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MORNING: Mix 238g bottle of Miralax® with 64oz of liquid (i.e. water, Gatorade®, Crystal Light®, apple juice) and place in refrigerator. NO RED OR PURPLE COLORS! 2:00PM: Begin drinking the Miralax® solution. Drink an 8oz cup every 15 min until the first 32oz is gone.Around Noon, create your Miralax solution and refrigerate if you like it cold. Mix the Polyethylene Glycol powder (255 gm) with 64 ounces of any clear liquid, e.g. apple juice, limeaid, etc. (Best is to mix it with 64 ounce container of White cranberry Juice) and chill in the refrigerator.MiraLAX® can be mixed into any beverage, hot or cold. Some examples include coffee, tea, water, orange juice, iced coffee, ice water, coconut water, smoothie, iced tea and seltzer.

Is MiraLAX good with apple juice?

Around Noon, create your Miralax solution and refrigerate if you like it cold. Mix the Polyethylene Glycol powder (255 gm) with 64 ounces of any clear liquid, e.g. apple juice, limeaid, etc. (Best is to mix it with 64 ounce container of White cranberry Juice) and chill in the refrigerator.

Can you mix MiraLAX in juice?

MiraLAX® can be mixed into any beverage, hot or cold. Some examples include coffee, tea, water, orange juice, iced coffee, ice water, coconut water, smoothie, iced tea and seltzer.

What is the best liquid to mix MiraLAX with?

64 ounces of any clear liquid that isn’t red, purple, or orange. You will need to mix this with the MiraLAX. Keep it at room temperature. A sports drink like Gatorade® or Powerade® is a good choice.

What should MiraLAX not be mixed with?

NO Solid Foods or Alcoholic Beverages. NO red or purple colored drinks, please. You may have Gatorade, Water Ice, Popsicles, Ginger Ale, 7-Up, Sprite, Coke, Pepsi, or Any soda, Jello (yellow or green) and chicken or beef broth.

Can MiraLAX be mixed in applesauce?

The powder is mixed with 4 to 8 ounces of water or another non-carbonated beverage and taken 1 to 3 times daily. It can also be mixed into soft foods such as yogurt, pudding, or applesauce.

MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey

You may be wondering how certain products compare to MiraLAX. Below are comparisons between MiraLAX and several other treatments.

MiraLAX vs Metamucil

MiraLAX and Metamucil are both laxatives, but they work in different ways.

MiraLAX is an osmotic laxative. This means it draws water into the colon, which softens stool and can naturally stimulate the colon to contract. These measures help to facilitate bowel movements.

Metamucil is a psyllium fiber supplement that acts as a bulking laxative. Like osmotic laxatives, Metamucil draws water into the colon and softens stools. But in addition to that, its fiber content bulks up the stool, which naturally stimulates the movement of the colon to pass the stool.

Used

MiraLAX is used for short-term treatment of constipation and long-term treatment of chronic constipation. It is also used for bowel preparation before colonoscopy.

Metamucil is mainly used to prevent constipation. However, it can also be used for short-term treatment of constipation as well as long-term treatment of chronic constipation. Metamucil is also used to treat diarrhea, irritable bowel syndrome (IBS), diverticulosis, and high cholesterol.

drug forms

MiraLAX is available as a powder in bottles and single serving packs. You mix the powder with four to eight ounces of liquid and drink it once a day.

Metamucil is available as a powder and as a capsule. You mix the powder with 8 ounces of water and drink it one to three times a day. For the capsule, you usually take two to five capsules up to four times a day.

side effects and risks

MiraLAX and Metamucil have very similar common side effects. This can include:

diarrhea or loose stools

stomach pain

gas

flatulence (bloating)

nausea

Some people may experience more gas or bloating with Metamucil compared to MiraLAX. However, this side effect may decrease or disappear with continued use of either product.

Taking Metamucil without enough liquid can cause choking. Make sure you take Metamucil with at least 8 ounces of liquid. If you have trouble swallowing, do not take Metamucil.

effectiveness

MiraLAX and Metamucil are both effective in treating constipation, but they have not been compared in clinical trials.

Guidelines from the American College of Gastroenterology and the American Society of Colon and Rectal Surgeons recommend increasing fiber or using fiber supplements like Metamucil as the first choice for preventing and treating constipation, including chronic constipation.

They also recommend osmotic laxatives like MiraLAX to treat constipation, including chronic constipation.

Both MiraLAX and Metamucil typically take one to three days to induce a bowel movement.

MiraLAX vs Colace

MiraLAX is an osmotic laxative. This means it draws water into the colon, which softens stool and can naturally stimulate the colon to contract. These measures help to facilitate bowel movements.

Colace is a stool softener. It helps draw water into the stool itself to make it softer and easier to pass. It doesn’t stimulate bowel movements like many laxatives do.

Used

MiraLAX is used for short-term treatment of constipation and long-term treatment of chronic constipation. It is also used for bowel preparation before colonoscopy.

Colace is used short-term to prevent and treat constipation. It is not currently recommended for the long-term treatment of chronic constipation. Colace is often used after surgery to prevent constipation.

drug forms

MiraLAX is available as a powder in bottles and single serving packs. You mix the powder with four to eight ounces of liquid and drink it once a day.

Colace comes as a capsule that you usually take twice a day.

side effects and risks

Common side effects of MiraLAX include:

diarrhea or loose stools

stomach pain

gas

flatulence (bloating)

nausea

Colace does not usually cause side effects. In some cases, it causes loose stools. Diarrhea is considered a rare side effect.

effectiveness

MiraLAX and Colace are both effective in treating constipation. However, their effectiveness has not been compared in clinical studies.

Guidelines from the American College of Gastroenterology and the American Society of Colon and Rectal Surgeons recommend osmotic laxatives, including MiraLAX, for the treatment of constipation, including chronic constipation.

Although Colace is very commonly used to treat constipation, these guidelines do not recommend it for this use because there is no evidence of benefit.

Both MiraLAX and Colace typically take one to three days to induce a bowel movement.

MiraLAX vs. Dulcolax

MiraLAX is an osmotic laxative. This means it draws water into the colon, which softens stool and can naturally stimulate the colon to contract. These measures help to facilitate bowel movements.

Dulocolax (bisacodyl) is a stimulant laxative. It works by irritating the intestines and causing them to contract. It also works by increasing the water in the intestines. Both of these actions help induce a bowel movement.

Used

MiraLAX is used for short-term treatment of constipation and long-term treatment of chronic constipation. It is also used for bowel preparation before colonoscopy.

Dulcolax is used for the short-term treatment of constipation. It should not be used long-term. Dulcolax can also be used in combination with other laxatives (including MiraLAX) to prepare the bowel before a colonoscopy or other procedure.

drug forms

MiraLAX is available as a powder in bottles and single serving packs. You mix the powder with four to eight ounces of liquid and drink it once a day.

Dulcolax is available as tablets and rectal suppositories. Both forms are used once a day.

side effects and risks

Common side effects of MiraLAX and Dulcolax include:

diarrhea or loose stools

gas

flatulence (bloating)

nausea

The following side effects can occur with both MiraLAX and Dulcolax, but are more common with Dulcolax:

stomach pain

cramps

Vomit

Diarrhea

Electrolyte problems such as potassium deficiency

Stimulant laxatives, including Dulcolax, are also more likely to cause laxative addiction with long-term use. This can lead to severe constipation when the drug is stopped.

effectiveness

MiraLAX and Dulcolax are both effective in treating constipation. However, their effectiveness has not been compared in clinical studies.

Guidelines from the American College of Gastroenterology and the American Society of Colon and Rectal Surgeons recommend osmotic laxatives like MiraLAX for the treatment of constipation, including chronic constipation.

Dulcolax is considered a second-line option for the short-term treatment of constipation. In addition, it should not be used continuously.

Another difference is how long it takes for these products to work. MiraLAX typically takes one to three days to cause a bowel movement. Dulcolax tablets, on the other hand, usually cause a bowel movement within 6 to 12 hours. And Dulcolax suppositories usually do this within 15 minutes to an hour.

MiraLAX vs. Milk of Magnesia

MiraLAX is an osmotic laxative. This means it draws water into the colon, which softens stool and can naturally stimulate the colon to contract. These measures help to facilitate bowel movements.

Milk of magnesia (Phillip’s Milk of Magnesia and others) is another name for magnesium hydroxide. It acts as an osmotic laxative.

Used

MiraLAX is used for short-term treatment of constipation and long-term treatment of chronic constipation. It is also used for bowel preparation before colonoscopy.

Milk of magnesia is used for short-term treatment of constipation. It is not currently recommended for the long-term treatment of chronic constipation.

drug forms

MiraLAX is available as a powder in bottles and single serving packs. You mix the powder with four to eight ounces of liquid and drink it once a day.

Milk of magnesia is the liquid form of magnesium hydroxide. Milk of magnesia products are offered as liquid suspensions. They are usually taken once a day, but can be taken more often if needed.

