The Medical Procedures Center, P.C.

“We treat people, not just problems.”


John L. Pfenninger, M.D.

4800 N. Saginaw Road

Midland, MI 48640

(989) 631-4545



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1.       Stay on a clear liquid diet after the evening meal the day before your exam.  If you have an afternoon appointment, eat breakfast but stay on clear liquids after that until your exam.


2.       If you have a problem with chronic constipation, you can take a laxative the night before. Ducolax tabs or Milk of <agnesia work well.


3.       You may  take your usual medicines.  If you are diabetic, eat regularly and take your insulin.


4.       One and a half hours before the exam is scheduled, take a FLEETS ENEMA (found at any  local pharmacy/drugstore).  Follow the instructions provided in the box.


5.       One half hour before the exam, take another FLEETS ENEMA.


6.       The return from the last enema should be clear.  If not, it may be necessary to take a third enema.






Only these foods are allowed - avoid all others.



Beverages   -    Carbonated beverages, coffee, Kool-Aid, and tea

Desserts     -    Gelatin dessert (Jello), clear popsicles

Fruit            -    Apple juice, cranberry juice, and grape juice

Soups         -    Beef bouillon or clear broth

Sweets       -    Hard candies or sugar


Copyright, 2011.  John L. Pfenninger, M.D.                                                                                                            Jw02/11