HF 7643

ERAS Full Bowel Prep Using MoviPrep® With Travel Day

This handout explains the steps you need to follow for your bowel prep as you prepare your bowel for surgery. Please note that “clear liquid” means no sediment, no fiber, and no pulp. Clear does not mean colorless.

Clear Liquids

  • Water, sparkling water or soda

  • Gelatin (no added fruit or topping) homemade from box only

  • Popsicles with no pieces of fruit or fruit pulp

  • Broth or bouillon

  • Crystal Light® 

  • Juice with no pulp (apple, no orange) 

  • Coffee or tea, no creamer – sugar is ok

  • Gatorade® or other clear sports drinks

  • No alcohol or dairy products 

  • Hard candy

  • Ensure Clear® 4 pack

The MoviPrep® bowel prep has two doses, one liter each. You will drink this prep 2 days before surgery. Then you will drink only clear liquids. Your travel day is the day before surgery.

The Evening Before Prep Day

  1. Mix MoviPrep®. Follow the package instructions. 

  2. Do not add extra flavors. 

  3. Keep it cold. It will taste better chilled.

2 Days Before Surgery

  1. Drink the prep today. Clear your schedule of other duties for the day. The prep will last most of the day. Stay near a bathroom.

  2. If you take medicines, take them at least 1 hour before your prep or at least 1 hour after you are done. Do not take them while you are drinking the prep.

  3. Once you have finished the first dose of the prep, mix the second dose and place in refrigerator. You will drink the second dose at noon today. 

2 Days Before Surgery (7:00 AM/First Dose)

  1. The MoviPrep® bottle has 4 marks. Every 15 minutes, drink the prep down to the next mark until it is gone.

  2. Expect to have some cramps and liquid stools within 1-6 hours.

  3. Stop drinking if you feel sick. Start again as soon as you can at a slower rate.

  4. When you finish drinking the prep, drink 16 ounces of a clear liquid.

  5. Mix the second dose of MoviPrep® in the same container. Chill.

2 Days Before Surgery (Noon/Second Dose)

  1. Repeat prior steps 1-4. 

  2. Finish the prep. Your stool should be watery and clear, with no solids (flecks are ok). The color may be yellow, green, or tan. 

1 Day Before Surgery (Travel Day)

  1. Take your antibiotics today if needed. Drink three bottles of Ensure Clear® today. You may take the Ensure drink with the antibiotics. Save one bottle to drink in the morning.

    • 1 hour after you finish the MoviPrep® - Take the 1st dose of antibiotics.

    • 2 hours later - Take the 2nd dose of antibiotics. 

    • 10:00 PM - Take the last dose of antibiotics.

  2. Skin prep for surgery-shower #1. 

Morning of Surgery

  1. 3 hours before surgery, drink the 4th bottle of Ensure Clear® (10 oz.). Stop drinking all liquids 2 hours before the surgery. Follow the details the nurse from First Day Surgery gave you. If you can have clear liquids until 2 hours before the surgery, you may have:

    • Black coffee—sweetener is okay, no creamer

    • Apple juice

    • White grape juice

    • Water

    • Gatorade

    • Ensure Clear®

  2. Give yourself a Fleets® enema at least one hour before you leave for the hospital.

  3. Do the second skin prep for surgery. This is shower #2.

When to Call the Doctor

  • If you have questions

  • Steady stomach pain

  • Light-headed or dizzy

  • No bowel movements

  • Cannot drink the prep

Important Phone Numbers

Digestive Health Center


Toll free: 1-855-342-9900 

After hours, holidays and weekends ask for the doctor on call for Dr.______________________________.