Bravo EGD/Miralax
Colonoscopy Preparation

Preparing for the Bravo™ pH Test with Colonoscopy

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:

  • Complete Registration Forms
  • 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.