Colonoscopy 1 day prep with MiraLax (1862FV)

For questions about the colonoscopy, call the Appleton Clinic

• Monday through Friday, from 8:00 am to 4:30 pm
• 920-969-5353 

For questions about scheduling or if you need to cancel, call Bellin:

• 920-338-6870

What is a colonoscopy? 

A colonoscopy is a test that looks inside your child’s colon or large intestine.  A flexible tube with a light and tiny camera is put in through the rectum and into the colon to look for abnormal growths or inflamed tissue. A small tissue sample called a biopsy may be taken during the procedure. Watch a cartoon video of the procedure at moviegi.com

What needs to be done before the test?

• Your child will need to cleanout (empty) the bowel before the test. The directions for the cleanout are listed on the back of this form.
• It is very important that you follow these directions.  If your child eats or drinks anything after they are supposed to, the colonoscopy may be cancelled. Stool can block the camera.  This means the doctor will not be able to see the bowels.

What is okay to use as a clear liquid?

• White grape juice
• Jell-O®
• Apple juice
• Water
• Popsicle®
• Tea
• Gatorade
• Kool-aid®
• No broth, loose tea, milk, formula or dairy products. 
• No red or purple colored liquids.  These can stain the colon and make it look bloody.

This bowel prep is done the day before the colonoscopy test.

Supplies that are needed

• MiraLax (Polyethylene Glycol) 255/238 gram bottle.
• Dulcolax (Bisacodyl) _____________________________
• Senokot (Senna)_________________________________
• 64 ounces of Gatorade or Powerade to mix the MiraLax in. No red or purple colored liquids are allowed. 

What to do the day before the test.

• Your child may have a light breakfast before 10 am the day before the test. Start the bowel prep by 11am the day before the test.
• Your child can now drink only clear fluids, no food or milk.
• After breakfast, mix the whole bottle of MiraLax (14 capfuls) in 64 ounces of Gatorade or Powerade. Finish the mix within 4 hours.
• Some children like the mixture very cold or slushy from freezing it.
• Have your child drink 1 cup of the mix every 15 to 30 minutes and finish it within 4 hours. Your child will start to have loose stools so be prepared to be close to the bathroom. They may have cramping.
• When the stools are clear and watery for 2 times, the clean out is done.

Continue to offer some clear liquid every 30 to 45 minutes until bedtime.  This will help them be less hungry and keep them hydrated.

Helping your child prepare for the cleanout. 

• Talk with your child ahead of time. Make a plan that will help your child be successful. 
• Avoid high fiber vegetables, corn and seeds 3 days before the test.
• Offer a low fiber diet (eg. melons, grapes, cucumber, rice, zuchinni, cereal, mashed potatoes and pasta) 3 days before the test.

What if the clean out is not working?

• If your child has not started to have loose stools by 5:00 PM, call
• (414) 266-2000 and ask to have the GI Fellow paged.
• If your child isn’t able to do the clean out at home, they may need to come into the hospital for the clean out. This may include an IV, enemas, and a tube put down the nose to give the liquids.

On the day of the test.

• You will be given specific instructions from the Day Surgery nurse about when to stop eating and drinking before the procedure.

Before you go home.

• Your child will need to be awake and able to take some fluids before going home after the procedure. 
• You will need to plan to have an adult watch for any problems for 24 hours after the procedure.

For other health and wellness information, check out this resource: https://kidshealth.org/ChildrensWi/en/parents