1035 Wellington Avenue , Grand Junction, CO 81501

To Schedule an Office Visit: 970.242.6600

Trilyte Prep Instructions

REMEMBER, NOTHING BY MOUTH 3 HOURS BEFORE PROCEDURE.

Morning procedure

(if your procedure is scheduled in the morning, follow the instructions below).
  • On the day prior to the colonoscopy, start clear liquids at 6:00 am and stay well hydrated throughout the day. Do not eat food.   Prepare the Trilyte as directed and place it in the refrigerator. Some of these products come with a Flavor Pack. If you wish to use it, add the contents of the Flavor Pack into the bottle before you add the water.  (Using the flavor pack is optional)
  • On the evening prior to the colonoscopy, drink 2 liters (half of the jug) by drinking 8 oz. every 10 minutes. If you start at 6:00 pm, then expect to finish drinking 2 liters by 8 pm.  Stay near a bathroom and remain hydrated with clear liquids.  Medications (except blood thinners) may be taken and teeth may be brushed.
  • Five hours (5) before the colonoscopy, drink the remaining 2 liters (8 oz. every 10 min.) Remain hydrated on clear liquids until 3 hours prior to the exam, at which point nothing else should be ingested (taken by mouth).  Plan ahead by finishing the Trilyte at home, allowing for bowel movements, and adjusting for travel time.
  • Diabetics on insulin should take ½ the usual dose on the day of the colonoscopy. Please check your blood sugar prior to coming to the facility.

Afternoon procedure

(if your procedure is scheduled in the afternoon, follow the instructions below).
  • On the day prior to the colonoscopy, start clear liquids at 1:00 pm and stay well hydrated throughout the evening. Do not eat food.  Prepare the Trilyte as directed and place it in the refrigerator.  Some of these products come with a Flavor Pack. If you wish to use it, add the contents of the Flavor Pack into the bottle before you add the water.  (Using the flavor pack is optional)
  • The evening prior to the colonoscopy, at 6:00 pm, drink 2 liters (half of the jug) by drinking 8 oz. every 10 minutes. Stay near a bathroom and remain hydrated with clear liquids.  Medications (except blood thinners) may be taken and teeth may be brushed.
  • Five hours (5) before the colonoscopy, drink the remaining 2 liters (8 oz. every 10 min.) Remain hydrated on clear liquids until 3 hours prior to the exam, at which point nothing else should be ingested (taken by mouth).  Plan ahead by finishing the Trilyte at home, allowing for bowel movements, and adjusting for travel time.
  • Diabetics on insulin should take ½ the usual dose on the day of the colonoscopy. Please check your blood sugar prior to coming to the facility.

Definition of clear liquids

Clear liquids you may have:
  • Clear broth, apple juice, white grape juice, colas, coffee, tea, Jello, popsicles, water or any other clear liquid that if you hold it up to light you can see through it. 
  • Alcohol (not encouraged)

 Coffee creamer and milk or milk products are not considered a clear liquid.

REMEMBER, NOTHING BY MOUTH 3 HOURS BEFORE PROCEDURE.

A word about bowel preps:

    • NO bowel prep is fun.
    • We have never gotten compliments on the bowel prep.
    • The purpose of the bowel prep is to clean out the colon to allow clear visualization for the exam.
    • A bowel prep is the only way to effectively clean out the bowel (if there was another way, we would use it).
    • It is a short term discomfort for a long term cause.
    • Respond immediately to the urge.
    • Your bowel movements may be frequent, explosive and liquid (this is to be expected).
    • Use soft toilet paper and zinc oxide or A&D ointment for skin irritation.
  • Note If your insurance requires a pre-authorization, please keep in mind that obtaining this authorization does not guarantee payment.  Contact your insurance for more information prior to your procedure.

Bowel Prep Frequently Asked Questions

A clear stool can have a slight tint of yellow or brown.  It will be completely transparent, and will not contain any solid matter.

Bowel movements can take up to 5-6 hours to start after beginning the prep.  Be patient, continue to drink liquids, and proceed with the second dose of the bowel prep as directed.  If you are still not seeing results, you will need to reach your physician’s office after 7:30 AM for further instructions.

If you develop nausea or vomiting, slow down the rate at which you drink the solution.  Please attempt to drink all of the laxative solution even if it takes you longer. If vomiting persists, or you are not able to finish the preparation, stop the preparation and call your physician’s office for further instructions.

Raw fruits and vegetables are typically high in fiber, as well as nuts, seeds, whole grain breads and beans and lentils.

Choose white bread and white rice for lower fiber options, as well as pastas made with white flour. Chicken, fish, dairy and eggs are also low in fiber and good choices for foods 2-3 days before you begin your prep.

You will not need to reschedule your procedure, however the seeds or nuts may cause a difficulty in screening and require a need for rescreening.  If you have eaten a large amount of seeds or nuts, you may want to contact the nurse or physician.

Alcohol is not allowed as part of the liquid diet.

Yes, you may continue the liquid diet until you are directed to discontinue anything by mouth, which is typically 4-6 hours prior to the procedure.

A split prep has proven to be the most effective for a successful colonoscopy.  It is essential that you follow the directions provided with your prep medications.

The liquid amount is not weight dependent.  It is important to finish the prep for a successful colonoscopy.

MEDICATION INSTRUCTIONS FOR DIABETICS HAVING A COLONOSCOPY

For patients with diabetes a colonoscopy can be challenging, especially if you are taking medications to regulate your blood sugar.  Below are some tips to help you have a safe preparation and a successful colonoscopy.

  • Before you start a liquid diet, you should contact your health care provider that manages your diabetes. 
  • If you take oral medications or inulin, make sure to ask them the dosages and when you should take these medications.
  • INSULIN AND DIABETES PILLS:  If you are a diabetic, it is important to monitor your blood sugar while doing the bowel preparation.   
  • Check your blood glucose level before all meals and at bedtime on the preparation day and on the day of the procedure. 
  • Check your blood glucose if at any time you have symptoms of low blood glucose or very high blood glucose. 
  • Bring your blood glucose meter, test strips, and a low blood glucose treatment with you on the day of the procedure. 

INSULIN CONTROLLED DIABETICS:

The day before your procedure:

  • The day before your procedure, take HALF of your normal insulin dose. For Lantus Insulin or Insulin Pump patients, do not change your dose or usual basal rate.
  • Check your blood sugars frequently during the day.
  • Drink all the clear liquids needed to maintain your blood sugar the day before the exam. If needed, you may also take Glucose tablets to maintain your blood sugar levels.

The morning of your procedure:

  • Do not take any Humalog or Regular Insulin. If you are on NPH or Lente, take ½ of your normal dose.  If you are on Lantus Insulin, do not change your dose.
  • Check your blood sugar in the morning as usual and report the level to the nurse when you are admitted for your procedure.
  • If your glucose level is low, you may take glucose tablets.
  • Resume your normal Insulin dose following your procedure and if you are tolerating solids.

ORAL CONTROLLED DIABETICS

The day before your procedure

  • Check your blood sugars at least two times the day before your exam.
  • Take half of your normal pill dosage (you may cut the pills if needed) unless you are on Actos or Avandia in which case your dosage should remain the same as usual.
  • Drink all the clear liquids needed to maintain your blood sugar level. If needed, you can take Glucose tablets.

The day of your procedure

  • Do not take any medication except Actos or Avandia as these dosages should remain the same as usual.
  • Check your blood sugar that morning and report the level to the nurse when you are admitted for your procedure.
  • You may take Glucose tablets if your blood sugar is low that morning.
  • Resume your normal medications following the procedure and if you are tolerating solids.