[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-403756-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-403756-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","colonoscopy-instructions-pmc","COLONOSCOPY INSTRUCTIONS - PMC","","COLONOSCOPY INSTRUCTIONS from Granite State Gastroenterology (Parkland Medical Center, Nutfield Building, Entrance D, Suite 103, 44 Birch Street, Derry, NH 03038) explain what to do before and on procedure day. The guidance covers medication management for blood thinners, insulin, and iron; dietary steps including low-residue foods, clear liquid diet, and bowel prep with MiraLAX plus Dulcolax and simethicone/Phazyme; timing of doses; and restrictions before arrival. It also includes cancellation/no-show policy, referral and insurance verification steps, financial coverage basics, and arrival preparations such as a responsible adult escort.",{"@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/colonoscopy-instructions-pmc/403756/",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/colonoscopy-instructions-pmc/403756.png","ImageObject",300,407,{"name":42,"@type":43},"Putri","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-06","2026-09-27",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",11,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What should I do if I take blood thinners before a colonoscopy?","Question",{"text":63,"@type":64},"Inform the scheduling staff so they can coordinate stopping the medication with your primary care doctor.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What is the recommended diet and timing for the clear liquid day before the procedure?",{"text":68,"@type":64},"Drink a clear liquid diet the entire day and avoid dairy or solid food. The day before, take Dulcolax between 1PM and 6PM, take MiraLAX 1 hour after, and complete it before the procedure day.",{"name":70,"@type":61,"acceptedAnswer":71},"What restrictions apply during the 3 hours before my arrival time?",{"text":72,"@type":64},"Do not drink any liquids (except MiraLAX), chew gum, or suck hard candies for at least 3 hours prior. Do not smoke the morning of the procedure, and take listed medications at least 3 hours prior.","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},403756,1790846604,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"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":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":30,"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":111,"preview_page_count":4},962085571259,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","COLONOSCOPY INSTRUCTIONS--PMC  \nPlease read these instructions once you receive them. Do not wait until the night before the  \nprocedure to review these instructions.  \nYour procedure is scheduled at the following facility  \nParkland Medical Center (PMC)  \nNutfield Building  \nEntrance D, Suite 103  \n44 Birch Street  \nDerry, NH 03038  \n(603) 421-3634  \nYour procedure will be performed by  \n◻ Christopher Dainiak, MD  \n◻ Leon McLean, MD, PhD  \n◻ Knut Roalsvig, MD  \n◻ Steve Taylor, MD  \n◻ Annette Tobar, MD  \nProcedure Day:   Arrival Time:    \nBlood Thinners  \nIf you take blood thinners, please inform our scheduling staff so that we may coordinate stopping these medications with your primary care doctor.  \nCancellation/No-show/Reschedule Policy  \nGranite State Gastroenterology reserves the right to charge a $100 fee for any no-show, cancellation, or reschedule made within 3 business days of the scheduled procedure time. If you need to reschedule your procedure, please make every effort to do this early so we can give your slot to another patient.  \nAt least 1 week prior to the procedure:  \n1. Ask your primary care physician to send a referral to our office (if your insurance requires it) .  \n2. Call your insurance company to verify benefits at the facility and with the physician above. Your insurance company should tell you your coverage as well as any out-of-pocket fees you may be responsible for such as co-pays or deductibles.  \nQuestions you may wish to ask  \nIs my doctor in network?  \nDoes a hospital setting versus an ambulatory center make a difference in my out-of-pocket cost?  \nAm I subject to a deductible or co-pay for this procedure? What percentage of the procedure is my financial responsibility?  \n3. Obtain medicines needed for bowel preparation either over the counter or at our office  \n• One ( 1) bottle (238 grams) of MiraLAX (polyethylene glycol 3350)  \n• Two (2) 5 milligram tablets of Dulcolax (bisacodyl)  \n• Four (4) 80 mg tablets of simethicone or one (1) 250 mg tablet of Phazyme  \n• Sixty-four (64) ounces of clear liquid to mix with MiraLAX (No red or purple)  \n4. If you take iron stop taking it because it can interfere with your doctor’s ability to see the colon  \n5. If you take insulin contact your prescribing doctor (primary care physician or endocrinologist) and ask for instructions on what dose of insulin to take the day before and day of your procedure.  \nThree days prior to your procedure:  \n1. Stop eating high residue foods such as seeds or seed like foods (berries, jams, cucumbers, vegetables, trail mix, quinoa, whole grains, quinoa) and fresh vegetables/salads. You may eat any other foods you would like.  \nOne day prior to the procedure:  \n1. Drink a clear liquid diet the entire day. Do not eat dairy or solid food on this day including breakfast.  \nClear liquids include water, lemonade, coffee/tea (no cream or milk), beef/chicken broth, clear fruit juices, Gatorade, clear soft-drinks, seltzer, lemonade, popsicles, Kool-Aid. Avoid red or purple.  \n2. Take two Dulcolax tablets between 1PM and 6PM. Take either two 80 mg simethicone tablets or one 250 mg Phazyme tablet between 1PM and 6PM.  \n3. Drink your first dose of MiraLAX (32 ounces) 1 hour after step \\#2 . Drink 8 ounces every 15-20 minutes until you have consumed all 32 ounces.  \nHow to Mix the Preparation  \nMix one 238-gram bottle of MiraLAX in 64 ounces of clear liquids (see above) . Drink one-half (32 ounces) the day/evening before your procedure and the second half (32 ounces) the morning of your procedure. You must drink all of the preparation even if you think your stool looks clear prior to  \nfinishing.  \nThe day of the procedure:  \n1. Take two 80 mg simethicone tablets 5 hours before your arrival time. If you took a 250 mg Phazyme tablet the day prior to the procedure you can skip this step.  \n2. Drink your second dose of MiraLAX (32 ounces) immediately after step \\#1 . Drink 8 ounces every 15- 20 minutes until you have consumed all 32 ounces.","cbCaikMNOuDI4B3b","https://ap.wps.com/l/cbCaikMNOuDI4B3b","pdf",362251,"English","# Procedure Overview and Contact Details\n# Blood Thinners and Medication Coordination\n# Cancellation/No-show/Reschedule Policy\n# At Least 1 Week Prior: Referral and Insurance\n# Medicines for Bowel Preparation\n# 3 Days Prior: Diet Changes\n# 1 Day Prior: Clear Liquid Diet and Dose Timing\n# How to Mix the Preparation\n# Day of the Procedure: Final Doses and Restrictions\n# Insurance Coverage for Colonoscopy","[{\"question\":\"What should I do if I take blood thinners before a colonoscopy?\",\"answer\":\"Inform the scheduling staff so they can coordinate stopping the medication with your primary care doctor.\"},{\"question\":\"What is the recommended diet and timing for the clear liquid day before the procedure?\",\"answer\":\"Drink a clear liquid diet the entire day and avoid dairy or solid food. The day before, take Dulcolax between 1PM and 6PM, take MiraLAX 1 hour after, and complete it before the procedure day.\"},{\"question\":\"What restrictions apply during the 3 hours before my arrival time?\",\"answer\":\"Do not drink any liquids (except MiraLAX), chew gum, or suck hard candies for at least 3 hours prior. Do not smoke the morning of the procedure, and take listed medications at least 3 hours prior.\"}]","COLONOSCOPY INSTRUCTIONS - PMC | PDF",1790543091]