Magnesium hydroxide products are also available as oral tablets or capsules that are typically taken once a day.

side effects and risks

Common side effects of MiraLAX include:

diarrhea or loose stools

stomach pain

gas

flatulence (bloating)

nausea

Milk of magnesia and other magnesium hydroxide products can cause the same side effects as MiraLAX, plus:

cramps

Vomit

chalky taste

If you have kidney problems, you should not use milk of magnesia or other magnesium hydroxide products. These products can cause high levels of magnesium in the body, which can lead to dangerous side effects, such as:

muscle weakness

low blood pressure

confusion

heart rhythm changes

effectiveness

An analysis of studies comparing MiraLAX and milk of magnesia for constipation in children found conflicting results. Some of these studies show that MiraLAX may be slightly more effective than milk of magnesia. However, another study in the analysis found that milk of magnesia may be more effective.

Guidelines for the treatment of constipation in children recommend MiraLAX as the first choice for the short and long-term treatment of constipation. Milk of magnesia is considered a second choice.

For adults, guidelines from the American College of Gastroenterology and the American Society of Colon and Rectal Surgeons recommend osmotic laxatives like MiraLAX to treat constipation, including chronic constipation.

Although milk of magnesia and other magnesium hydroxide products are very commonly used to treat constipation in adults, these guidelines do not recommend them for this purpose because there is not much evidence of benefit.

Another difference between MiraLAX and milk of magnesia is how long it takes for them to work. MiraLAX typically takes one to three days to cause a bowel movement. Milk of magnesia, on the other hand, usually causes a bowel movement within 30 minutes to 6 hours.

MiraLAX vs Benefiber

MiraLAX and Benefiber are both laxatives but work in different ways.

MiraLAX is an osmotic laxative. This means it draws water into the colon, which softens stool and can naturally stimulate the colon to contract. These measures help to facilitate bowel movements.

Benefiber is a wheat dextrin fiber supplement that acts as a bulking laxative. Like osmotic laxatives, Benefiber draws water into the colon and softens stools. But in addition to that, its fiber content bulks up the stool, which naturally stimulates the movement of the colon to pass the stool.

Used

MiraLAX is used for short-term treatment of constipation and long-term treatment of chronic constipation. It is also used for bowel preparation before colonoscopy.

Benefiber is mainly used to prevent constipation. However, it can also be used for short-term treatment of constipation as well as long-term treatment of chronic constipation.

drug forms

MiraLAX is available as a powder in bottles and single serving packs. You mix the powder with four to eight ounces of liquid and drink it once a day.

Benefiber is available in bulk powder and single serving packs. The powder is mixed with 4 to 8 ounces of water or other non-carbonated beverage and consumed 1 to 3 times daily. It can also be mixed into soft foods like yogurt, custard, or applesauce.

side effects and risks

MiraLAX and Benefiber have very similar common side effects. This can include:

diarrhea or loose stools

stomach pain

gas

flatulence (bloating)

nausea

People with gluten intolerance should avoid using Benefiber. This is because Benefiber contains wheat dextrin. The manufacturer states that it contains less than 20 ppm gluten.

effectiveness

MiraLAX and Benefiber are both effective in treating constipation. However, no clinical studies have directly compared their effectiveness.

Guidelines from the American College of Gastroenterology and the American Society of Colon and Rectal Surgeons recommend increasing fiber intake or using fiber supplements such as Benefiber as the first-line treatment for preventing and treating constipation, including chronic constipation.

They also recommend osmotic laxatives like MiraLAX to treat constipation, including chronic constipation.

Both MiraLAX and Benefiber typically take one to three days to induce a bowel movement.

MiraLAX vs Lactulose

Both MiraLAX and Lactulose are osmotic laxatives. They work by drawing water into the colon, which softens stool and can naturally cause the colon to contract. These measures help to facilitate bowel movements.

MiraLAX is available without a prescription. Lactulose requires a prescription from your doctor.

Used

MiraLAX is used for short-term treatment of constipation and long-term treatment of chronic constipation. It is also used for bowel preparation before colonoscopy.

Lactulose is used for short-term treatment of constipation and long-term treatment of chronic constipation. Lactulose is also used for people with severe liver disease who suffer from a condition called hepatic encephalopathy.

drug forms

MiraLAX is available as a powder in bottles and single serving packs. You mix the powder with four to eight ounces of liquid and drink it once a day.

Lactulose comes as an oral solution and as a powder that you mix with water and drink. You take both forms once a day.

side effects and risks

MiraLAX and Lactulose have very similar common side effects. This can include:

diarrhea or loose stools

stomach pain

gas

flatulence (bloating)

nausea

These side effects may be more common with lactulose. Lactulose may also be more likely to cause electrolyte imbalances as a result of diarrhea. Reducing the dosage of lactulose can reduce these side effects.

effectiveness

MiraLAX and Lactulose are both effective in treating constipation. Both usually take one to three days to cause a bowel movement.

Guidelines from the American College of Gastroenterology and the American Society of Colon and Rectal Surgeons recommend osmotic laxatives such as these products for the treatment of constipation, including chronic constipation, in adults.

An analysis of studies in children with constipation found that MiraLAX may be more effective than lactulose at increasing bowel movements.

Guidelines for the treatment of constipation in children recommend MiraLAX as the first-line option for the short and long-term management of constipation. Lactulose is considered a second choice.

MiraLAX vs. GoLytely

MiraLAX and GoLytely are both osmotic laxatives. This means they draw water into the colon, which softens stool and can naturally stimulate the colon to contract. These measures help to facilitate bowel movements.

MiraLAX and GoLytely also contain the same key ingredient, polyethylene glycol. In addition, GoLytely contains the electrolytes potassium and sodium.

MiraLAX is a branded over-the-counter product. GoLytely requires a prescription from your doctor.

Used

MiraLAX is used for short-term treatment of constipation and long-term treatment of chronic constipation. It is also used for bowel preparation before colonoscopy.

GoLytely is only used for bowel preparation prior to colonoscopy or other procedures.

drug forms

MiraLAX is available as a powder in bottles and single serving packs. You mix the powder with four to eight ounces of liquid and drink it once a day if you’re using it for constipation. In bowel preparation, larger doses are taken over a two-day period.

GoLytely comes as a powder in a large 4 liter jar. You must add water to the pitcher and then drink the solution as part of a bowel preparation procedure.

side effects and risks

MiraLAX and GoLytely share some similar side effects, but GoLytely has additional effects as well.

More common side effects

Using MiraLAX and GoLytely to prepare bowel before colonoscopy or other procedures can cause similar common side effects, such as: e.g.:

gas

stomach pain

nausea

thirst

Soft stools and diarrhea are to be expected with bowel preparation procedures.

Serious side effects

Although rare, some serious side effects have occurred in people who have used GoLytely gut supplements, such as:

Electrolyte imbalances leading to seizures or abnormal heart rhythms

fluid retention

dehydration

kidney problems

ischemic colitis (inflammation of the colon)

Other considerations

If you have certain health conditions, your doctor may run special tests before prescribing GoLytely for you. Or they can recommend other products. These health problems include:

cardiac arrhythmias

heart defect

seizures

kidney problems

ulcerative colitis

constipation in the intestines

effectiveness

MiraLAX and GoLytely have been directly compared in clinical studies. In one study, GoLytely was more effective than MiraLAX in combination with Gatorade for colon cleansing before colonoscopy.

In another study, a combination of MiraLAX in Gatorade plus Dulcolax worked as well as GoLytely for colon cleansing before colonoscopy.

MiraLAX vs Citrucel

MiraLAX and Citrucel are both laxatives but work in different ways.

MiraLAX is an osmotic laxative. This means it draws water into the colon, which softens stool and can naturally stimulate the colon to contract. These measures help to facilitate bowel movements.

Citrucel is a dietary supplement made from methylcellulose fibers that acts as a bulking laxative. Like osmotic laxatives, Citrucel draws water into the colon and softens stools. But in addition to that, its fiber content bulks up the stool, which naturally stimulates the movement of the colon to pass the stool.

Used

MiraLAX is used for short-term treatment of constipation and long-term treatment of chronic constipation. It is also used for bowel preparation before colonoscopy.

Citrucel is mainly used to prevent constipation. However, it can also be used for short-term treatment of constipation as well as long-term treatment of chronic constipation.

drug forms

MiraLAX is available as a powder in bottles and single serving packs. You mix the powder with four to eight ounces of liquid and drink it once a day.

Citrucel is available in bulk powder and in caplets (coated oval tablets). You mix the powder with 8 ounces of liquid and drink it one to three times a day. You take the capsule one to six times a day.

side effects and risks

MiraLAX and Citrucel have very similar common side effects. This can include:

diarrhea or loose stools

abdominal pain or bloating

gas or bloating

nausea

These side effects may decrease or disappear with continued use of the products.

Taking Citrucel without adequate fluids can cause choking. Be sure to take Citrucel with at least 8 ounces of liquid. If you have trouble swallowing, do not take Citrucel.

effectiveness

MiraLAX and Citrucel are both effective for constipation. It usually takes one to three days for both products to trigger a bowel movement.

Guidelines from the American College of Gastroenterology and the American Society of Colon and Rectal Surgeons recommend increasing fiber intake or using fiber supplements such as Citrucel as the first choice for preventing and treating constipation, including chronic constipation.

The guidelines also recommend osmotic laxatives like MiraLAX to treat constipation, including chronic constipation.

MiraLAX vs. PediaLax

MiraLAX is an osmotic laxative. This means it draws water into the colon, which softens stool and can naturally stimulate the colon to contract. These measures help to facilitate bowel movements.

PediaLax (magnesium hydroxide) reduces the acidity in the stomach. It also acts as an osmotic laxative. It draws water into the colon, which softens stool and can naturally stimulate the colon to contract. These effects help produce a bowel movement. (This comparison is for the PediaLax chewable tablet form only.)

