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ENDOSCOPY/ PROCEDURES AND DIETARY INSTRUCTIONS

Upper Endoscopy (EGD) Procedure Preparation

Day of EGD Procedure:
  1. Do not have any solid foods or dairy products after midnight the day before your procedure.
  2. You may have clear liquids until 4 HOURS before your procedure (Examples of clear liquids include: water, clear soup broth, clear fruit juice (apple, white cranberry, white grape, etc..(NO RED)), coffee/tea(NO MILK), sodas-cola, ginger ale or 7-up, jello, popsicles or italian ice (NO ‘RED’ COLOR AND NO DAIRY PRODUCTS)
  3. After this time, nothing by mouth including water, gum, candy or mints.
  4. You should take your vital medications, including heart, blood pressure, thyroid and seizure medications as directed 4 HOURS BEFORE PROCEDURE with a small sip of water.
  5. If you have asthma, use your inhaler as directed and bring it with you.
  6. You may brush your teeth.
  7. You will receive sedation for the procedure.
  8. Please make sure you have arranged ahead of time for a responsible adult (age 18 or over) to drive you home after the procedure.
  9. If you are a diabetic, to avoid dangerously low blood sugar, please do not take your oral medications for your diabetes or your insulin on the morning of your procedure. You can resume your diabetes medications after the procedure, once you have eaten. If you are taking insulin, please check with your endocrinologist or primary doctor as to the best way to manage your blood sugar. Please bring your insulin with you. If you are unsure about taking any medications, please call us.
  10. If you are taking coumadin, plavix, or aspirin, it may need to be stopped prior to your procedure. Please ask your doctor. These medications are usually stopped several days before your procedure.
  11. Wear loose comfortable clothing such as a sweat suit. NO JEANS and NO METAL – including zippers and bra hooks (Sports bras only). Leave all jewelry at home including belly rings & tongue piercings.
  12. If you are a smoker, it is advised that you do not smoke at least 6 hours before the procedure.
After the Procedure:
  1. The effects of the anesthesia can persist for 24 hours. After receiving the sedation, you must exercise extreme caution before engaging in any activity that could be harmful to yourself or others (such as driving a car). Do not make any important decisions and do not drink any alcoholic beverages during this time period.
  2. Take only the medication that is prescribed by your doctor.
  3. After your procedure, you may have anything you’d like to eat or drink although you should start with something ’light’. Please include plenty of fluids. Avoid items that cause gas such as sodas and salads.
  4. If your procedure required the placement of a metal clip, you cannot have an MRI for 30 days.

If you have any questions, please call our clinic at 9997733999

Therapeutic ERCP Preparation

Day of Procedure:
  1. DO NOT have any solid foods for 8 HOURS before your procedure.
  2. You may have clear liquids until 4 HOURS before your procedure (water, broth, clear apple juice, coffee/tea (no milk), ginger ale, etc.)
  3. After this time, NOTHING BY MOUTH including water, gum, candy or mints.
  4. Depending on the indication(s) for the procedure, an antibiotic may be given during the procedure.
  5. You may take your vital medications with a small sip of water.
  6. You may brush your teeth.
  7. This procedure is performed at Somerset Medical Center.
  8. Please arrive for your procedure promptly at your assigned arrival time.
  9. Please make sure you have arranged ahead of time for a responsible adult (age 18 or over) to drive you home after the procedure.
  10. If you are a diabetic, to avoid dangerously low blood sugar, please do not take your oral medications for your diabetes or your insulin on the morning of your procedure. You can resume your diabetes medications after the procedure, once you have eaten. If you are taking insulin it is always a good idea to check with your endocrinologist or primary doctor as to the best way to manage your blood sugars. Please bring your insulin with you. If you are unsure about taking any medications, please call us.
  11. If you are taking coumadin, plavix, or aspirin, it may need to be stopped prior to your procedure. Please ask your doctor. These medications are usually stopped several days before your procedure.
  12. Wear comfortable, loose clothing such as a sweat suit. No metal should be worn including underwire bras or zippers. Leave all jewelry at home including belly rings & tongue piercings.
  13. If you are a smoker, it is advised that you do not smoke at least 6 hours before the procedure.

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After the Procedure:
  1. You must arrange for a responsible adult (18 or over) to drive you home. Going home in a taxi is not allowed.
  2. The effects of the anesthesia can persist for 24 hours. After receiving the sedation, you must exercise extreme caution before engaging in any activity that could be harmful to yourself or others (such as driving a car). Do not make any important decisions and do not drink any alcoholic beverages during this time period.
  3. Take only the medication that is prescribed by your doctor.
  4. After your procedure, you may have anything you’d like to eat or drink. You will probably want to start with something light. Please include plenty of fluids. Avoid items that cause gas such as sodas and salads.
  5. If your procedure required the placement of a metal clip, you cannot have an MRI for 30 days.

