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Bowel Preparation

Indications
1. Colonoscopy
2. Flexible Sigmoidoscopy
Protocol
1. Clear Liquid Diet on the evening before procedure
2. Protocol 1: Two Laxatives on evening before procedure
  1. Bisacodyl (Dulcolax) take four 5 mg tablets
  2. Magnesium Citrate take 290 ml bottle
3. Protocol 2: Combined Laxative and fleets
  1. Laxatives on evening before procedure
    1. Bisacodyl (Dulcolax) take four 5 mg tablets
  2. Enemas on morning of procedure
    1. First Fleets Enema 1.5 hours before procedure
    2. Second Fleets Enema 0.5 hours before procedure
    3. Third Fleets Enema if second enema fluid not clear
4. Protocol 3: PEG Solution (4 Liters)
5. Protocol 4: PEG with Bisacodyl
  1. First: Bisacodyl 10-20 mg orally
  2. Next (2 hours later): 2 Liters of PEG Solution

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This page was written by Scott Moses, MD. This page was last revised on 5/14/2008 10:20:03 PM. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.