
Colonoscopy

What is a colonoscopy?
A colonoscopy is an exam of your colon (large intestine). A colonoscopy procedure is performed using a colonoscope, a long flexible tube that permits visualization of the lining of the large bowel. The instrument is inserted via the rectum and guided through the length of the colon. if the doctor sees a suspicious area, a biopsy can be done to make a diagnosis.
During your procedure, your doctor can:
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Remove a small sample of tissue (biopsy) for testing
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Remove a polyp (growth of tissue)
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Take photos of the inside of your colon
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Colonoscopies are advised for all patients, age 50 and older, as a method of color cancer screening.
Prep Instructions
Colonoscopy Instructions with SUPREP® Bowel Prep Kit.
This information will help you get ready for your colonoscopy using a SUPREP® Bowel Prep Kit. Dr. Nullman will give you a prescription for the kit.
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Follow these instructions carefully. It’s very important that your colon is empty for your colonoscopy. If there’s stool inside your colon, Dr. Nullman may not be able to see polyps or other problems inside your colon and you may have to repeat the procedure. If you have any questions, contact the office at 305.534.4404
COVID-19 Key Instructions
Patients should expect to receive multiple verbal screenings for Coronavirus symptoms as well as instructions on COVID-19 pre-admission testing. Required COVID-19 testing must be performed 3-5 days before the scheduled procedure. Additional safety measures will be reviewed before your arrival in addition to facility patient drop off/pick up policies and caring methods for assistance.
7 Days Before
If you are taking any blood thinners AND this was NOT discussed with your doctor at the time of scheduling the procedure, please call us BEFORE starting the preparation.
These include, but are not limited to:
Aspirin, Coumadin- (Warfarin), Plavix-(Clopidogrel), Xarelto-(Rivaroxaban), Arixtra-(Fondaparinux), Effient-(Prasugrel), Aggrenox-(Aspirin/Dipirydamole), and all NSAIDs (for example Ibuprofen, Motrin, Aleve, Naproxen, Celebrex, Mobic).
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Acetaminophen (Tylenol) is allowed.
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YOU MUST CONTINUE TO TAKE ALL other medications every day prior to the colonoscopy AND take them with a small sip of water on the day of your colonoscopy.
3 Days Before
Avoid certain foods
During this time, do not eat: fruits and vegetables including beans, corn, and seeds.​
NOT ALLOWED
Fruits
Seeds
Vegetables
Day Before Procedure
Clear Liquids only
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NOT ALLOWED

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No solid foods
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No alcohol
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No dairy products
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NOTHING RED OR PURPLE COLORED
ALLOWED

Juices
Apple, white grape, white cranberry, lemonade.
Soda
7-Up, Sprite, Ginger-Ale
Jell-O & Popsicles
without added fruit or toppings (no red or purple)
Broth
Chicken, beef or vegetable (liquid only)
Black Coffee or Tea
without milk, dairy or non-dairy creamer
Gatorade & Kool-Aid
No red or purple flavors
Taking SUPREP BOWEL PREP KIT
At 3PM the day before your procedure: complete Steps 1- 4

STEP 1
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Pour ONE (1) 6-ounce bottle of SUPREP liquid into the container.

STEP 3
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Drink all of the solution within 1 hour.

STEP 2
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Add cool drinking water to the 16-ounce line on the container and mix.

STEP 4
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Drink TWO (2) more 16-ounce containers of water over the following hour.
Day of your Procedure
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In the morning: Using the other 6-ounce bottle of SUPREP liquid, repeat STEP 1, STEP 2, & STEP 3.
Once you have completed the second 16-ounce cup of water, STOP ALL LIQUIDS.
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REMINDER: DO NOT EAT OR DRINK AFTER MIDNIGHT
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Please wear a face covering/mask and maintain physical distancing
Need more help?
If you have any questions or concerns, please contact our office.