Capsule Study

Gastrointestinal Associates of Rockland
500 New Hempstead Rd.
New City, NY 10956
845-362-3200
Fax: 845-290-8180

PATIENT INSTRUCTIONS FOR UNDERGOING CAPSULE ENDOSCOPY
Please have our physician review your medications with you prior to the test.
*Please inform the staff:

  • If you have a cardiac pacemaker
  • If you have constipation
  • If you are diabetic
  • If you take narcotic pain medication

Purchase prior to procedure:

  • 64 oz. of Gatorade (no red or purple)
  • One bottle of Miralax (8.3 oz.)
  • One bottle of infant gas relief drops.

Start a clear liquid diet from noon the day prior to the test.

At 6 PM the evening prior to the test, drink 64 oz. of Gatorade mixed with one bottle of Miralax (8.3 oz.).

At bedtime the evening prior to the test, take two doses of the Mylicon (one dropper of 0.6ml twice) in 6 oz. of water. You can continue clear liquids until midnight the night before the test.

DAY OF EXAM:

  1. Wear loose fitting clothing and a thin t-shirt as well as a shirt that opens in the front.
  2. Do not take any medication two hours prior to the examination
  3. Bring the Mylicon gas relief medication with you. (This eliminates normal bubbles noted on examination, not because of gas used for procedure).

PROCEDURE DATE_________________. PROCEDURE TIME____________.

*Information must be discussed with Dr. Molinas prior to booking

Click here to print out the Capsule Study Instructions.

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Gastrointestinal Associates of Rockland

  • Gastrointestinal Associates of Rockland - 500 New Hempstead Rd., New City, NY 10956 Phone: 845-362-3200 Fax: 845-290-8180

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