HYDROGEN Breath Test Preparation

Preparation Instructions for Lactose Intolerance and Bacterial Overgrowth Breath Tests
**Plan to be in the office for 3 hours for this test.**
The Entire Day Before Your Test
You May Eat:
  1. Plain White Bread
  2. Plain White Rice
  3. Plain White Potato
  4. Baked or Boiled Chicken/Fish (not fried)
  5. Black Coffee or Tea (no dairy)
  6. Eggs (ANY STYLE)
  7. Water
You May Not Eat:
  1. Dairy Products
  2. Pasta
  3. Beans
  4. Red Meat
  5. Carbonated or Alcoholic Beverages
  6. Butter or Margarine
  7. Fruits or Vegetables
*Nothing By Mouth 12 Hours Prior to Your Appointment*
The Day of Your Test
  1. DO NOT chew gum or tobacco, smoke cigarettes, eat breath mints or candy 1 hour before or during your test.
  2. DO NOT exercise or sleep 1 hour before or during your test.
  3. NO taking any antibiotics 2 weeks prior to your test.
  4. NO use of laxatives (Miralax is OK) 1 week prior to your test.
  5. DO brush your teeth prior to the test
*Please Take All Your Medications the Morning of the Test* (with a small amount of water)

Flexible Sigmoidoscopy Preparation

  1. Purchase 2 Fleet enemas from the drug store.
  2. Reach our clinic 2 hours prior to your procedure time.
  3. If you can administer yourself an enema, Approximately 2 hours prior to your appointment, you will give yourself the first enema. Try to hold the liquid in for 15 minutes. If this is not possible, at least 5 minutes is acceptable.
  4. Follow the same instructions for the second enema, an hour later.
  5. There are no dietary restrictions prior to having the test.
  6. Please call the office if you have any questions.

COLONSOCPY PREPARATION

Emptying the contents of the colon is a key requirement for a successful colonoscopy. If the bowel prep isn't up to par, polyps and lesions can be missed; the colonoscopy may take longer (increasing the risk of complications); or the whole process may need to be repeated or rescheduled, meaning another round of bowel prep.

Different medical centers recommend different ways to prepare the bowel for a colonoscopy. There are two parts: diet and drinking bowel-cleaning liquids. Here are some of the main strategies.

Diet

A few days before the colonoscopy procedure — Start eating a low-fiber diet: no whole grains, nuts, seeds, dried fruit, or raw fruits or vegetables.

The day before the colonoscopy procedure — Don't eat solid foods. Instead, consume only clear liquids like clear broth or bouillon, black coffee or tea, clear juice (apple, white grape), clear soft drinks or sports drinks, Jell-O, popsicles, etc.

The day of the colonoscopy procedure — As on the previous day, clear liquid foods only. Don't eat or drink anything two hours before the procedure.

Bowel prep

The afternoon or evening before the colonoscopy, drink a liquid that will trigger bowel-clearing diarrhea. The exact colonoscopy prep instructions depend on the bowel prep your doctor prefers, the time of your colonoscopy, and any prior experience you've had with colon preps (if one didn't work before, you'll likely be prescribed a different one).

The preferred method is known as split dosing. You take half the prep the night before the procedure and the other half about six hours before it. It may clean the colon more thoroughly compared to taking all the prep the day before the procedure.

Tips for a successful colonoscopy prep

Preparing for a colonoscopy may be uncomfortable and time-consuming, but it needn't be an ordeal. Here are some things you can do to help it go as smoothly and comfortably as possible:

  1. Make sure you receive your colonoscopy prep instructions well before your procedure date, and read them completely as soon as you get them. This is the time to call your clinician with any questions and to buy the bowel prep she or he has prescribed. Pick up some medicated wipes (for example, Tucks or adult wet wipes with aloe and vitamin E) and a skin-soothing product such as Vaseline or Desitin — you're going to be experiencing high-volume, high-velocity diarrhea.
  2. Arrange for the time and privacy you need to complete the prep with as little stress as possible. Clear your schedule, and be at home on time to start your prep. If you have children or aging parents who need attention, have someone else be available to them while you're indisposed.
  3. Water can get boring, so keep a variety of clear liquids on hand. On the day before your colonoscopy — when you're restricted to clear liquids — you can have popsicles, Jell-O, clear broth, coffee or tea (without milk or creamer), soft drinks, Italian ice, or Gatorade. But take nothing with red, blue, or purple dye. Drink extra liquids before, during, and after your bowel prep (usually until a few hours before your procedure), as well as after your colonoscopy.
  4. To make a bad-tasting liquid prep like magnesium citrate easier to swallow, try one or more of the following if it doesn't come flavored: add some Crystal Light or Kool-Aid powder (again, not red, blue, or purple); add some ginger or lime; drink it chilled; drink it through a straw placed far back on your tongue; hold your nose and drink it as quickly as possible; quickly suck on a lemon slice after you finish each glass; hold a lemon or lime under your nose while you drink; suck on a hard candy after each glass.
  5. Wear loose clothing, and stay near the bathroom. Better yet, once the preparation starts to work, stay in the bathroom — because when the urge hits, it's hard to hold back. Consider setting up shop near the toilet with music, your laptop, magazines, or books