Used

MiraLAX is used for short-term treatment of constipation and long-term treatment of chronic constipation. It is also used for bowel preparation before colonoscopy.

MiraLAX is approved for over-the-counter use in adults and children 17 years and older. If recommended or prescribed by a doctor, it can also be used in younger children aged under 2 years to 16 years.

PediaLax is used for short-term treatment of constipation. It is not recommended for long-term treatment of chronic constipation.

PediaLax is approved for over-the-counter use in children ages 2 to 11 years.

drug forms

MiraLAX is available as a powder in bottles and single serving packs. You mix the powder with four to eight ounces of liquid and drink it once a day.

PediaLax is a chewable tablet that can be taken from one to six times a day, depending on the child’s age.

side effects and risks

Common side effects of MiraLAX include:

diarrhea or loose stools

abdominal pain or bloating

gas or bloating

nausea

PediaLax can cause the same side effects as MiraLAX, plus:

cramps

Vomit

chalky taste

If your child has kidney problems, they should not use PediaLax. This product can cause high levels of magnesium in the body, which can cause dangerous side effects such as:

muscle weakness

low blood pressure

confusion

heart rhythm changes

effectiveness

MiraLAX and PediaLax are both effective for treating constipation in children. According to the North American Society of Pediatric Gastroenterology, MiraLAX is a first-line drug for treating and preventing constipation in children.

Products containing magnesium hydroxide, such as PediaLax, are recommended as second-line options.

Another difference between the two products is how long it takes for them to work. MiraLAX typically takes one to three days to cause a bowel movement. PediaLax, on the other hand, usually causes a bowel movement within 30 minutes to 6 hours.

Before giving your child MiraLAX or PediaLax, talk to your child’s doctor. They may want to examine your child to determine the cause of the constipation. Depending on the cause, other treatments may be needed.

Can you mix MiraLAX with apple juice for colonoscopy prep?

MORNING: Mix 238g bottle of Miralax® with 64oz of liquid (i.e. water, Gatorade®, Crystal Light®, apple juice) and place in refrigerator. NO RED OR PURPLE COLORS! 2:00PM: Begin drinking the Miralax® solution. Drink an 8oz cup every 15 min until the first 32oz is gone.

How long does MiraLAX cleanout take?

A bowel movement will usually occur within an hour after the first glass of the Gatorade-Miralax mixture. Don’t worry if this doesn’t happen for three or four hours. Everyone is different. Bowel movements will occur that are watery and frequent until the bowel is fully cleansed.

MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey

If you’re taking Coumadin® (warfarin), Plavix®, Lovenox®, Aggrenox®, Pradaxa®, Efient®, or any other blood-thinning medication, make sure you know if and when to stop taking these medications. Consult your doctor today if you are unsure.

You are not allowed to drive for the rest of the day after the exam. You must arrange transport and be picked up by a driver you know after the exam. If you don’t have anyone to drive you home, your procedure will be aborted. You may take a taxi or other non-medical rental service only when accompanied by a responsible adult.

Your procedure will take approximately two hours from the time you arrive to the time you are discharged. You can confirm your discharge time with the facility upon your arrival.

How long will it take for MiraLAX to work?

MiraLAX usually produces a bowel movement in 1 to 3 days. You may start taking MiraLAX at the first signs of constipation and continue taking one dose per day until you experience relief (up to 7 days maximum or as directed by your doctor).

MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey

For constipation relief, you can take one dose of MiraLAX any time of the day for up to 7 days. You may prefer to take it early in the day so you are less likely to have a bowel movement before bed or late at night. MiraLAX usually produces bowel movements within 1 to 3 days.

You can start taking MiraLAX at the first sign of constipation and continue taking one dose per day until you feel relief (up to a maximum of 7 days or as directed by your doctor).

How fast does Miralax work?

When used as directed for constipation, MiraLAX should induce a bowel movement within 1 to 3 days without significant side effects. It doesn’t usually cause a sudden sense of urgency like some other laxatives.

Contact your doctor if you have used MiraLAX for 7 days and still have not had a bowel movement. Do not use MiraLAX for more than 7 days without your doctor’s approval.

What kind of laxative is Miralax?

MiraLAX is an osmotic laxative containing polyethylene glycol 3350. It works in three ways to help treat constipation:

It binds and holds water in your colon to soften your stools.

It combines with stool and water to increase stool volume.

It encourages smooth movements with fewer harsh side effects like cramping or bloating.

Be sure to ask your doctor or pharmacist to check for interactions with MiraLAX if you are taking any other prescription or over-the-counter medicines, herbs, vitamins, or dietary supplements.

MiraLAX, manufactured by Bayer Healthcare, is available over the counter (OTC) at your pharmacy, grocery store, or online. Generics or private labels are also available to save costs.

Can I mix MiraLAX with hot coffee?

MiraLAX comes as an unflavored powder that you mix with 4 to 8 ounces of liquid and drink. You can mix it with hot, cold or room temperature beverages such as hot or iced coffee, water, apple or orange juice, lemonade or tea. Stir the mixture completely and drink it immediately. Just make sure the powder is fully dissolved before drinking. Do not save it for later use.

Is MiraLAX a gentle laxative?

In general, MiraLAX causes less gas, bloating, or stomach cramps when compared to fiber laxatives, stimulant laxatives, or stool softeners. You may still have loose, watery, or more frequent stools while using this product, but this does not usually happen suddenly.

This product can be used by people aged 17 and over. For younger children, consult your doctor before using this product.

Consult your doctor before using MiraLAX if you have a bowel or bowel obstruction, an eating disorder, kidney disease, irritable bowel syndrome, rectal bleeding, nausea or vomiting, stomach pain, or a sudden change in bowel habits.

Do not use MiraLAX if you are allergic to polyethylene glycol.

Related: Side Effects of MiraLAX (More Detailed)

This is not all the information you need to know about MiraLAX (polyethylene glycol 3350) for safe and effective use, and is not intended to replace your doctor’s advice. Read the complete product information and discuss this information and any questions you have with your doctor or other healthcare provider.

Does MiraLAX work for impacted stool?

To treat childhood fecal impaction, Youssef and coworkers recommend 1 to 1.5 g/kg/day of polyethylene glycol solution (PEG 3350, MiraLax).

MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey

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Should MiraLAX be taken on an empty stomach?

Stimulant laxatives are usually taken on an empty stomach for rapid effect. Results are slowed if taken with food. Many stimulant laxatives (but not castor oil) are often taken at bedtime to produce results the next morning (although some may require 24 hours or more).

MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey

correct usage

Drug information provided by: IBM Micromedex

For safe and effective use of your laxative:

Follow your doctor’s instructions if you have been prescribed this laxative.

Follow the manufacturer’s package directions if you’re self-medicating.

With all types of laxatives, at least 6 to 8 glasses (8 ounces each) of liquid should be consumed daily. This will help soften the stool.

For patients taking laxatives containing a bulking ingredient:

Don’t try to swallow it in dry form. Mix with liquid according to product label directions.

In order for bulking laxatives to work properly and prevent bowel obstructions, it is necessary to drink plenty of fluids during their use. Each dose should be taken in or with a full glass (8 ounces) or more of cold water or fruit juice. This provides enough fluid for the laxative to work properly. A second glass of water or juice alone is often recommended with each dose to get the best effect and avoid side effects.

When taking a product that contains only one bulking ingredient, results can often be seen within 12 hours. However, this may not occur for some people for 2 or 3 days.

For patients taking laxatives that contain a stool softener (emollient):

Liquid forms can be taken in milk or fruit juice to enhance flavor.

If you are taking a product that only contains a stool softener, results usually appear 1 to 2 days after the first dose. However, this may not occur for some people for 3 to 5 days.

For patients taking laxatives containing a hyperosmotic ingredient:

Each dose should be taken in or with a full glass (8 ounces) or more of cold water or fruit juice. This provides enough fluid for the laxative to work properly. A second glass of water or juice alone is often recommended with each dose for best effect and, in the case of saline laxatives, to prevent you from becoming dehydrated.

The unpleasant taste of some hyperosmotic laxatives can be improved by following each dose with citrus juice or a citrus-flavored carbonated drink.

Lactulose cannot produce a laxative effect for 24 to 48 hours.

Polyethylene glycol cannot produce a laxative effect for 2 to 4 days.

Saline laxatives usually produce results within 30 minutes to 3 hours after a dose. If a larger dose is taken on an empty stomach, the results will be faster. If a smaller dose is taken with food, the results will be delayed. Therefore, large doses of saline laxatives are not usually taken on an empty stomach late in the day.

For patients taking laxatives containing mineral oil:

Mineral oil should not be taken within 2 hours after meals as it may interfere with food digestion and absorption of nutrients and vitamins.

Mineral oil is usually taken at bedtime (but not while lying down) because of its convenience and because it takes about 6 to 8 hours to see results.

For patients taking laxatives that contain a stimulant ingredient:

Stimulant laxatives are usually taken on an empty stomach for a quick effect. Results are slowed down when taken with food.

Many stimulant laxatives (but not castor oil) are often taken at bedtime to get results the next morning (although some may take 24 hours or more).

Castor oil is not typically taken late in the day as its results appear within 2 to 6 hours.

