhealth.org/colon-prep-gcd

Bowel Prep Checklist

1 Week Before Test

  • Find safe transportation for the day of your test

  • Talk to your primary doctor about your diabetes and/or blood thinning medicines

  • Call if you are constipated, had trouble prepping in the past or if you’ve had any major health changes since you scheduled your test

  • Stop iron supplements and vitamins with iron 5 days before your test

3 Days Before Test

  • Start a low fiber diet

  • Call pharmacy to pick up bowel prep

1 Day Before the Test

If your test is before 11:00 am:

  • Mix prep and put it in the fridge

  • At 10 am stop eating solid food and begin clear liquid diet

  • Take daily medicines (except those you were told to stop) at least 1 hour before or 1 hour after drinking prep

  • At 4 pm start drinking prep

    • Drink 1 cup (8 oz) every 10-20 minutes until you’ve finished 3/4 the jug (about 12 cups)

    • You should be done with the prep by 6 pm

If your test is after 11:00 am:

  • Mix prep and put it in the fridge

  • At 2 pm stop eating solid food and begin clear liquid diet

  • Take daily medicines (except those you were told to stop) at least 1 hour before or 1 hour after drinking prep

  • At 6 pm start drinking prep

    • Drink 1 cup (8 oz) every 10-20 minutes until you’ve finished 1/2 the jug (about 8 cups)

    • You should be done with the prep by 8 pm

Day of Test

  • 6 hours before test start drinking the rest of your prep.

    • Drink 1 cup every 10-20 minutes until you finish the prep.

  • 4 hours before test stop all liquids (even water)

  • Call if you are still passing solid or brown stools or your bowels have not started to empty

Your Detailed Bowel Prep Instructions

1 Week Before Test

Arrange Transportation

Due to the sedation medicines, you cannot drive home or return to work after your test. You must choose one of the safe transportation options listed below. If you do not have a safe way to get home, your test will be cancelled.

Your transportation options (choose 1):

  • Have a responsible adult family member or friend drive you home.

  • Have a responsible adult family member or friend with you if you take a cab, bus, or other transportation.

  • Arrange a qualified ride service to drive you home after your test. This is a service that legally agrees to transport patients after sedation.

Health Changes

Please tell us about any major health changes, illnesses, or recent hospital stays you have had since you scheduled your test.

Blood Thinners and Diabetes Medicines

You must call the doctor who prescribes this medicine to see if you need to stop or adjust your medicine before your test. Your doctor will tell you how to safely do this.

Iron and Multivitamins with Iron

Stop taking these 5 days before your test. (You do not need to contact your doctor first).

Constipation

You may need extra prep if you are often constipated or if you have had problems prepping before. Please call to talk about this in more detail.

3 Days Before Test

Low Fiber Diet

Stop the following foods and medicines. These foods may slow your digestion, and your colon may not be clean enough for your test:

  • Corn, popcorn, seeds or nuts. Uncooked vegetables, beans and lentils, potato skins.

  • Fruits with skins or seeds.

  • Whole grain breads, granola or high fiber cereals.

  • Fiber supplements (like Metamucil®, Citrucel®, or Benefiber®).

  • Anti-diarrhea medicines (like Kaopectate®, Lomotil®, Pepto-Bismol® and Imodium® or loperamide).

Bowel Prep Tip:

For a list of safe foods visit: patient.uwhealth.org/healthfacts/381

Pick up Bowel Prep

Your bowel prep will be ordered about two weeks before your test. Three days before your test:

  1. Call the pharmacy to tell them you will be picking up your bowel prep.

  2. Pick up your bowel prep. Do not mix the prep until the day before the test.

  3. Buy soft toilet paper.

1 Day Before Test

Mix the Prep

Mix prep as instructed on the jug and place in the fridge.

Diet

Begin clear liquid diet. Be sure to drink at least 8 glasses of clear “see-through” liquids. Clear liquids include:

  • Water, clear sports drinks like Gatorade®

  • Broth

  • Black coffee, tea, soda

  • Apple juice

  • Jell-O®

  • No creamers, milks or other dairy products

  • No red or purple liquids or Jell-O

  • No solid food

Medicines

Take your daily medicines except those you were told to stop. Take at least one hour before or one hour after drinking your prep.

Bowel Prep

  • Start drinking your prep at the time listed on your Prep Checklist.

  • Follow the directions on the checklist. Do not follow the directions on the jug.

  • Stay near a bathroom. You will have loose, then liquid stools. This is normal.

Bowel Prep Tip:

  • Add yellow Crystal Light® lemonade to each glass improve taste

Nausea

You may have cramping, bloating and/or nausea. If you have a lot of nausea or vomiting, slow down or stop for 30 minutes, then start again.

Test Day

Diet

  • No food

  • Stay on only clear liquids (no red or purple)

  • Stop drinking everything, even water, 4 hours before you arrive.

Bowel Prep

  • Start drinking the rest of the prep 6 hours before you arrive for your test. This may be in the middle of the night.

  • Drink 1 cup (8oz) s every 10-20 minutes.

As you finish the prep, your stools should be watery clear or yellow, with no solids (flecks of stool are OK). If you are still passing solid or brown stools, please call the procedure center.

Medicines

If you need to take medicine during the 4 hours before your test, drink no more than 1/2 cup of water (4 ounces). Follow your provider’s directions for your diabetes or blood thinning medicines.

What to Bring

  • CPAP or BiPAP and any inhalers that you use

  • Eyeglass or contact lens case, denture cup

  • Ostomy supplies

  • Wear comfortable clothing

  • Phone number for your driver

Do not bring:

  • Jewelry

  • Money

  • Other valuables

Before the Test

  • When you arrive, you can choose if your driver waits in the waiting room or in your private room where they will hear private health information.

  • The doctor will talk with you, answer questions, and ask you to sign a consent form.

  • A nurse will review your health history, take your vital signs and attach a heart monitor.

  • A nurse will place an IV and give you medicines to help you relax and keep you comfortable.

  • Your visit will take about 2-3 hours.

After the Test

  • Your doctor will review the results and give you a report. We strongly suggest that you have your driver in the room with you to hear the results.

  • You may feel tired when you leave.

  • Spend the day resting at home. You cannot drive or return to work. You can return to your normal routine the next day.

  • It may take up to a week for your bowel habits to return to your normal.

Results

If you have biopsies taken or polyps removed, you can expect to get lab results 1-2 weeks later. Your results will be sent to your MyChart account. If you don’t have a MyChart account, someone will call you with results or results will be mailed to you.

Bowel Prep Tip:

To learn more about colon polyps visit: https://patient.uwhealth.org/healthfacts/7917

When to Call

  • If you are still passing solid stools or your bowels have not started to empty by the morning of your test.

  • You have severe cramps

  • You feel dizzy or lightheaded

Who to Call

Patient Resources

(If you need help finding a ride to and from your test)
608-821-4144

Digestive Health Center

(608) 890-5010

UW Hospital GI Procedure Clinic

(608) 263-8094

Meriter/Unity Point

(608) 417-6389