EGD Preparation

EGD Instructions

* No prep/laxatives are needed for your upper endoscopy/EGD

1.
Have nothing to eat after midnight the evening prior to the procedure. You may have water, black/white/green tea, black coffee 2-4 hours prior to endoscopy. Absolutely no milk/dairy!

2. You will be given a sedative at the time of examination. You will NOT be permitted under any circumstances to drive yourself home. Please be sure that a member of your family or a friend accompanies you to the surgery center or hospital to drive you home. 

3. Please notify our office and the surgery center/hospital of any allergies you may have. 
Please notify our office if you have mitral valve prolapsed, rheumatic heart disease or if you take antibiotics. 

4. Please take your heart and/or blood pressure medications with a sip of water 4 hours prior to the procedure. Please discuss discontinuation of blood thinners with your primary clinician. 

Do not take oral diabetes medication the morning of the examination. Contact your prescribing clinician for necessary insulin dosage requirements.

Pre-Procedural Instructions

Please let your primary care clinician know you are planning to stop any medications.

1. Acid-Reducing Medications: 
Proton Pump Inhibitors Aciphex (rabeprazole) 
Dexilant (dexlansoprazole) 
Nexium (esomeprazole) 
Prevacid (lansoprazole) 
Prilosec (omeprazole) 
Protonix (pantoprazole) 
H2-Reception Antagonists Axid (nizatidine) 
Pepcid (famotidine) 
Tagamet (cimetidine) 
Zantac (ranitidine) 

2. Anticoagulants, Blood Thinners, antiplatelet medications: 
Aggrenox 
Brilinta
Coumadin
Lovenox
Plavix  
Trental
Ticlid 

3. Aspirin-containing medications:
Bayer, Bufferin, Ecotrin, Empirin enteric-coated aspirin, Fiorinal, Lortab, ASA, Percodan, St. Joseph, Aspirin, Excedrin, Darvon Compound, Norgesic, Forte P-A-C Wygesic 

4. Non-aspirin, non- steroidal pain relievers: 
Advil, Aleve, Anaprox, Ansaid, Dayrpo, Dolobid, Feldene, Ibuprofen, Indocin, Ketoralac, Mobic, Motrin, Naprosyn, Naproxen, Relafen, Trilisate, Vicoprofen, Voltaren 

5. Vitamins and herbal medications: 
i.e. Ginko-Biloba, Garlic, St. Johns Wart, Vitamin E, Multi Vitamins, One-A-Day, Centrum, Fish Oil. 

6. You may use the following medications for mild pain relief: 
Acetaminophen (Tylenol) 


On the Morning of Procedure Please Bring:

• Your current ID and insurance Card.

• A list of your current medications with dosages (prescribed & over-the-counter), remedies, products and any known allergies to medications.

• A licensed driver to transport you to your home after the procedure. If you opt for public transportation, an adult/companion will be expected to accompany you.

• Please notify staff if a wheelchair is needed for the patient, if unable to walk before procedure day.

What to Expect Day of Procedure

• Check in with the receptionist when you arrive to your appointment to complete necessary paperwork. You will be asked to sign a consent form to authorize the doctor to do your procedure as well sign a Notice of Privacy Practice. 

• If you are a minor, a parent or guardian must sign your paperwork. If you are an adult who is unable to sign the consent, you must have someone with you who is authorized to sign on your behalf. 

⦁ Plan to be at the center from 1-2 hours prior to endoscopy. 

⦁ An IV will be inserted so you can receive IV fluids and medication.

⦁ If you are having an upper endoscopy, you will need to remove dentures, partial plates, and jewelry. 


After your procedure 

• Your actual procedure will last a very short time, typically between 15 and 30 minutes.

⦁ You will rest for a short time until the effects of the medication wear off. 

⦁ The doctor will then tell you what she found. 

⦁ A nurse will let you know when you can leave and give you any additional instructions. 

⦁ Please call Dr. Bahamonde or your primary care physician to schedule your follow-up visit for results.

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