The unpleasant taste of castor oil can be improved by chilling it in the refrigerator for at least an hour and then stirring the dose into a full glass of cold orange juice immediately before taking it. Flavored preparations of castor oil are also available.

Bisacodyl tablets are specially coated to allow them to work properly without causing irritation and/or nausea. To protect this coating, do not chew, crush, or ingest the tablets with milk or antacids within an hour.

dosage

The dosage of drugs in this class is different for different patients. Follow your doctor’s or label directions. The information below includes only the average doses of these drugs. If your dose is different, don’t change it unless your doctor tells you to.

The amount of medicine you take depends on the strength of the medicine. Also, the number of doses you take each day, the length of time between doses, and how long you take the medicine depend on the medical problem you are using the medicine for.

storage

Keep away from children.

Store the medicine in a closed container at room temperature away from heat, moisture and direct light. Keep from freezing.

Do not keep medicines that are outdated or no longer needed.

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Does apple juice help with constipation?

Apple juice may provide you with a very gentle laxative effect. It’s often recommended for children who have constipation because it has a relatively high ratio of fructose to glucose and sorbitol content. But for this reason, it may also cause intestinal discomfort in large doses.

MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey

Share on Pinterest We include products that we think our readers will find useful. If you make a purchase through links on this site, we may receive a small commission. Here is our process. Overview Many people experience constipation from time to time, which can be uncomfortable. In general, occasional constipation occurs when waste materials move through your digestive system too slowly. It can build up and become hard and dry, making it difficult to pass stool. If you need relief, there are some home remedies that can get things going again, like sipping certain juices.

What are the symptoms of constipation? Constipation is usually defined as fewer than three bowel movements per week. Even if you go to the bathroom fairly regularly, having trouble passing stools can be another sign of this condition. Symptoms of constipation include: infrequent bowel movements

hard or lumpy stools

effort to defecate

feel constipated or that you cannot empty your bowel completely

need help to empty your rectum, e.g. B. with your hands or fingers

Juices and Dosage If you’re trying to drink juice to relieve constipation, remember that a small amount of juice may be enough. For best results, the Cleveland Clinic recommends adults drink just 1/2 to 1 full cup of juice once a day, preferably in the morning. In general, you should aim to drink eight or more cups of fluids each day to stay regular. Prune Juice The most popular juice for constipation relief is prune juice. Each 8-ounce jar contains about 2.6 grams of fiber. That’s about 10 percent of your daily requirement. While the fiber can bulk up your stool, the sorbitol in prune juice helps soften it and make it easier to pass. Prune juice is also a good source of vitamin C and iron. Eating dried prunes or prunes is another way to ward off constipation. In fact, a 2011 study suggests that plums should be considered as a first-line treatment for mild to moderate constipation. Buy prune juice now. Apple juice Apple juice can give you a very gentle laxative effect. It is often recommended for children with constipation as it contains a relatively high ratio of fructose to glucose and sorbitol. But for this reason, large doses can also cause intestinal problems. You might think that eating applesauce would help with constipation, but that’s not the case. Applesauce contains more pectin than apple juice. Pectin is a substance that adds bulk to your stool. It becomes firmer and more difficult to pass, making it a better choice after episodes of diarrhea. Buy apple juice here. Pear Juice Another great option is pear juice, which contains four times more sorbitol than apple juice. This juice is also often recommended for children with constipation. Pear juice is not as rich in vitamins as prune juice, but many children prefer its taste. Buy pear juice online. Other Drinks You can also get some relief by mixing a squeeze of lemon juice in a glass of warm water. Other beverages that can help include coffee, tea, and warm or hot liquids in general. It’s best to stay away from fizzy drinks until your constipation clears.

How can juice help and who can sip it? In a 2010 study, researchers found that certain juices may help increase water content and the frequency of bowel movements. These juices contain sorbitol, a non-absorbable carbohydrate. Juice can be a handy remedy to try at home. Most pasteurized juices have the potential to relieve constipation. But juices that contain naturally occurring sorbitol, including prune, apple, and pear juices, may be more effective. Juice is a good option for people of all ages, but not necessarily for infants. Constipation in infants typically occurs after the introduction of solid foods. Consult your baby’s pediatrician for instructions on what to give your baby for constipation.

Possible side effects Talk to your doctor if you’re constipated but are concerned about drinking juice. If you have a medical condition that requires a restricted diet, juice may not be a good option for you. For example, if you have diabetes, your doctor or nutritionist may advise you to avoid sugary drinks, including juice. The American Diabetes Association suggests choosing juices that are 100 percent juice with no added sugar. On average, 4 ounces — about half a cup — of juice contains about 15 carbs and 50 or more calories. In general, it’s a good idea to limit your juice consumption. Excess sugars found in juices, such as fructose, can cause abdominal discomfort due to malabsorption. Children under the age of 10 are particularly susceptible to gastrointestinal problems. It often presents as diarrhea and abdominal pain.

What Complications Are Associated With Constipation? Occasional blockages are usually nothing to worry about. But when constipation occurs frequently or lasts for several weeks or more, other complications can arise. Complications of constipation can include: Hemorrhoids

anal fissures

fecal impaction

rectal prolapse

What are the risk factors for constipation? Some people are at higher risk for constipation, including: Older adults

Women

people who are dehydrated

people with poor nutrition

People who don’t move enough

People who take certain medications, such as tranquilizers and narcotics

Constipation Prevention Tips Besides drinking more fluids and fruit juices, there are other lifestyle changes you can make that may help your constipation. Try to get more exercise most days of the week, e.g. B. Walk.

Eat plenty of fresh fruits and vegetables to ensure you’re getting enough fiber.

Do not hold the bowel movement. If you feel the urge to leave, go to the bathroom as soon as possible.

Sprinkle a few tablespoons of unprocessed wheat bran on your cereal, smoothies, and other foods. If lifestyle choices don’t help, see your doctor. You may have an underlying problem causing your constipation. Your doctor can also talk to you about treatment options to help you get back to regularity.

Are apples and apple juice good for constipation?

Apples are not just a great snack with lots of nutrients. They are a natural laxative, too! Due to its high sorbitol and pectin contents, apple juice has been hailed as one of the top 3 go-to juices when dealing with constipation.

MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey

“An apple a day keeps the doctors away” is a famous phrase that has made the apple industry famous. Before all other juices became popular with their claims of making you poop, apple juice, prune juice, and pear juice had been in the industry for centuries. Apples aren’t just a great snack packed with nutrients. They are also a natural laxative!

Due to its high sorbitol and pectin content, apple juice has been hailed as one of the top 3 juices for treating constipation. Along with its fiber and water content, it makes the perfect potion for constipation. Overall, these substances work by drawing water into the intestines, while the fiber ensures proper digestion, resulting in softer stools that are easier to pass.

In this article, we’ll walk you through each of the nutrients in apple juice that make it a great natural laxative, and we’ll find out exactly how it makes people poop. Let’s start!

Constipation: A threat to human health

“Constipation is the mother of all diseases,” says a well-known proverb. But what exactly is constipation? Technically, constipation is defined as fewer than three bowel movements per week.

However, the frequency with which you “go” varies greatly from person to person. Some people have regular bowel movements (several times a day), others only once or twice a week. Whatever bowel pattern you have, it’s unique and natural to you—as long as you don’t stray too far.

Constipation is more of a symptom than a disease. More often than not, it’s your digestive system’s cry for help. How do you know you’re constipated? Although everyone’s constipation symptoms are different, the Mayo Clinic published an article listing the most common signs of constipation.

Signs and symptoms of chronic constipation include:

Less than three bowel movements per week

Having lumpy or hard stools

Straining to have a bowel movement

Feeling like your rectum is blocked, preventing a bowel movement

Feeling like you cannot completely pass stool from your rectum

need help to empty your rectum, e.g. B. by pressing your stomach with your hands and removing stool from your rectum with a finger

In addition, if left untreated or untreated, constipation can lead to complications. The article also made a list of the complications that can arise after prolonged constipation or when it becomes a chronic condition.

Complications of chronic constipation include:

Swollen veins in the anus (haemorrhoids). Straining to have a bowel movement can cause swelling in the veins in and around your anus.

. Straining to have a bowel movement can cause swelling in the veins in and around your anus. Broken skin in your anus (anal fissure). A large or hard stool can cause small tears in the anus.

A large or hard stool can cause small tears in the anus. Bowel movements that cannot be passed (faecal obstruction) . Chronic constipation can lead to a buildup of hard stools that get stuck in your intestines.

. Chronic constipation can lead to a buildup of hard stools that get stuck in your intestines. Bowel protruding from the anus (rectal prolapse). Straining to have a bowel movement can cause a small portion of the rectum to stretch and protrude from the anus.

How does apple juice make you poop?

Rich in fiber

Fiber, an indigestible carbohydrate, is essential to our digestive health. However, unlike most carbohydrates, it does not break down into sugar molecules and instead passes through the body undigested. Fiber regulates the body’s use of glucose, which helps keep hunger and blood sugar in check.

There are two types of fiber: soluble and insoluble.

When soluble fiber enters the stomach and intestines, it dissolves into water and gastrointestinal fluids. It turns into a gel-like substance that is digested by bacteria in the colon, releasing gas and some calories in the process.

In contrast, insoluble fiber does not dissolve in water or gastrointestinal fluids and remains intact as it passes through the digestive tract. Insoluble fiber provides no calories because it is not digested.

Compared to other vegetable and fruit juices, apples contain a relatively small amount of dietary fiber. But there’s a healthy amount of fiber in apple juice, and even more if you’re eating the actual fresh fruit since it still contains the pulp.

According to the US Department of Agriculture, 100 grams of raw apple contains 2.4 grams of fiber, while 100 grams of apple juice contains only 0.2 grams of fiber, which is 10 times less than the actual fruit. Still, fiber is just one of the factors that make apples a good laxative.

Rich in sorbitol (a natural laxative)

Sorbitol, a polyol (sugar alcohol) found in fruits and plants, is a member of the polyol family. It is synthetically made from glucose and used as a sugar substitute in a variety of foods. This is because sorbitol has only a third of the calories of sucrose or table sugar, while providing 60% of the sweetening power and giving apples their natural, delicious sweetness.

Taken in large quantities, sorbitol has a diuretic and laxative effect. As a result, it is still used in medical facilities as a laxative or rinsing agent. It works by attracting or drawing water into the intestines and encouraging the formation of soft stools for easy passage. Apples are among the fruits with the highest sorbitol content per serving.

Here are the other fruits you can eat or make a drink from for constipation relief:

apples

peaches

nectarines

plums

pears

cherries

apricots

Dried fruits such as dates, figs, prunes and raisins

water content

Constipation can be caused by lack of water intake, which is one of the most common causes. This is because food travels from the stomach to the colon, also known as the large intestine.

When you don’t drink enough water, water gets absorbed through your leftover food and accumulates in your colon. Plenty of water is important to allow excess food to flow through the digestive tract. Otherwise the feces would be hardened, lumpy and difficult to pass.

Drinking nutritious liquids like apple juice and plenty of water acts as a stool softener and can help cure constipation in a variety of scenarios.

Apple juice contains nearly 200g of water per 8 ounces, making it a wonderful way to stay hydrated without drinking water. The importance of staying hydrated is closely linked to all bodily functions, including how often we walk.

Contains pectin

Apples are high in the antioxidants quercetin and pectin, which are responsible for their health benefits. Quercetin is a flavonoid, a naturally occurring plant compound with anti-inflammatory and antioxidant properties. Pectin is a form of soluble fiber that can help prevent constipation.

In two studies, adults who took 24 g of pectin daily reported less constipation and diarrhea. Additionally, studies have shown that pectin can kill colon cancer cells and prevent inflammation, leading to a reduced risk of developing colon cancer (1,2,3).

These studies prove that apple juice is not only a great treatment for constipation, but it also supports overall digestive health by preventing inflammation, irritable bowel syndrome, and even colon cancer.

According to surveys by several nutritionists, women should consume more than 28 grams of fiber daily, while men should consume 34 grams. Patients who suffer from constipation may need more fiber than patients who don’t. And since pectin is a fiber, apples actually offer a lot against constipation.

vitamin C

Apple juice also contains vitamin C, sometimes known as ascorbic acid. Apple juice that has been fortified with vitamin C contains more than 90 mg and fresh apple juice contains 2.2 mg per 8 ounces, which is far more than the recommended daily allowance for both women and men.

Aside from being a great antioxidant, vitamin C also acts as a digestive hero. When sufficient vitamin C is present in the gut, particularly from dietary sources, unabsorbed vitamin C draws water into the gut, promoting stool softening, like the mechanism of sorbitol, while maintaining gastric acid levels.

Other useful nutrients

For every cup of apple juice drunk, almost ten different vitamins and minerals are absorbed into the body. This sweet drink with no added sugar contains a moderate amount of carbohydrates, mainly in the form of natural fructose and dextrose.

Eight ounces is about 10% of the daily carbohydrate needs of a 2000 calorie diet. Calcium, potassium, iron, manganese, and magnesium are all minerals found in apple juice. Vitamin C and B6 are also found in natural apple juice.

Apples and apple juice have a low glycemic index, which allows the body to adequately convert their caloric content into food energy. The natural sugars in the drink also provide a healthy source of energy and hydration for muscles.

Natural apple juice is extremely low in sodium, at just 10mg per cup. Excessive consumption of sodium, a mineral found in almost all foods, raises blood pressure and leads to heart disease.

How much apple juice do you need?

It is undeniable that apple juice is one of the best fruit juices in terms of taste. And if you do decide to drink it to relieve constipation, remember you don’t need too much. Here’s a quick guide to how much you should be drinking.

breastfed babies

Babies are prone to constipation because they don’t have full control over their emotions and digestion. Warm apple juice may be helpful, but only offer this with your pediatrician’s approval.

According to Medical News Today, “A small amount of pure apple juice may help soften stools. After a baby is 2-4 months old, they can take a small amount of fruit juice, such as B. 100% plum or apple juice. This juice can help treat constipation. Experts may recommend starting with about 2–4 ounces of fruit juice.”

toddlers

Toddlers have a way of prolonging their bowel movements for many reasons. Constipation is very common at this stage. Giving them warm apple juice might help. According to Very Well Family, give children 120 to 200 ml of apple juice daily to give them nutrients and prevent constipation.

adult

Processed and fried foods, alcohol consumption, meat consumption and stress are just some of the reasons why adults suffer from constipation. According to Healthline, drinking one cup (240 ml) of apple juice daily prevents constipation in adults.

Apple Juice Precautions

High in sugar

Apple juice contains a lot of fructose, which makes it sweet. Although fructose is natural, diabetics still need to take precautions as they still raise blood sugar levels. If you are diabetic and want to relieve constipation with apple juice, it is advisable to seek medical advice first.

Fructose causes digestive problems

Fructose is normally absorbed in the small intestine, but in people with fructose intolerance, some of it makes its way to the large intestine, where bacteria digest it. This causes pain, gas, bloating, and diarrhea from the release of hydrogen and methane gases.

Diarrhea

Foods high in sugar can cause diarrhea. Many articles refer to apple juice as an “unrecognized cause of diarrhea.” Of course, apple juice relieves constipation, but drinking too much of it can do more harm than good. Diarrhea causes an electrolyte imbalance that plays an important role in our overall health.

Apple juice and other juices for constipation

Drinking apple juice alone is already fulfilling, but mixing it with other fruits makes the experience even more fun! Here are some of the fruit juices that complement apple juice and add to the list of benefits.

celery juice

orange juice

cranberry juice

grapefruit juice

lemon juice

Plus, you can turn your apple juice into apple cider vinegar, which also has many health benefits!

Summary: Does apple juice make you poop?

YUP! It is an all-natural mild laxative that treats occasional constipation and even chronic constipation, offering many health benefits to consumers. What are you waiting for? Let’s start juicing!

What juices are good for constipation?

The following fruit juices contain fiber, sorbitol, and water, and they can help relieve constipation.
  • Prune juice. Share on Pinterest Prunes are high in dietary fiber. …
  • Lemon juice. Lemons are high in vitamin C, an antioxidant compound that pulls water into the gut. …
  • Apple juice.

MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey

We include products that we believe will be useful to our readers. If you make a purchase through links on this site, we may receive a small commission. Here is our process.

All fruit and vegetable juices contain water and nutrients, some also fiber. Since hydration can alleviate or improve many cases of constipation, certain juices are an excellent option. Many fruits and vegetables can help people with bowel movements. Different foods work in different ways. Some provide fiber, while others contain certain compounds that may stimulate bowel movements. Read on to learn how juices relieve constipation, which juices to try, and how to make them at home.

Can Juice Help With Constipation? Share on Pinterest Juices may contain fiber and sorbitol, which help regulate bowel movements. Constipation occurs when a person has fewer than three bowel movements a week. Stool that remains in the digestive tract hardens over time, making bowel movements difficult and sometimes painful. In most cases of occasional constipation, diet and lifestyle changes are very effective in relieving symptoms. Taking over-the-counter (OTC) laxatives can help as a short-term fix, but they can cause unintended side effects like dehydration. People are also at risk of developing a physical dependence on laxatives. Drinking certain juices can relieve constipation in some people. Some fruit and vegetable juices contain fiber and sorbitol, both of which help regulate bowel movements. Juices also contain large amounts of water, which can help soften hard stools while keeping the body hydrated. The following sections explore the reasons why juices can help relieve constipation. They Provide Fiber Although they are liquid, some fresh juices often still contain fiber, although not as much as if a person eats the fruit or vegetable raw. Fiber is not digested by the body. Instead, fiber passes through the digestive system and helps keep the gut healthy. A high-fiber diet promotes healthy, regular bowel function. The United States Department of Agriculture recommends that women consume at least 28 grams (g) of fiber per day and men 34 g per day. People with constipation may need to consume more fiber than people without constipation. However, increasing fiber intake without adequate fluids can make constipation worse, so try increasing fiber gradually along with plenty of water. Learn more about daily fiber recommendations here. Fruits and vegetables contain two types of fiber, both of which promote regular bowel movements and reduce constipation: Soluble fiber absorbs water and gives stool a softer, more flexible texture that makes it easier to pass. Sources of soluble fiber are oatmeal, beans, fruits, vegetables, psyllium, seeds and nuts.

absorbs water and gives the stool a softer, more flexible consistency that makes it easier to pass. Sources of soluble fiber are oatmeal, beans, fruits, vegetables, psyllium, seeds and nuts. Insoluble fiber does not absorb water. This type of fiber helps move waste through the intestines. Insoluble fiber also flushes bad bacteria from the gut. Sources of insoluble fiber include bran, whole wheat, rye, nuts, seeds, and fruit and vegetable peels. People can increase the amount of fiber in a homemade juice by leaving the skin on the apples when juicing, adding the pulp back into the juice, or adding fiber-rich fruits like berries. They Contain Sorbitol Certain fruits contain sorbitol, a sugar alcohol that draws water into the colon. Extra water in the intestines helps loosen hard stools so they can move more easily through the digestive tract. Fruits that contain sorbitol include: apples

pears

Grapes

Fruits with seeds, such as plums, peaches and apricots

Dried Fruits, Including Prunes and Dates Prunes are one of the richest fruit sources for sorbitol, so they can be one of the best options for relieving constipation. They Contain Water Dehydration is a major cause of constipation. The digestive system needs a lot of water to transport food waste. Otherwise, the stool can be hard, lumpy, and difficult to pass. Drinking plenty of water and healthy juices can help relieve constipation in many cases. The following fruit juices contain fiber, sorbitol, and water and may relieve constipation.

