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(Affix Patient Label) Name: DOB: MAN’T 4455 54223 DAY BOWEL PREP COLONOSCOPY INSTRUCTIONS YOUR COLONOSCOPY IS ON Date: PURCHASE PICTURE (2 SACHET PACK) AND GLYCOGEN 70 GM (1 SMALL SACHET) FROM A
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How to fill out 3 day bowel prep

01
Obtain a prescription for a 3 day bowel prep kit from your healthcare provider.
02
Follow the specific instructions provided in the kit for mixing and taking the bowel prep solution.
03
Drink plenty of clear liquids such as water, broth, and clear juices while on the bowel prep to stay hydrated.
04
Stick to a clear liquid diet for the duration of the bowel prep, avoiding solid foods.
05
Follow any additional instructions or restrictions provided by your healthcare provider.
06
Be prepared to spend a significant amount of time in the bathroom during the bowel prep as it will induce frequent bowel movements.

Who needs 3 day bowel prep?

01
Individuals who are scheduled for a colonoscopy, sigmoidoscopy, or other gastrointestinal procedure may need to undergo a 3 day bowel prep to ensure the colon is completely clean and free of any obstructions for accurate results.
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3 day bowel prep is a process of cleansing the colon before a medical procedure or surgery by following a specific diet and taking laxatives.
Patients who are scheduled to undergo a medical procedure or surgery that requires a clean colon may be required to follow a 3 day bowel prep.
To fill out a 3 day bowel prep, patients need to follow the instructions provided by their healthcare provider, which typically include dietary restrictions and taking prescribed medications.
The purpose of 3 day bowel prep is to ensure that the colon is clean and free of any obstructions or residue that could interfere with the medical procedure or surgery.
Information such as dietary restrictions, prescribed medications, and any symptoms experienced during the 3 day bowel prep must be reported.
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