If you feel ill with fever, flu-like symptoms or respiratory illness, please call us to reschedule your appointment. Please Do Not Bring Children Under age 16 to Appointments.

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Prep Instructions Flexible Sigmoidoscopy GLP

Procedure Prep Instructions

Flexible Sigmoidoscopy

Please call our office, if you have any questions or concerns about your procedure.

For the safety of you and our staff, if you fail to follow the instructions below, your procedure will be rescheduled. If you have any questions, call our office.

- Read or watch all instructions to prepare for your procedure.
- If you are taking Ozempic®, Moujaro®, Rybelsus®, Trulicity®, Victoza® or similar generic medications for diabetes or weight reduction stop these at least 7 days prior to your procedure. This should be done under the direction of your prescribing physician.
- This is a sedated procedure. A responsible driver must remain in the facility throughout your appointment (~2 hours total). No exceptions.
- We may call you 1 day before your procedure and adjust your arrival time as we finalize the clinic's schedule.
- No children under the age of 16 are allowed at appointments.
- Watch for a text and email 4 days before your procedure with a link to complete your required online registration.
- To cancel or reschedule to a different day, please call us at least 48 hours in advance to avoid a $250 cancellation fee.
PURCHASE the following products
  1. Two (2) Fleet enemas at any pharmacy over‐the‐counter
  2. Clear liquids to drink throughout the day before your exam
7 days BEFORE your procedure

PATIENTS CURRENTLY TAKING A GLP-1 RECEPTOR AGONIST FOR DIABETES OR WEIGHT LOSS such as Ozempic®, Semaglutide, Mounjaro®, Wegovy®, Rybelsus®, Trulicity®, Victoza® or similar compounded or generic medication, should contact the prescribing physician for instructions to stop the medication at least 7 days prior to your procedure. For your safety, your procedure will be rescheduled if these medications are taken within 7 days of your scheduled appointment.

1 day BEFORE your procedure
  • WE MAY CALL to adjust your appointment time as the clinic’s schedule is finalized.
  • NO BREAKFAST. STOP ALL SOLID FOODS. No solids, dairy, or alcoholic beverages until after your procedure.
  • DRINK at least 8 glasses (64 oz) of CLEAR liquids throughout the day and evening.
Procedure Day
  • You may drink plenty of clear liquids up until 2 hours before you arrive. 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.
  • Take your regularly prescribed medications (Except blood thinners or diabetic/weight loss medication as described.
  • Two (2) hours before you arrive, use the two (2) Fleet enemas as directed on the package.
  • NOTHING BY MOUTH for 2 hours before your arrival time - no water, mints or gum.
Important Information

Medications:

  • DO NOT skip your medications. Take regularly prescribed medications at least two (2) hours before you arrive. If you have an inhaler, please bring it with you.

Diabetics:

  • IF YOU ARE CURRENTLY TAKING DIABETIC/WEIGHT LOSS MEDICATIONS such as Ozempic®, Mounjaro®, Wegovy®, Rybelsus®, Trulicity® or other semaglutide or GLP-1 receptor agonists, please call the Endoscopy Center immediately. You must discontinue this type of medication for a full 7 days before a sedated procedure.
  • 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:

  • Leave valuables and phone/devices at home or with your driver
  • Photo ID and Insurance Card
  • Your inhaler, if you use one
  • Your insulin, if you use it
  • 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
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