1. Plum Juice Share on Pinterest Plums are high in fiber. Prunes or dried plums are known for their laxative effects on the body. A 2014 review study reported that eating 100 g/day of prunes improved the frequency of stool production as well as stool consistency compared to psyllium, a common OTC laxative containing soluble fiber. It’s worth noting that the California Dried Plum Board funded this research. Plums are high in fiber, but much of it is lost in the juicing process. Instead, prune juice acts as a laxative because it contains sorbitol, magnesium, and potassium, all of which improve bowel function. Read more about the health benefits of prune juice here. Because plums are dried and sealed, people can buy them online. Preparation of plum juice Ingredients: 300 g plums

2 liters of water Instructions: Fill a saucepan with 2 liters of water. Put 300 g of plums in the pot. Heat the pot over medium or high heat. Once boiling, reduce heat to low, cover with a lid and simmer for about 2 minutes. Place plums and water in a blender and blend until smooth. If desired, pour the blended mixture through a sieve to remove the larger chunks. Pour prune juice into bottles and store in the refrigerator. You can find the full recipe here. Make It An Easy Green Smoothie To add extra fiber to the prune juice and boost the nutrient content, try adding spinach and cucumber to make a laxative smoothie. Ingredients: 2 cups raw spinach

1 cup prune juice

1 cup chopped cucumber Instructions: Place all ingredients in a blender and blend until smooth. Add water to thin the smoothie if it’s too thick. You can find the full recipe here.

2. Lemon Juice Lemons are high in vitamin C, an antioxidant compound that draws water into the intestines. Increasing the water content in the intestines can help soften stools and stimulate bowel movements. Mild dehydration can cause constipation. Increasing water intake can help relieve constipation. Drinking a mixture of lemon and water can help relieve constipation in some people. People can add lemon juice to their diet and hydrate their body with lemon water. Use fresh local lemons whenever possible. Read more about the health benefits of lemons and lemon water here. How to Make Lemon Water To make lemon water, simply mix the juice of half a lemon in a glass of warm water. Try drinking this mixture at night and first thing in the morning. Don’t forget to drink water throughout the day.

3. Apple juice Share on Pinterest Apple juice can help relieve constipation. Eating apples can help relieve constipation as they are high in both fiber and sorbitol. According to the US Department of Agriculture, a medium-sized apple contains 4.4 g of fiber and 18.91 g of sugar. Apples also contain vitamin C, calcium, and vitamin A, among other nutrients. Apples also contain pectin, a water-soluble fiber that can promote bowel movements. Compared to other fruits, apple juice contains a relatively large amount of fructose. Drinking large amounts of apple juice can cause digestive problems in people with sensitive intestines. Juicing apples also significantly reduces their fiber content, which can make apple juice less effective than other juices for relieving constipation. If possible, use fresh organic apples from the region. Read more about the health benefits of apples here. How to Make Apple Juice People can juice and drink whole apples, or they can add apple juice to other juices or smoothies. If you’re making apple juice at home, consider leaving the skin on for added fiber content. However, only small amounts remain after juicing.

Additional Juice Ingredients When making juices at home or buying them from a supermarket, add or look to the following ingredients to provide even more beneficial nutrients, add fiber, and promote constipation relief: Berries

spinach

broccoli

carrots

celery

linseed

psyllium

ginger root

Apple Cider Vinegar

coconut oil

How Much Juice Should I Drink for Constipation Relief? People can either make juices at home or buy them in stores. To avoid side effects, people should start drinking small amounts of juice. Try a quarter or half serving for the first few days. People who can tolerate small amounts of juice can slowly increase their juice intake until they reach 1-2 servings per day. Guidelines often suggest this is 4 ounces (oz) (half a cup) up to 8 oz (1 cup). Increase fiber slowly over a few days or weeks, as sudden increases can cause indigestion, diarrhea, and even worsen constipation. When buying pre-made juices, try to get 100% fruit juices. Some fruit juices and fruit drinks contain fruit concentrate and a lot of added sugar. These types of juices do not provide the same constipation relief as 100% fruit juices.

Other Natural Ways to Relieve Constipation In addition to drinking fruit juice, people can find relief from constipation by making simple diet and lifestyle changes. Diet and lifestyle changes that can help relieve constipation include: Increasing fiber intake from solid foods

eat lots of fresh fruit and vegetables

stay hydrated

Limiting the intake of processed foods

Limit daily salt intake

increase in potassium intake

Exercise regularly

Does MiraLAX work for impacted stool?

To treat childhood fecal impaction, Youssef and coworkers recommend 1 to 1.5 g/kg/day of polyethylene glycol solution (PEG 3350, MiraLax).

MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey

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Miralax Preparation Instructions for Colonoscopy

Miralax Preparation Instructions for Colonoscopy
Miralax Preparation Instructions for Colonoscopy


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Even if you exercise, drink plenty of water, and eat high-fiber foods, you can sometimes feel and occasionally get constipated. Using an osmotic laxative like MiraLAX® can help relieve occasional constipation.

What are osmotic laxatives?

You might notice that the word “osmotic” is pretty close to “osmosis,” meaning we’re talking about the movement of water. Osmotic laxatives like MiraLAX® attract and hold water in your colon. This action allows MiraLAX® to hydrate and soften stool and unblock your system without causing severe gastrointestinal side effects.

WHAT DO YOU DO?

Basically, osmotic agents, like the polyethylene glycol found in MiraLAX®, work naturally with the water in the colon to unblock a person’s system. Soluble, non-absorbable PEG 3350 hydrates, softens and lightens stool by gently drawing water into the colon through a process known as osmosis. The water increases stool volume and stretches the intestinal wall, triggering the defecation reflex, allowing the digestive system to unclog naturally.

HOW DO I TAKE IT?

It all depends on what type of osmotic laxative you have. Some of the products that fall into this category are pre-mixed liquids, some are tablets that you chew and swallow, and some are powders, e.g. B. MiraLAX®, which you mix in 4-8 ounces of a liquid before drinking. MiraLAX® can be mixed into any drink, hot or cold. Some examples are coffee, tea, water, orange juice, iced coffee, iced water, coconut water, smoothie, iced tea and seltzer.

HOW WILL I FEEL?

Osmotic laxatives such as MiraLAX® are generally well tolerated and have very few side effects. Studies have shown that MiraLAX® increases the frequency of bowel movements with less effort and improves stool consistency. When gastrointestinal side effects do occur, they are usually mild and transient.

References:

Jin J.JAMA. 2014;312:1167. Leung L et al. JAFBM. 2011;24:436-451; 2018 QuintilesIMS Survey, 2018 Pharmacy Times Survey, 2018 QuintilesIMS Survey. https://www.miralax.com/why-miralax/. Retrieved September 14, 2017. DiPalma JA et al. South Med J 2007;100:1085-1090. Cleveland MV et al. South Med J 2001;94:478-481. DiPalma JA et al. Online J Dig Health. 1999;1:1-10.

How to Prepare for Your Colonoscopy Using MiraLAX®

This information will help you prepare for your colonoscopy with polyethylene glycol (MiraLAX®).

A colonoscopy is a test that allows your doctor to look inside your colon (large intestine). Your doctor will use a colonoscope (flexible tube with a camera on the end) to see the inside of your colon on a video monitor. During your procedure, your doctor may:

Take a small sample of tissue (biopsy) to test.

Removal of a polyp (tissue overgrowth)

Take photos of the inside of your colon

Before your procedure, you must carefully follow these instructions. You will need to do bowel prep to empty your colon before your procedure. It is very important that your colon is empty for your colonoscopy. If there is stool (poop) in your colon, your doctor may not be able to see polyps or other problems in your colon, and you may need to repeat the process. Contact your doctor’s office if you have any questions.

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1 week before your procedure

Have someone take you home

You must have a responsible care partner take you home after the procedure. A responsible care partner is someone who can help you get home safely. They should be able to contact your care team if they have any concerns. Make sure you plan this ahead of the day of your procedure.

If you don’t have a responsible care partner to take you home, call one of the agencies listed below. They will send someone to go home with you. This service is chargeable and you will need to provide transportation. It’s okay to use a taxi or car service, but you still need a responsible care partner with you.

