Upon completion of a history and physical, patients identified as appropriate for the study will be approached about study participation. Informed consent by the PI will be completed in the outpatient office and the patient will be scheduled for colonoscopy. The risks and benefits of the exam will also be discussed. Once the patient is scheduled, the medical assistant scheduling the exam will open an opaque envelope and assign the patient their exam preparation. She will give a script for Golytely or Miralax. Gatorade must be purchased by the participant. The details of the bowel preparation are below: