Modified Bowel Prep with Bisacodyl and Magnesium Citrate
Follow these steps to empty your bowel before surgery. Please note that “Clear” means no sediment, it does not mean colorless.
A few days before surgery, go to your local drugstore and buy:
2 bottles magnesium citrate/10 oz ea.
1 sodium phosphate enema
2 Days before Surgery: eat breakfast but then drink only clear liquids. Try to drink at least one bottle of Gatorade G3 Recover® each day for 2 days before surgery.
One Day before Surgery: continue to drink only clear liquids all day.
- Early morning: Take 4 bisacodyl tablets with water. Do not chew or crush. Do not take within 1 hour of taking an antacid or other morning medicine (meds)***.
- As soon as you have a bowel movement, drink the first bottle of magnesium citrate. It is best to drink it chilled. Magnesium citrate may give you loose stools and some cramping.
- One hour after you drink the first bottle, drink the second bottle of magnesium citrate. Expect to have frequent bowel movements for several hours after drinking it. Continue to drink clear liquids until 4 hours before surgery starts.
- By 4 p.m. take the 1st dose of antibiotics.
- 7 p.m. take the 2nd dose of antibiotics.
- Before you go to bed, but no later than midnight, take the last dose of antibiotics.
- Shower before bed and in the morning before leaving home with Hibiclens®.
The Morning of Surgery (at least 1 hour before leaving home)
- Give yourself the enema. Shower again.
Note: You may feel some cramps in your lower abdomen while drinking the Magnesium Citrate. If you have steady stomach pain, get light-headed or dizzy, have questions or concerns please call.
Surgery Clinic: 608-263-7502. This is a 24 hour number.
After hours, weekends and holidays ask for the doctor on call for Dr.______________________. Leave your name, number with area code and the reason you are calling. The doctor will call you back.
Toll free hospital number: 1-800-323-8942
Take scheduled medicines (meds) at least 1 hour before the Bisacodyl tablets. Wait at least until 4 p.m. to take afternoon meds. This will ensure your pills will be absorbed.
The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.
Last Updated: 09/16/2011
Copyright © 09/16/2011 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#7256
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