Agencies in New York Agencies in New Jersey Care Partners: 888-735-8913 Caregivers: 877-227-4649 Caregivers: 877-227-4649

Ask about your medication

You may need to stop some of your medications before the procedure. Talk to your doctor about which medications are safe to stop taking. Below we have listed some common examples.

anticoagulants (blood thinners)

If you are taking a blood thinner, e.g. to treat blood clots or to prevent a heart attack or stroke, ask the doctor who prescribes it when to stop. Examples are listed in the table Common Anticoagulants (Blood Thinners). There are others, so check with your doctor if you’re not sure.

Common anticoagulants (blood thinners) Apixaban (Eliquis ® )

) cilostazol (Pletal®)

) Clopidogrel (Plavix®)

) Dalteparin (Fragmin®) Enoxaparin (Lovenox®)

) Fondaparinux (Arixtra®)

) Heparin Rivaroxaban (Xarelto®)

) Tinzaparin (Innohep®)

) Warfarin (Coumadin®)

medication for diabetes

If you are taking insulin or other medicines for diabetes you may need to change your dose. Ask the doctor who prescribes your diabetes medication what you should do the day before and the morning of your procedure. Tell your doctor that you will be drinking a sugar-free, clear liquid the day before the procedure.

If you are taking metformin (such as Glucophage® or Glumetza®) or a medication that contains metformin (such as Janumet®), do not take it the day before or on the day of your procedure.

Tell your doctor if you have AICD

Tell your doctor at Memorial Sloan Kettering (MSK) if you have an implantable automatic cardioverter defibrillator (AICD).

If necessary, get a letter from your doctor

If you have an implantable automatic cardioverter defibrillator (AICD), you will need approval from your cardiologist (heart doctor) before the procedure. A release letter is a letter stating that you can safely have the procedure.

If you have had chest pain, dizziness, new or worsening breathing difficulties, or fainting in the last 6 weeks, you must be evaluated by your doctor and receive a letter of approval from your doctor before the procedure.

Your MSK doctor’s office must have your release letter at least 1 day before your procedure.

buy supplies

You will need to purchase the following supplies for your colon prep:

4 (5 mg) tablets Bisacodyl (Dulcolax ® ). These are usually sold in a box of 10 tablets.

). These are usually sold in a box of 10 tablets. 1 bottle (238 grams) of polyethylene glycol (MiraLAX ® ).

). 64 ounces of a clear liquid that is not red, purple, or orange. You need to mix this with the MiraLAX. Keep it at room temperature. A sports drink like Gatorade ® or Powerade ® is a good choice. Sports drinks help replace electrolytes that you lose during bowel preparation. If you have diabetes, be sure to consume sugar-free, clear liquids.

Some people may need different supplies. Answer the following questions to determine if you need additional consumables:

Do you tend to be constipated (have fewer bowel movements than normal) or have fewer than 3 bowel movements a week?

Do you take narcotic (opioid) medications such as fentanyl (Duragesic ® , Subsys ® ), morphine (DepoDur ® , Duramorph ® ), hydrocodone (Vicodin ® ) or oxycodone (Oxycontin ® , Percocet ® )? If you are not sure, ask your doctor.

, Subsys ) morphine (DepoDur , Duramorph ), hydrocodone (Vicodin ) or oxycodone (Oxycontin , Percocet )? If you are not sure, ask your doctor. Have you had a poorly prepared colonoscopy in the past? This means your doctor still saw stool in your colon during your colonoscopy.

If you answered yes to any of the questions, you will also need to purchase the following consumables:

3 (17 grams) cans of MiraLAX (for a total of 51 grams). You can buy 1 additional small bottle (119 grams) or the packets.

More liquids for a complete liquid diet. Examples of what you can drink are listed in the 2 days before your procedure section.

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5 days before your procedure

Stop taking iron supplements

If you are taking an iron supplement, stop taking it 5 days before the procedure. Iron supplements can cause color changes in your stool. This can make it difficult for your doctor to see your colon clearly.

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3 days before your procedure

Avoid certain foods

Start eating a low-fiber diet 3 days before your colonoscopy. Do not eat during this time:

Raw (fresh) fruits and vegetables

Whole corn, including canned corn

Whole grains (like oatmeal, brown rice, quinoa, or wheat bread)

Seeds (e.g. poppy or sesame)

nuts

Talk to your endoscopy nurse

A few days before your procedure, you will receive a call from an endoscopy nurse. They will walk you through the instructions in this guide and ask you questions about your medical history. The nurse will also review your medication and tell you what to take on the morning of your procedure.

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2 days before your procedure

Do not start your clear liquid diet until the day before your procedure if you:

Are not usually clogged

Do not take narcotic (opioid) medications

Never had a colonoscopy with poor preparation in the past

Avoid raw fruits and vegetables, whole grain corn, grains, seeds and nuts. Continue to the next section, The Day Before Your Procedure.

If you are usually constipated, take narcotics, or have had a poorly prepared colonoscopy in the past:

Take 1 capsule (17 grams) of MiraLAX mixed with 8 ounces of liquid with breakfast, lunch, and dinner.

Follow a complete liquid diet. On a full liquid diet, you are allowed to eat and drink the following: Yoghurt (without chunks of fruit) Fruit juices without pulp Soda broth or cream soups that have been strained so that there are no chunks of vegetables Dietary supplements Ice cream and fruit ice cream (without pulp). any pieces of fruit)

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The day before your procedure

Prepare your MiraLAX intestinal supplement

The morning of the day before your procedure, mix all 8 ounces of MiraLAX powder with 64 ounces of a clear liquid at room temperature until MiraLAX powder dissolves.

Once the MiraLAX has dissolved, you can place the mixture in the fridge. Many people find that it tastes better when chilled.

Do not mix MiraLAX earlier than the morning of the day before your procedure.

Follow a clear liquid diet

The day before the procedure you must be on a clear liquid diet. Examples of clear liquids are given in the table in this section.

Don’t eat solid foods.

Don’t drink anything red, purple, or orange.

Be sure to drink plenty of fluids in addition to water, coffee, and tea. This helps ensure you’re consuming enough calories and is an important part of your preparation for the colonoscopy. Aim to drink at least 1 (8-ounce) glass of liquid every hour while awake.

If you have diabetes, you should drink only sugar-free, clear liquids and check your blood sugar levels frequently. If you have any questions, consult your doctor.

Clear liquid diet drink Do not drink soup Clear broth, bouillon, or broth Any product containing particles of dried food or spices Candies Gelatin, such as Jell-O®

Flavored Ice Cream

Candies like Life Savers® Anything red, purple, or orange drinks Clear fruit juices like apple, white cranberry, lemonade, or white grape

Soda such as 7-Up ® , Sprite ® , ginger ale or seltzer

, Sprite , Ginger Ale or Selter’s Gatorade ®

Black coffee

tea

Water juices with pulp

nectars

milk or cream

Alcoholic drinks

Anything red, purple or orange

Note the time of your intervention

A member of staff will call you after noon the day before your procedure. The staff member will tell you when you should appear for your procedure. If you are scheduled for your procedure on a Monday, you will be called on the Friday before. If you don’t get a call, call your doctor’s office.

If you have to cancel your procedure, call the doctor who scheduled it for you.

Start with the bowel preparation

Step 1: The day before your procedure, take 2 tablets of Bisacodyl (5 mg) with a glass of water.

Step 2: Start drinking the MiraLAX blend at .

Drink at 1 (8 ounces) glass of the mixture. Drink at 1 (8 ounces) glass of the mixture. Drink at 1 (8 ounces) glass of the mixture. Drink at 1 (8 ounces) glass of the mixture.

You will drink a total of 4 glasses of the mixture.

When finished, half of the MiraLAX mixture will remain. Store the rest in the fridge for the second half of your preparation.

Bowel movements usually begin within 1 hour after drinking the first dose, but it may take longer for some people. Don’t worry if you don’t have a bowel movement after drinking the first half of MiraLAX. Continue to drink fluids and start the second half of the MiraLAX as instructed.

Apply Vaseline (Vaseline ® ) or A&D ® ointment to the skin around your anus after each bowel movement. This helps prevent irritation.

) or A&D ointment to the skin around your anus after each bowel movement. This helps prevent irritation. Keep drinking clear liquids to stay hydrated and to flush out your colon.

Step 3 (If you were told to arrive for your procedure before 11:00 am):

If you have been told to come to your procedure, follow these instructions the night before your procedure:

At the time, take 2 bisacodyl tablets with a glass of water. Then start drinking the second half of the MiraLAX blend.

Drink at 1 (8 ounces) glass of the mixture. Drink at 1 (8 ounces) glass of the mixture. Drink at 1 (8 ounces) glass of the mixture. At around (midnight) drink 1 (8-ounce) glass of the mixture.

Be sure to finish the entire MiraLAX mix.

You can continue to drink clear liquids up to 4 hours before your scheduled arrival time.

Do not eat anything until after the procedure.

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The day of your procedure

Step 3 (If you have been told to arrive for your procedure at or later):

If you have been asked to arrive at or later for your procedure, follow these instructions on the morning of your procedure:

At the time, take 2 bisacodyl tablets with a glass of water. Then start drinking the second half of the MiraLAX blend.

Drink at 1 (8 ounces) glass of the mixture. Drink at 1 (8 ounces) glass of the mixture. Drink at 1 (8 ounces) glass of the mixture. Drink at 1 (8 ounces) glass of the mixture.

Be sure to finish the entire MiraLAX mix.

