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The document also describes colonoscopy preparation expectations, medical condition disclosures, insurance referral and pre-authorization responsibilities, what the procedure does, what to expect during the visit, recovery guidance, and key risks and post-procedure bleeding or cramping notes.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/flex-sig_mills-enema-prep-for-flexible-sigmoidoscopy-colonoscopy-patient-responsibility/403757/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/flex-sig_mills-enema-prep-for-flexible-sigmoidoscopy-colonoscopy-patient-responsibility/403757.png","ImageObject",300,407,{"name":42,"@type":43},"Rizky","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-29","2026-09-27",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",10,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"How should the clear-liquid diet be followed before flexible sigmoidoscopy?","Question",{"text":63,"@type":64},"Start clear liquids at 4:00 pm the night before. The diet includes items such as clear fruit juices, tea or coffee, broth, jello, popsicles, and hard candy, while excluding dairy and anything red or purple, and avoiding juices with pulp.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"When do you take magnesium citrate and Fleet enemas?",{"text":68,"@type":64},"Take one bottle of magnesium citrate at 6:00 pm the night before, use one Fleet enema at 9:00 pm the night before, and take the 2nd Fleet enema in the morning of the procedure.",{"name":70,"@type":61,"acceptedAnswer":71},"What patient responsibilities are required for a colonoscopy, especially regarding insurance?",{"text":72,"@type":64},"Review bowel prep instructions at least two weeks prior and inform the office about relevant medical conditions. Ensure updated referrals and check whether pre-certification or pre-authorization is needed based on the insurance plan, and plan for hospital billing by bringing insurance cards and information.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},403757,1791083093,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":55,"slug":125},"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":139,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145,"preview_page_count":4},962085564807,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","m lls  \nFlex  \nYour procedure is scheduled for:Please arrive at;  \n# Enema Prep for Flexible Sigmoidoscopy\n\nYou will need to purchase 1 bottle Magnesium Citrate and2 Fleets Enemas your pharmacy  \nYou will start clear liquids at 4:00 pm the night before your procedure.  \nAt 6:00 pm the night before take one bottle Magnesium Citrate.  \nAt 9:00 pm the night before use 1 Fleets enema.  \nThe morning of your procedure at***take the 2nd Fleets enema  \nYou must stop all liquids 12 hours before surgery  \nA clear liquid diet includes:7-up,gingerale,coffee,tea,clear fruit juices,Gatoradeapplesauce,broth,jello,popsicles,hard candy.  \nNO DAIRY PRODUCTS -NOTHING RED OR PURPLE-NO JUICES WITH PULP  \n()Millard Fillmore Suburban1540 Maple RoadWiliamsville,NY 14221  \n()Buffalo Surgery Center  \n3921 Sheridan DrAmherst,NY 14226  \n()Sisters of Charity Hospital2157 Main StBuffalo,NY 14214  \n()Center for Ambulatory Surgery  \n550 Orchard Park RdWest Seneca,NY 14214  \nIf you have any questions please call the office.  \nmagCat  \n## PATIENT RESPONSIBILITY FOR A COLONOSCOPY\n\nIt is imperative that you thoroughly read and understand the attachedinstructions for bowel preparation at least two weeks prior to your scheduledappointment.There are many medical conditions that require special attention orrestrictions such as clotting abnormalities,implanted defibrillators,artificial heart valves,or mitral valve prolapse with regurgitation.It is your responsibility to review theseinstructions and inform us if your medical condition falls into one of these categories  \nYou are responsible for you medical insurance coverage.Pleases makesure you have an updated referral if you have Community Blue,Senior Blue,  \nIndependent Health,or Univera insurance.If you have Empire insurance,your plan mayrequire you to obtain pre-certification prior to undergoing a colonoscopy.If you haveCommunity Blue or Senior Blue insurance we have to call for pre-authorization beforethe procedure.Please make sure we are aware if you have Community or Senior Blueinsurance.Check your referral well in advance of the procedure to avoid problems withCoverage and to avoid being financially responsible.  \n## WHAT IS A COLONOSCOPY\n\nIt is a safe and effective means of visually examining the full lining of thecolon and rectum using a long,flexible,fiber optic instrument.The colonoscopy is usedto diagnose colon and rectal problems and to perform biopsies and remove colonpolyps.Colonoscopy allows the doctor to diagnose a disease that may not appear on anX-ray study or other techniques.  \nIt is very important that the bowel be cleansed of al residue before acolonoscopy.Please follow the attached instructions carefully and do not eat any solidfoods after the time indicated on your instruction sheet.It is very important to drink anincreased amount of fluids on the day of your preparation and the day of your procedure.This will keep your body from becoming dehydrated and you will feel much betterbecause of it.Please let us know if you have any medical conditions such as diabetes orheart or kidney disease,as indicated on your preparation sheet.  \nWhen you report to the registration desk you will be asked to present yourinsurance information for the hospitals billing department.They do not get thisinformation from our office.Please be prepared with your insurance cards andinformation.  \nIn the Gl lab you will first be interviewed by a nurse who will take a briefmedical history.Please bring a list of any medications that you take or drug allergies thatyou have.You will then be asked to change into a hospital gown and lie down on theexamination cart.An IV will be started so you can be given sedation during the exam tokeep you relaxed and comfortable.A lubricant is applied to the anus and the doctor willinsert the colonoscope and advance it through the entire colon.You may feel somecramping as the scope passes around certain turns in the colon,but this does not lastlong and is relieved as soon as the scope is repo","cbCaiombUh4LL2dD","https://ap.wps.com/l/cbCaiombUh4LL2dD","pdf",296661,14,"English","# Enema Prep for Flexible Sigmoidoscopy\n# Patient Responsibility for a Colonoscopy\n# What Is a Colonoscopy\n## Procedure overview and bowel cleansing\n## What to expect on the day of the exam\n## Risks and recovery","[{\"question\":\"How should the clear-liquid diet be followed before flexible sigmoidoscopy?\",\"answer\":\"Start clear liquids at 4:00 pm the night before. The diet includes items such as clear fruit juices, tea or coffee, broth, jello, popsicles, and hard candy, while excluding dairy and anything red or purple, and avoiding juices with pulp.\"},{\"question\":\"When do you take magnesium citrate and Fleet enemas?\",\"answer\":\"Take one bottle of magnesium citrate at 6:00 pm the night before, use one Fleet enema at 9:00 pm the night before, and take the 2nd Fleet enema in the morning of the procedure.\"},{\"question\":\"What patient responsibilities are required for a colonoscopy, especially regarding insurance?\",\"answer\":\"Review bowel prep instructions at least two weeks prior and inform the office about relevant medical conditions. Ensure updated referrals and check whether pre-certification or pre-authorization is needed based on the insurance plan, and plan for hospital billing by bringing insurance cards and information.\"}]","Flex-Sig_Mills - Enema Prep for Flexible Sigmoidoscopy - Colonoscopy Patient Responsibility | PDF",1790543092,35]