To prepare for your fluoroscopy with barium enema study, please follow these instructions below: Please Arrive: • Arrive 15 minutes before your appointment. Exam Preparation: • Please discuss this preparation with your referring doctor if you have chronic diarrhea, Inflammatory Bowel Disease (IBD) such as Ulcerative Colitis or Crohns Disease, or large amount of rectal bleeding. 2 Days Before: • 1 Miralax bottle (225g) • 1 Dulcolax suppository • Mix the Miralax with 64 oz of clear liquid (Gatorade, crystal lite – NOT RED OR PURPLE) and chill overnight. Day Before Exam: • 8:00 AM: Clear liquids only for breakfast, lunch, and dinner. This includes: •  Water, fruit juice (no pulp), clear broth, tea, or coffee (no milk) •  Jello, Gatorade, and ice popsicles (NOT RED OR PURPLE) •  No milk, cream, or carbonated beverages • 12:00 PM: Clear liquids for lunch. • 12:00 PM - 5:00 PM: Drink 6 to 8, 8 ounces glasses of clear liquid. • 5:00 PM: Begin drinking the Miralax mixture: •  8 ounces every 15 minutes until finished (takes about 2 hours). • 7:00 PM: Clear liquids for dinner. Morning of the Exam: • Take any oral medications with a small amount of water • 2 Hours Before Exam: Insert the Dulcolax suppository: •  Lie on your side, elevate your thigh, and insert as far as possible. •  Try to keep it in for 20 minutes, even if you feel the urge to evacuate. •  Bowel evacuation typically occurs within 15-60 minutes. Special Instructions: • If you take insulin: Consult your doctor about adjusting yours dose. You should not take insulin if you are fasting for your exam; however, you should bring insulin with you so you can take it after your exam if directed by your doctor. General Instructions: • Bring your prescription, photo ID, and insurance card. • We will collect any co-pay, co-insurance, or deductible upon arrival. • Do not bring jewelry or valuables. • If you bring small children, please have another adult accompany you. • If you develop a cough or fever, please wear a mask to your appointment.