You can continue to drink clear liquids up to 4 hours before your scheduled arrival time.

Do not eat anything until after the procedure.

Things to remember

Only take the medications you should be taking on the morning of your procedure. Take them with a few sips of water.

Don’t apply lotions, creams, or powders to your chest or arms.

Remove all jewelry, including body piercings.

Leave all valuables, such as credit cards and jewelry, at home. We do not have lockers to store your valuables.

If you wear contact lenses, wear your glasses instead.

what to bring

A list of medications you take at home

If you have an implanted pacemaker or cardioverter defibrillator (AICD), bring your wallet card with you.

Your rescue inhaler (such as Albuterol (Proventil ® , Ventolin ® ) for asthma) if you have one

, Ventolin ) for asthma) if you have a glasses case

Your Health Care Power of Attorney form, if you have completed one

Where

Your procedure will take place at one of these locations:

Endoscopy Suite at Memorial Hospital (Main Hospital of MSK)

1275 York Avenue (between East 67th and East 68th Streets)

New York, New York 10065

Take the B elevator to the 2nd floor. Turn right and enter the Endoscopy/Surgical Day Hospital Suite through the glass doors.

MSK Monmouth

480 Red Hill Road

Middletown, NJ 07748

What to expect

Upon arrival, you will be asked several times to fill in and spell your name and date of birth. This is for your security. People with the same or similar names may have same-day proceedings.

When it’s time to change for your procedure, you’ll be provided with a hospital gown, dressing gown, and non-slip socks to change into.

You will meet with your doctor before your procedure. They explain the process to you and answer your questions.

You meet with your anesthesiologist. They will go through your medical history and talk to you about the type of anesthesia (sleeping pills) you will be given.

Once it is time for your procedure, you will be brought into the procedure room and placed on the examination table. You lie on your left side with your knees bent.

Your anesthetist places an intravenous (IV) line into a vein, usually in your arm or hand. You will be stunned by your IV, causing you to fall asleep. Once you fall asleep, your doctor will begin the procedure.

Your doctor will insert a colonoscope into your rectum. The colonoscope is connected to a video monitor. This allows your doctor to see the inside of your colon. Your doctor will use air and liquid to move the colonoscope through your colon while looking for anything unusual on the video monitor.

The procedure usually takes less than 60 minutes (1 hour).

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Frequently Asked Questions (FAQs)

I take the prep and started having loose, watery stools before I was done with it. Do I still have to take the rest of the preparation?

Yes. You must drink the entire preparation to fully cleanse your colon for a safe and complete colonoscopy.

I feel like I’m going to throw up (nausea) or have thrown up (vomiting) after doing the bowel prep. What should I do?

Many people can become nauseous when drinking the intestinal preparation. To help with this, try mixing the MiraLAX powder with clear liquids that you enjoy drinking.

If you feel vomiting, you should drink slowly and take a break. That means you should stop drinking the liquid for 30 to 45 minutes to empty your stomach. While you’re taking a break, put your prep liquid in the fridge. After your break, try to slowly drink the supplement again. Use a straw if you have one.

If you throw up, take a 30 to 45 minute break. If you have anti-nausea medication at home, you can take 1 dose before starting the preparation again. You can drink any clear liquids you want to drink to stay hydrated. It is important that you drink all of the prep liquid to fully cleanse your colon for a safe and complete colonoscopy.

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After your procedure

Your nurse will continue to monitor your heart, breathing and blood pressure. Many people feel bloated and have stomach cramps after a colonoscopy. This is normal and will go away when you open the throttle.

Once you are fully awake, your nurse will remove your IV. If someone is waiting with you, your caregiver will explain your discharge instructions to you before you go home.

At home

You can start eating light food as soon as you are discharged. First, avoid spicy, greasy, and fried foods. Work your way up to your normal diet. If your doctor wants you to restrict your diet for a period of time, they will let you know.

You can return to your usual activities 24 hours after the procedure.

Do not drink alcoholic beverages for 24 hours after the procedure.

If you’ve had a biopsy, it’s normal to have a small amount of blood from your rectum. There should be no more than a few drops of blood, and the bleeding should stop within 24 hours of the procedure.

After a colonoscopy, it is normal for your bowel movements to be irregular or different from your usual habits. This can last up to a week after your procedure.

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When to call your healthcare provider

Call your doctor if you have any of the following problems:

A fever of 101°F (38.3°C) or higher

Severe abdominal pain or bloating

Bleeding from your rectum that lasts more than 24 hours

Bleeding between bowel movements

weakness, fainting, or nausea

Heavy bleeding from your rectum

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MIRALAX Prep Instructions : Gastroenterology Consultants of South Jersey

Miralax (or GylcolAX) PREPARATION

Please note that if you do not prepare as instructed, your procedure will be terminated. ON THE MORNING OF THE PROCEDURE: DO NOT eat or drink anything on the day of the test,

EXCEPT: 1.) Your second dose of bowel prep or: 2.) Your morning medication with a small sip of water at least 4 hours before the exam. DO NOT CHEW CHEW, BONE, OR SMOKE. HMO-insured patients may require a referral or pre-certification.

You must bring your insurance cards, bank transfer and co-payment with you at the time of the visit. THE TEST WILL BE CANCELED IF:

1) you have no one to drive you home (a bus or taxi is not acceptable),

2) IF you eat anything on the day of the test,

3) IF you have consumed any liquids less than 4 hours before the test.

7 DAYS BEFORE YOUR EXAM: Stop taking aspirin and aspirin products (see attached list). Tylenol is allowed before the test. Discontinue all other medications only if directed to do so by the practice. Specific instructions for special situations such as diabetes are included in the drug leaflet. ALL DAY BEFORE THE EXAM: Clear liquids at breakfast, lunch and dinner ONLY.

NO solid foods or alcoholic beverages. Please NO red or purple drinks. You can have Gatorade, popsicles, popsicles, ginger ale, 7-Up, Sprite, Coke, Pepsi or any soda, jelly (yellow or green), and chicken or beef broth. You can have black coffee and tea. You can use sugar/sweetener.

Milk and cream are NOT allowed in coffee or tea. You may continue to drink clear liquids until midnight the day before the colonoscopy. The MORNING OF THE PROCEDURE: DO NOT eat or drink anything on the day of the test,

EXCEPT: 1.) your second dose of bowel prep or 2.) your morning medication with a small sip of water at least 4 hours before the exam.

DO NOT CHEW, CARABINER OR SMOKE UNTIL AFTER YOUR PROCEDURE.

If the test is scheduled after 1:00 p.m., you can drink small sips of water until 8:00 a.m., after that, stop drinking. Your trial is scheduled for ____________. YOUR PROCEDURE WILL BE CANCELED IF YOU FAIL TO FOLLOW THE PREPARATION AS ABOVE.

Miralax / GATORADE – SPLIT DOSING OPTION

THREE TO FOUR DAYS BEFORE COLONOSPY: Buy Miralax and Ducolax at your local drug store and Gatorade at your local supermarket. Prescriptions are not required for any of these medicines

. NOTE: Bisacodyl tablets can replace Ducolax tablets and work just as well. Powerade can replace Gatorade but cannot be red or purple. Glycolax is the generic of Miralax and does the same job and may be cheaper. MIXING THE SOLUTION:

The night before or the morning of the day before your colonoscopy, please MIX: The entire 255g bottle of Miralax (or Gylcolax)

with 64 ounces warm Gatorade/Powerade (no red or purple)

into two separate quarts (1/2 of the bottle per quart) of the solution. Once all the powder has dissolved, put the two liters in the fridge so it’s cold when you drink it later. TAKE 2 Ducolax tablets two hours before starting the first dose of Miralax solution.

DO NOT chew or crush the Ducolax tablets and swallow them with water.

FIRST CAN (1 quart) Start at the time listed below: ___ Start after work but no later than 7:00 PM the night before the colonoscopy.

Drink ½ of the solution. Drink 8 ounces every 10-15 minutes until done ½ the solution (mix in the morning of the day you use as above). ___ Or Start at ____ hours the day before the colonoscopy.

(Mix the night before as above and refrigerate.) SECOND DOSING Begin as directed below: SECOND DOSING MUST BE FINISHED 4 HOURS PRIOR TO ARRIVAL AT THE CENTER FOR YOUR PROCEDURE ___ Begin the second dose the night before Colonoscopy at ___ o’clock. ___ Start the second dose on the morning of the colonoscopy, starting at ___ o’clock. If you are unable to drink the supplement or if the stool is not clear or light yellow after you stop taking the supplement, you can call our on-call physicians at 609-265-1700 for recommendations and assistance. NOTE: Prescriptions are not required for any of these drugs. The MORNING OF THE PROCEDURE: DO NOT eat or drink anything on the day of the test.

EXCEPT: 1.) your second dose of bowel prep or 2.) your morning medication with a small sip of water at least 4 hours before the exam.

Do not chew or smoke gum, candy, or candy until after the procedure. What are the side effects? Occasionally, some patients may develop nausea and, rarely, vomiting. The best remedy for this is to pause the Miralax solution for about an hour to allow it to move downstream, and then resume drinking at a slower rate. It usually takes 1 or 2 hours to complete each quart container, and the diarrhea generally lasts about an hour or two after the concoction is complete (Many have found that drinking the concoction through a straw and refrigerating the solution improves tolerability). QUESTIONS ABOUT PROCEDURE CALL 609-265-1700

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