PREPARING FOR YOUR COLONOSCOPY

ONE DAY BEFORE COLONOSCOPY:

Clear liquid diet only.  You may have black coffee or tea, clear broth, jello (but no red jello), sodas, apple juice, white grape juice.  Do Not drink milk or milk products, or orange juice.  Do not eat any solid food.

At 4 pm, begin drinking Golytely or Nulytely.  Add cold water to the line on the bottle and shake it.  Drink 8 ounces every 10 minutes until it is gone.

THE DAY OF COLONOSCOPY:

Clear liquid diet only. 

Take your usual medicines, unless told otherwise.

You must bring an escort (no children).

Bring your insurance and hospital cards.

Date:_________________Time:___________________Doctor:_____________________________

Endoscopy Unit, 13th fl                                                Endoscopy Unit, 1st Floor

Irving Pavilion                                                              Allen Pavilion

161 Fort Washington Ave. (165th St)                            5141 Broadway (220th St)

212-305-2341                                                              212-932-4221

Special Instructions:______________________________________________________________