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It outlines what to do 2 weeks before, including arranging adult transportation, reviewing medication guidance (including GLP-1 medications), checking billing/insurance expectations, and completing a medical passport. It then specifies dietary transitions from low residue to clear liquids, detailed bowel-prep timing and dosing with PEG-3350 (MiraLAX) and bisacodyl (Dulcolax), hydration rules, and medication management responsibilities, plus key health considerations requiring provider consultation.",{"@graph":69,"@context":127},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/high-volume-colonoscopy-preparation-summary-of-preparation-instructions/403228/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/high-volume-colonoscopy-preparation-summary-of-preparation-instructions/403228.png","ImageObject",300,407,{"name":92,"@type":93},"Aran","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-07","2026-09-27",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",17,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119,123],{"name":110,"@type":111,"acceptedAnswer":112},"What should patients do 2 weeks before the colonoscopy?","Question",{"text":113,"@type":114},"Read the full packet, arrange an adult to accompany you and drive you home, review medication guidance (including GLP-1 instructions), review billing/insurance information, and complete the medical passport.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How should the diet change before colonoscopy?",{"text":118,"@type":114},"Follow a low residue/low fiber diet starting about 3 days before, then switch to a clear liquid diet the day before. Clear liquids should be consumed throughout the day in addition to the prep mixture.",{"name":120,"@type":111,"acceptedAnswer":121},"When do patients take the bowel-prep doses and when should liquids stop?",{"text":122,"@type":114},"Take the first prep dose at 4pm the day before, continue scheduled PEG-3350 dosing during the evening and morning, take additional doses 6 and 4 hours before the colonoscopy start time, and stop all liquids 2 hours before the procedure (nothing by mouth).",{"name":124,"@type":111,"acceptedAnswer":125},"What health conditions require extra provider consultation?",{"text":126,"@type":114},"Patients with an artificial heart valve, pacemaker, internal defibrillator, congestive heart failure, or A-FIB should consult their cardiologist or referring provider. Clearance may be required, and joint replacement within the past 6 months should be discussed with the surgeon.","https://schema.org",{"og:url":83,"og:type":129,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":131,"canonical":83},"index,follow",{"doc_id":133,"site_id":62},403228,1790624943,{"code":4,"msg":5,"data":136},{"doc_id":133,"user_id":137,"nickname":92,"user_avatar":138,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":139,"file_id":140,"file_url":141,"file_type":142,"file_size":143,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":144,"language":145,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":146,"faqs":147,"seo_title":148,"seo_description":67,"update_tm":149,"read_time":150,"preview_page_count":4},137455076865,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","High Volume Colonoscopy Preparation  \nGastroenterology & Hepatology  \nStephen P. Laird, M.D.  \nRobert P. Dolan, M.D.  \nKevin S. Sieja, M.D.  \nLocation:  \nVail Valley Surgery Center Date of colonoscopy:    \n320 Beard Creek Road Appointment time:   Edwards, CO 81632 Check-in time:    \n(970) 569-7400 Doctor:    \nPlease note, procedure time is subject to change up until the day before your scheduled procedure date.  \nPlease read entire packet upon receipt to ensure proper planning and preparation for procedure.  \nSUMMARY OF PREPARATION INSTRUCTIONS  \nAdditional information is detailed in the following pages.  \n2 WEEKS BEFORE COLONOSCOPY/UPON RECEIPT OF PACKET  \n• READ THIS PACKET IN ITS ENTIRETY.  \n• ARRANGE TRANSPORTATION: You must have an adult friend or relative accompany you to your procedure and drive you home after your procedure. You may not go home alone by taxi, bus, or Uber/ Lyft. The average time is 3-4 hours from drop off to pick up.  \n• REVIEW MEDICATION GUIDELINES SECTION: Certain medications will need to be held or temporarily discontinued before your procedure, including GLP-1 medications (injection medication for weight-loss and diabetes) . Please consult with your prescribing provider and our clinical staff prior to stopping any medications.  \n• REVIEW BILLING/INSURANCE SECTION: Review the “Billing and Insurance” section to understand what to expect with costs associated with procedure, and questions to ask your insurance.  \n• COMPLETE MEDICAL PASSPOPRT: Review the “Surgery Center” section and complete medical passport.  \n3 DAYS BEFORE COLONOSCOPY  \n• START LOW RESIDUE DIET: (Example: if your procedure is scheduled for Thursday; you will begin prep on Monday) . A low residue diet limits high fiber foods.  \n1 DAY BEFORE COLONOSCOPY  \n• START CLEAR LIQUID DIET: You may ONLY consume clear liquids.  \n• PREPARE YOUR PREP MIXTURE: We recommend mixing your prep in the morning, so it is ready when it is time for you to consume.  \n• TAKE FIRST DOSE OF PREP: Start at 4pm. The prep will cause you to have diarrhea, so plan to be near a restroom while prepping for your procedure.  \nDAY OF COLONOSCOPY  \n• TAKE SECOND DOSE OF PREP: Start 6 hours before procedure time (NOT check in time), consume the second dose of the prep.  \n• NOTHING BY MOUTH 2 HOURS BEFORE PROCEDURE TIME.  \nColonoscopy Shopping List:  \nPEG-3350 (Miralax)-476g- (or four 119g bottles)  \nBISCODYL (Dulcolax) 5mg- (three 5mg tablets)  \nSPORTS DRINK-128oz- (Gatorade, G2, GZero, any electrolyte mix-no red or purple)  \nCLEAR LIQUIDS- (Clear liquids of choice, no red or purple)  \nWET WIPES AND BARRIER CREAM- (optional-wet wipes and/or barrier cream such as A&D, Desitin-to relieve irritation)  \nTHREE DAYS BEFORE COLONOSCOPY:  \n(Example: If your procedure is scheduled for Thursday; you would begin your low fiber diet on Monday and continue  \nthrough Tuesday. Wednesday you would begin clear liquid diet)  \n• FOLLOW LOW FIBER DIET: Eat only low-fiber foods, examples listed below. Stop fiber supplements if you take them. Continue low-fiber diet until you begin the clear liquid diet the day before your procedure.  \nCream cheese  \n Cheese, limit milk products to  \n2 cups per day  \n• Raw clams, oysters, shellfish with tough connective tissue. E.g. shrimp  \n• No smoothies  \n• No alcohol  \nDAY BEFORE COLONOSCOPY:  \n•  Start Clear Liquid Diet: Clear liquids ONLY  \nEXAMPLES OF CLEAR LIQUIDS  \nWater, tea/coffee (no creamer-dairy or non-dairy), light colored fruit juices without pulp ([e.g. apple](e.g. apple), white grape, lemonade, white cranberry), clear broth (chicken, beef, or vegetable), clear carbonated beverages, Jell-O, popsicles.  \nNO: Alcoholic beverages, milk, smoothies, cream, orange juice, grapefruit juice, tomato juice.  \nNOTHING WITH RED OR PURPLE COLOR OR DYE. It is important to stay hydrated during your prep.  \nDrink clear liquids throughout the day in addition to the prep mixture.  \n• Prepare your prep .  \no Mix all PEG-3350 (MiraLAX) 476g with 128oz of sports dri","cbCaijhjupyJ6SIm","https://ap.wps.com/l/cbCaijhjupyJ6SIm","pdf",740189,11,"English","# Summary of Preparation Instructions\n## 2 Weeks Before Colonoscopy / Upon Receipt of Packet\n## 3 Days Before Colonoscopy\n## 1 Day Before Colonoscopy\n## Day of Colonoscopy\n## Medication Guidelines and Health Considerations","[{\"question\":\"What should patients do 2 weeks before the colonoscopy?\",\"answer\":\"Read the full packet, arrange an adult to accompany you and drive you home, review medication guidance (including GLP-1 instructions), review billing/insurance information, and complete the medical passport.\"},{\"question\":\"How should the diet change before colonoscopy?\",\"answer\":\"Follow a low residue/low fiber diet starting about 3 days before, then switch to a clear liquid diet the day before. Clear liquids should be consumed throughout the day in addition to the prep mixture.\"},{\"question\":\"When do patients take the bowel-prep doses and when should liquids stop?\",\"answer\":\"Take the first prep dose at 4pm the day before, continue scheduled PEG-3350 dosing during the evening and morning, take additional doses 6 and 4 hours before the colonoscopy start time, and stop all liquids 2 hours before the procedure (nothing by mouth).\"},{\"question\":\"What health conditions require extra provider consultation?\",\"answer\":\"Patients with an artificial heart valve, pacemaker, internal defibrillator, congestive heart failure, or A-FIB should consult their cardiologist or referring provider. Clearance may be required, and joint replacement within the past 6 months should be discussed with the surgeon.\"}]","High Volume Colonoscopy Preparation - Summary of Preparation Instructions | PDF",1790538220,28]