Preparation for the Procedures
Only the colonoscopy requires bowel preparation to ready the bowel for surgery or a procedure by clearing it of all solid matter. Please follow these Instructions. Begin the bowel prep one day before your scheduled procedure. To prepare you will need these items from a pharmacy: MiraLAX powder and Dulcolax tablets, 5 milligrams, or Senokot liquid (if your child can't swallow tablets).
The total dose of each of those laxatives will be specified for your child's age (see below). There may be generic store brands of these products that cost less (ask your pharmacist.) One day before your test:
Drink only clear liquids (as below). Avoid all red or purple colored liquids. Do not eat any food after midnight until your test is done (there are some modifications for very young children; please discuss with Dr. Tyshkov). You may take a few sips of water or a clear juice for 3-4 hours before the procedure.
Please reschedule the procedure if your child is having any signs of a respiratory tract infection, fever, etc. Please reach out to Dr. Tyshkov if there are any concerns.
- Water, Strained Fruit Juices (No Pulp)
- Soft drinks, Gatorade, Clear Broth, or Bouillon
- Jell-O, Kool-Aid
- Coffee or Tea (No Milk or Cream)
The bowels are "clean" when there is only pale yellow fluid coming out. You may start your preparation earlier, but the schedule below is chosen for the children who choose to attend a half day of school on the day before the procedure.
1:00 p.m.: Take Dulcolax tablets or Senokot with a drink of clear liquids. If your child's weight is less than 44 lbs. (20kg), they may not take Dulcolax or Senokot.
|46 - 66 lbs. (21-30 kg) ...10 mg of Dulcolax or 3 Teaspoons of Senokot
|Over 66 lbs....................15 mg of Dulcolax or 6 Teaspoons Senokot
Learn About Over-the-Counter Medicine Sickening Children
2:00 PM: Mix the MiraLAX in a clear liquid of choice to dissolve the powder. Most people prefer to drink the liquid chilled, so you may want to place it in the refrigerator. Start to drink the MiraLAX. It is better to drink one glass every 15-30 minutes, and finish within 2-4 hours. Some children can't drink it so fast. Do not force your child to drink! Allow them to drink slowly and ensure that they drink all of the liquid.
|22 lbs. (10kg) - 27 lbs.(12kg)......... 45 Grams (3 Tablespoons) Mix to 24 oz. of Water
|28 lbs. (13kg) - 49 lbs.(22kg).........60 Grams (4 Tablespoons) Mix to 32 oz. of Water
|50 lbs. (23kg) - 71 lbs.( (32kg).......90 Grams (6 Tablespoons) Mix to 48 oz. of Water
|72 lbs. (33kg) - 93 lbs.( (42kg).......120 Grams (8 Tablespoons) Mix to 64 oz. of Water
|94 lbs. (43kg) & Up........................150 Grams (10 Tablespoons) Mix to 64 oz. of Water
On the morning of the procedure, you may gargle but do not swallow any liquid.
Morning of the Procedure
For colonoscopy only: If there is no clear liquid stool by 8:00 - 10:00 p.m., you should give a fleet enema (adult size) after 10:00 p.m. or in the early morning. If you are to take your morning medicines, please take them with small sips of water only. Bring all medicines you usually take (in the original containers) to the hospital with you.
You may be told to arrive 1 hour before your test is scheduled so that staff can get you ready. Expect to be here for 2 to 4 hours for your test and recovery time. Talk to your doctor or nurse if you have any questions or concerns. If you cancel your procedure, please let us know as soon and as far in advance as possible.
Esophageal pH monitoring (Bravo test)
A small capsule, about the size of a gel cap, is temporarily attached to the wall of the esophagus during an upper endoscopy. The capsule measures pH levels in the esophagus and transmits readings by radio telecommunications to a receiver (about the size of a pager) worn on your belt or waistband. The receiver has several buttons on it that you will press to record symptoms of GERD such as heartburn (the nurse will tell you what symptoms to record). You will be asked to maintain a diary to record certain events such as when you start and stop eating and drinking, when you lie down, and when you get back up. This will be explained by the nurse. You must stop taking any acid suppressive medications you use for 3 days before the study unless you have been advised by your doctor not to. The capsule will stay in the esophagus for about 3 days and will be passed in a stool. It does not need to be removed. It is a save test with extremely low risk of side effects. Some children- likely only because they are aware, that they have a little chip placed in their esophagus, complain of some mid-chest discomfort following the procedure. Give your child a spoon of an ice cream or something cold..or something hot, along with a reassurance that their discomfort is temporary. You will be asked to bring the receiver back to the endoscopy suite or your doctor office after 48 houres of monitoring.