INST
TRUCTIO
ONS FOR BOWEL PREPAR
RATION WITH M
MAGNESSIUM CITRATE C
YOUR PR
ROCEDU
URE IS IN
N THE MO
ORNING
G WHEN Y
BEFORE EXA
AM O
Obtain 2 botttles of MAG
GNESIUM C
CITRATE 10 oz each and 1 box of D
DULCOLAX PILLS at an
ny store. Do no
ot exceed tthe recomm
mended dossage given in these instructions, aas serious side effects may occur.. D
DAY BEFOR
RE EXAM: _
_________
___ CLEAR LIQU
UIDS the dayy before the exam. Reefer to the cclear liquid diet on bacck of this Drink ONLY C
heet. sh
Do not use aanal creamss, gels or suppositoriess the day beefore proceedure. Stop taking Aspirin, uprofen, Ad
dvil, Ecotrin
n, Motrin, Irron, Plavix, Naproxen, Bayer and Coumadin 7 days Ceelebrex, Ibu
prior to yourr procedure
e. Only Tylenol is perm
mitted for paain. ds. 1.. Breakfastt have only clear liquid
2.. Lunch have only cleaar liquids. 3.. 4:00 pm Drink 10 ozz of Magnessium Citrate
e. Follow im
mmediatelyy with 8 fl oz of any cleear liquids. 4.. Dinner haave only cle
ear liquids. 5.. 6:00 pm Take 5 Dulccolax pills. 6.. 8:00 pm Drink 10 ozz of Magnessium Citrate
e. Follow im
mmediatelyy with 8 fl oz of any cleear liquids. ndividual re
esponses to laxatives vary. This prrep often w
works within
n 30 minutees but may take as In
lo
ong as 3 hou
urs. Remain
n close to to
oilet facilitie
es as multipple bowel m
movementss may occurr. Before midnight, drink at least 3 additional gllasses of cleear liquids. Have nothiing to eat o
or drink affter midnight. D
DAY OF EX
XAM:___
_________
_ GO TO:___________________ ARRIVE AT:__________
_ DRINK 1 BOTT
TLE AT 4:00P
PM
TAKE 5 PILL
LS AT 6:00PM
M
DR
RINK 1 BOTT
TLE AT 8:00P
PM
Bowel Prep AM Exam – Magnesium Citrate CLEAR LIQUID DIET
CLEAR LIQUIDS CONSIST OF ANY LIQUID THAT YOU CAN HOLD UP TO THE LIGHT
AND SEE THROUGH, SUCH AS THE FOLLOWING EXAMPLES (NOTE: WHEN ON A
CLEAR LIQUID DIET DO NOT CONSUME ANY PRODUCT WITH RED, ORANGE OR
PURPLE COLORINGS, NOR ANY LIQUIDS WITH PULP):
- CANNED BEEF AND CHICKEN BROTH (OR HOMEMADE) BEEF AND CHICKEN
BOUILLON IN GRANULES, CUBES, POWDER OR BOXED FORM DISSOLVED IN
WATER
- GATORADE, POWER-ADE
- COFFEE (WITHOUT MILK OR CREAMER) SUGAR AND SWEET N LOW IS OK
- TEA (WITHOUT MILK OR CREAMER) SUGAR AND SWEET N LOW IS OK
- CRYSTAL LITE, WHITE GRAPE JUICE, WHITE CRANBERRY JUICE, APPLE JUICE,
APPLE CIDER LEMONADE WITHOUT PULP
- CARBONATED AND NON CARBONATED SOFT DRINKS: INCLUDING COKE,
SPRITE, 7 UP, PEPSI, MOUNTAIN DEW, ALL DIET COLAS, CITRA, FRESCA, ROOT
BEER, GINGER ALE
- KOOL-A1D OR OTHER FRUIT FLAVORED DRINKS, ICE POPSICLES (SEE ABOVE)
- PLAIN JELL-O (LIQUID FORM OR CHILLED AND JELLED) LEMON-LlMEPINEAPPLE (SEE ABOVE)
- STRAINED FRUIT JUICES-PEAR, PINEAPPLE, GRAPEFRUIT, PEACH
NO ORANGE JUICE NO TOMATO JUICE NO CRANBERRY JUICE NO GRAPE JUICE NO MILK PRODUCTS NO ICE CREAM NOTE:
WHEN ON A CLEAR LIQUID DIET DO NOT CONSUME ANY PRODUCT WITH RED,
ORANGE OR PURPLE COLORINGS, NOR ANY LIQUIDS WITH PULP.
Bowel Prep AM Exam – Magnesium Citrate