Carson Endoscopy Center

a. Note: Contact the lab the week prior to the test to obtain stool sample
collection kit and
any special instruction for collection.
b. Note: Lab test results will be filed into the fecal transplant recipient’s medical
record.
Medication Preparation for stool transplant recipient
• 2 weeks prior to the procedure fill prescriptions and take as directed:
• Take the Xifaxin 550mg as directed: take ½ of the 550mg tablet three times by mouth daily
starting 10 days before the procedure. Discontinue the Xifaxin 24 hours before the procedure
date.
Start Date for Xifaxin: ______/_______/_______
Stop Date for Xifaxin: ______/________/_______
Take One Nexium 40mg , Prevacid 30mg or Omeprazole 20mg by mouth the evening before the
procedure and One Nexium 40mg, Prevacid 30mg, or Omeprazole 20mg by mouth the morning of
the procedure. Take the Nexium 40mg, Prevacid 30mg or Omeprazole 20mg with a small sip of
water.
EGD Prep Instructions:
The Day before the Procedure: ____/____/____
• You may have your usual diet during the day but only clear liquids after 8 p.m.
Foods allowed: water, clear fruit juices (pulp-free, no red or purple), soft drinks (no red or purple),
strained soups and bouillon, Jell-O (no red or purple), Popsicles (no red or purple), black coffee or
tea, and Lifesavers (no red or purple).
NO SOLID FOODS, COFFEE, OR MILK PRODUCTS ARE ALLOWED
• Your stomach must be empty when we perform the procedure
• Follow your normal medication schedule with sips of water or other clear liquids.
The Day of the Procedure: ____/____/____
• Do not eat anything before the procedure except for small amounts of clear liquids
such as water, clear sodas, clear fruit juices (pulp-free, no red or purple), and bullion
(absolutely nothing by mouth four (4) hours before the procedure).
• Take your usual a.m. medications (high blood pressure medication, etc.) up to four (4) hours
before the procedure with small sips of water. If you have an early procedure (before 10 a.m.)
you should take you’re a.m. medications right after the procedure.
Stool Specimen Preparation:
The Day of the Procedure, within six (6) hours of the procedure time:
• Obtain stool sample within six (6) hours of the transplantation procedure. Stool should not
come into contact with toilet water or bowl, sample can be collected in a container or by
placing clear plastic wrap over bowl water. Transfer approximately one (1) to two (2) inches
of stool sample into a secured container.
• Place container with sample into paper bag and bring to the Center by 8 am (regardless of
procedure time, sample required to be at Center by 8 am for processing).
GENERAL INFORMATION
• Leave all jewelry and valuables at home.Bring your inhalers if you use them
• If applicable, please bring your glasses and/or hearing aids.
• Your dentures will be removed during the exam for safety reasons.