Atlantic Digestive Specialists

Helping people inside & out

  • Our Physicians
    • Aristotle J. Damianos, MD
    • Roger M. Epstein, MD
    • Brian H. Hyett, MD
    • Sukeerti Kesar, MD
    • Jennifer Lewis, MD
    • Sean P. Lynch, MD
    • William E. Maher, MD
    • Khushboo Munot, MD
    • Robert A. Ruben, MD
    • Sonya Alyea, APRN
    • Shelby Menard, APRN
    • Alyssa Young, APRN
    • Robert Ketchum, PA
    • Kathy Gibson, PA
    • Kerry Loan, PA
    • Rachel Whitman, PA
    • Jenna Adams, FNP
  • Conditions
    • Acid Reflux
    • Eosinophilic Esophagitis
    • Irritable Bowel Syndrome (IBS)
    • Barrett’s Esophagus
    • Food Allergies
    • Lactose Intolerance
    • Celiac Disease
    • Esophageal Diseases
    • Liver Disease
    • Cirrhosis
    • Gallstones
    • Nausea/Vomiting
    • C. Difficile Infection (C. diff)
    • Gastroesophageal Reflux (GERD)
    • Obesity
    • Colorectal Cancer
    • GI Infections
    • Pancreatitis
    • Constipation
    • Heartburn
    • Peptic Ulcers
    • Crohn’s Disease
    • Hemorrhoids
    • Polyps
    • Diarrhea
    • Hepatitis
    • Ulcerative Colitis
    • Diverticulitis
    • Inflammatory Bowel Disease (IBD)
  • Procedures
    • Bacterial Overgrowth Breath Test (SIBO)
    • Colon Cancer Screening
    • Colonoscopy
    • Endoscopic Retrograde Cholangiopancreatography
    • Endoscopic Ultrasound (EUS)
    • Esophageal Manometry
    • Esophagogastroduodenoscopy
    • Helicobacter Pylori Breath Test
    • Lactose Intolerance Breath Test
    • Liver Biopsy
    • pH Probe Placement – Impedance
    • Photodynamic Therapy
    • Radiofrequency Ablation of Barrett’s Esophagus
    • Video Capsule Endoscopy
  • Prep Instructions
    • Colonoscopy Preparations
      • Gatorade Miralax Colon Prep Instructions
      • Mag Citrate Colon Prep Instructions
      • Moviprep Colon Prep Instructions
      • Nulytely Colon Prep Instructions
      • 5 Day Miralax/Nulytely Prep Instructions
      • OSMO Pill Colon Prep Instructions
      • Prepopik Split-Dose Colon Prep Instructions
      • Suprep Split-Dose Colon Prep Instructions
    • Sigmoidoscopy Preparations
      • Sigmoidoscopy Hospital Prep Instructions
      • Sigmoidoscopy In-Office Prep Instructions
    • Upper Endoscopy Preparations
      • Esophageal Manometry Prep Instructions
      • Upper Endoscopy Hospital Prep Instructions
      • Upper Endoscopy In-Office Prep Instructions
    • Other Preparations
      • H-Pylori Breath Test Prep Instructions
      • Lactose Tolerance Testing Prep Instructions
      • Outpatient Liver Biopsy Prep Instructions
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Sigmoidoscopy Hospital Prep Instructions

Ensure a safe and effective upper sigmoidoscopy procedure by following these instructions exactly as directed below

  • At first appointment tell your doctor if you are taking any blood thinner/coagulant medications other than aspirin.

Several days before procedure:

  • It is very important that you remain well hydrated for a number of days prior to and after the procedure. Gatorade® or sports drinks will result in better hydration than drinking just water alone.
  • Purchase, over the counter at any pharmacy, Purchase two (2) Saline Fleet’s Cleansing Enemas (not Fleet’s Phosphosoda or oil enemas) and one (1) bottle of Milk of Magnesia or its generic equivalent.

Night before procedure:

  • Take 2 tablespoons of Milk of Magnesia.
  • Absolutely no solid foods or liquids after midnight.

Two hours before procedure:

  • Take first Fleet’s Saline Cleansing Enema.

One hour before procedure:

  • Take second Fleet’s Saline Cleansing Enema.

Morning procedure:

  • Nothing to eat or drink until after procedure.

Afternoon procedure:

  • No solid foods. Only clear liquids allowed until 4 hours before your arrival time. No liquids with red, blue, purple, or orange coloring. Consume only:
    • Broth
    • Italian Ice (with no fruit pieces)
    • Popsicles
    • Jell-O
    • Water
    • Black Tea/Coffee (No Milk or Cream)
    • Soda
    • Crystal Light
    • Hard Candy
    • Fruit Juice without Pulp
    • White Grape Juice
    • Gatorade /Sport Drinks
    • Apple Juice
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