Preparation for the gastroscopy of the stomach in the morning
EGD, or fibrogastroscopy is the endoscopic examination of the esophagus, stomach and upper part of duodenum 12. The procedure involves the examination of digestive tract using endoscopic probe with optic equipment. In addition to visual inspection of hollow bodies with EGD possible the collection of material for study. Diagnostic procedure requires special training. Preparation for the gastroscopy of the stomach in the morning and the day before is in compliance with the dietary restrictions.
Indications for study
When needed EGD? Indications for the purpose of this procedure are:
What can be seen in the study of the endoscopic approach? When conducting diagnostic procedures to identify the following signs of illness:
- Polyps in the stomach.
- Signs of reflux esophagitis.
- Dilatation of the esophagus.
- Malignant neoplasms of the stomach.
- Violation of motor function of the digestive tract.
- Peptic ulcer 12 duodenal ulcer and stomach.
- Erosion of the mucosa of the digestive tract.
On the basis of violations endoscopist puts the preliminary diagnosis. Doctor, assessing data research and laboratory tests will make the final conclusion and prescribe the appropriate therapy.
Preparations for gastroscopy
How to prepare for gastroscopy of stomach to diagnosis was accurate and reliable? In the first place, for several days before performing EGD constraints should be imposed in nutrition.
Food before the test
Preparation for EGD of the stomach does not require compliance with very strict diet. Simply eliminate indigestible food. To such food include:
- smoked sausage, frankfurters, wieners, bacon, fat;
- beans, mushrooms;
- mayonnaise, fatty sauces;
- pickled food;
- untreated fresh vegetables;
- nuts, pumpkin seeds;
- sweets with caramel fillings, rolls.
The above foods are poorly digested in the stomach, and for a long time in the digestive tract. To accelerate the evacuation of food and reduce gas formation the day before the examination, the doctor may prescribe chelators and drugs that improve the motility of the digestive tract.
With the aim of improving motor skills before the study doctors can prescribe Motilak. As active substances the medicine contains Domperidone. The drug accelerates gastric emptying, reduces the feeling of nausea, without affecting gastric secretion. Motilak contributes to a more rapid release of the digestive organs from stagnant food. To do this, within days adults appoint two tablets 3 times. To wash down the drug should be plain water and take it before meals.
Activated charcoal – this is the «classic» enterosorbent, which is often used for the preparation of various studies of the gastrointestinal tract and other abdominal organs.
Administration of activated charcoal should be started three days before the gastroscopy. Taking coal at the rate of one tablet per 10 kg of body weight per single dose. That is, the patient having a weight of 70 kg per single dose administered 7 tablets. The treatment takes three to four times a day. The medication helps to reduce the risk of flatulence.
In addition to activated carbon, works well with flatulence Espumisan (simethicone). The drug breaks down gas bubbles in the intestine, the accumulation of which causes bloating. Adults Drops is administered in the form of capsules. Medicine take 2 capsules three times a day.
In the case where the patient has not observed problems with digestion and dyspepsia medication before performing EGD is not assigned.
Basic rules of preparation for the study
So, preparing for EGD without the use of drugs. The basic rules of training:
- Exclude from the diet of indigestible products described above.
- If the procedure is scheduled for the morning, the last meal should be no later than 19 hours.
- Dinner should be easily digestible. You should prefer low-fat protein foods (chicken, veal, river or lake fish), steamed vegetables (except cabbage and beans), cereals (buckwheat), dairy products with low fat (cottage cheese, kefir, yogurt).
- The water usually requires no correction. However, the consumption of carbonated and alcoholic beverages is unacceptable. You can drink black tea, weak coffee (no more than two times a day), berry fruit drinks, herbal teas (chamomile, mint). Drinks on the grass will reduce the risk of flatulence, soothe the mucous membranes of the stomach and intestines (inflammation), relieve spasms of the digestive canal.
- In the morning before diagnosis shouldn’t smoke and brush my teeth. This may trigger a gag reflex. For hygiene simply rinse the mouth out with clean water without the use of balms and elixirs for oral.
- The day of the test it is forbidden to take any food. You can drink water or weak tea. Last fluid intake prior to the gastroscopy should be no later than two hours before the procedure.
What to bring on EGD?
What is required to bring to the office a gastroscopy? Usually on reception at the doctor the nurse explains in detail the procedure of diagnosis and gives the patient the reminder. A gastroscopy is necessary to take:
- medical insurance policy, and if the research is conducted within the framework of compulsory medical insurance (free of charge);
- medical records;
- referral for gastroscopy;
- sheets and diaper;
If you have experienced allergic reactions to medicines need to tell the doctor prior to the study.
Since before the introduction of the endoscopic probe shown local anesthesia, and this can lead to hypersensitivity reactions.
Gastroscopy can begin all the patient. The study is contraindicated in the following cases:
- Heavy patient’s condition related somatic or infectious disease.
- Diseases of the blood system.
- Surgery on the larynx.
- The aggravation of bronchial asthma.
- Mental illness in the acute stage.
- A hypertensive crisis.
- Preinfarction angina.
In each case the question about the possibility of performing a gastroscopy is solved by the doctor individually. Sometimes research is the only available method for the diagnosis of acute pathology of the alimentary canal. In such situations, EGD carried out taking into account the risk of possible complications.