Bravo EGD/Miralax
Colonoscopy Preparation

Preparing for the Bravo™ pH Test with Colonoscopy

Patients, please:

Understand that we may call the day before to adjust your appointment time as the doctor’s schedule is finalized

Due to space restrictions and social distancing recommendations, drivers will be invited to wait in their vehicle or at our comfortable, Gastroenterology clinic next door

Review procedure preparation instructions below promptly and follow precisely

Watch for an email from our billing department explaining your insurance benefits and estimated payment responsibilities (if any)

Watch for a text and email 4 days before your procedure with a link to complete your required online registration

Answer the call from our nurses prior to your procedure with instructions

Call us at least 24 hours in advance to cancel or reschedule your appointment for a different day to avoid $100 cancellation fee

Contact us with questions or concerns at (801) 619-9000

 

7 Days Before Your Test Start Date:

STOP all proton pump inhibitors (PPI) such as pantoprazole (Protonix®), omeprazole (Prilosec®, Zegerid®), rabeprazole (AcipHex®), or lansoprazole (Prevacid®).

3 Days Before Your Test Start Date:

STOP H2 blockers such as ranitidine (Zantac®), cimetidine (Tagamet®), famotidine (Pepcid®, Fluxid®) or nizatidine (Axid®).

Purchase the Following Products:

1. Dulcolax Tablets (bisacodyl laxative)

2. Miralax 238 gram bottle (to be mixed in the clear liquid choice below prior to drinking)

3. Gatorade 64 ounces (NOTHING RED OR PURPLE) ‐ Sugar‐free drinks (G2, PowerAde Zero, Propel or water) are also options.

The Day BEFORE Your Exam:

  • STOP taking over‐the‐counter antacids of any kind (Tums®, Rolaids®)
  • STOP all solid foods. NO SOLID FOOD until after your exam.
  • Beginning with a clear liquid breakfast, continue to drink at least 8 glasses (64 oz) of CLEAR liquids throughout the day and evening. Clear liquids include: Water, sports drinks, black coffee, tea, any soda (light or dark), broth, Jell-O, popsicles, and juice without pulp. NOTHING RED OR PURPLE.
  • At 4:00 PM take four (4) of the Dulcolax Tablets.
  • At 5:30 PM drink half of the total Miralax/Gatorade solution over the next 2 hours.
  • Continue drinking additional clear liquids throughout the evening.
  • A soothing ointment (Desitin, Vaseline) may be applied to the anal area to prevent discomfort and skin breakdown.

The Day Of Your Exam:

Four (4) hours before your arrival time, drink the remaining half of the Miralax/Gatorade solution over the next 2 hours.

2 Hours Before Your Arrival Time:

NOTHING BY MOUTH until after your test. No water, no gum, no mints. NOTHING BY MOUTH.

IF YOU ARE TO BE SEDATED, A RESPONSIBLE DRIVER MUST REMAIN IN THE FACILITY THROUGHOUT YOUR APPOINTMENT (~2 hours total).

Medications:

  • Take regularly prescribed medications (EXCEPT ANTACIDS, AS NOTED) at least two (2) hours before you arrive. If you have an inhaler, please bring it with you.

Diabetics:

  • DO NOT take oral diabetic medication or insulin the morning of your procedure. Bring your insulin with you.
  • Test your blood sugar before coming in for your procedure and bring the reading with you.
  • Please contact the physician that manages your diabetic care if you have any questions regarding your oral medication or insulin dosages.

Blood Thinners:

  • If you are taking blood thinners, call your prescribing physician and ask if you may stop taking the medication for the required amount of time prior to your procedure.
  • You may continue taking aspirin, ibuprofen and other anti‐inflammatory medications.

Bring with You:

  • If using Online Registration, complete the process using your phone or other device. If using paper forms, please complete and bring to your appointment.
  • Photo ID and Insurance Card
  • List of all medications, vitamins and supplements you are taking (include dosage and last date and time each medication was taken before your arrival).
  • Wear a short‐sleeved shirt

Arrive at the Granite Peaks Endoscopy Center at your scheduled time. Please call us at 801-619-9000 if you have any questions regarding your preparation.

Utah State regulations require patients to have a responsible adult present and able to drive them home after a sedated medical procedure. A taxi, Uber or any other paid driver cannot act as such. Patients arriving without a driver have the choice of rescheduling the procedure for a time when a driver can be present or having their procedure without sedation.