EGD Instructions Consult with primary doctor before stopping

EGD Instructions Consult with primary doctor before stopping TICLID/PLAVIX/COUMADIN. Call your Gastroenterologist if you are unable to stop blood thinners. Stop taking Iron, Aspirin, Bufferin, Ecotrin, Ibuprofen (Advil, Motrin) Naproxen (Aleve, Naprosyn), Ticlid, Plavix and Fish Oil 7 days before procedure on ________. May take Tylenol for pain. Stop Coumadin before your exam on _______ v. The Gastroenterologist you saw today was: ________the Nurse: _______ v You are scheduled for your test on _______at ______ at the East Orange VA v Please report to Same Day Surgery, Room 2 -291 D 1 hour before the procedure. v Bring your driver/escort with you when you check-in or your procedure will be cancelled. They need to sign a form. v. Because you will receive a sedative, DO NOT drive or operate machinery, DO NOT make any critical decisions or sign legal documents UNTIL 24 HOURS AFTER your procedure. DAY BEFORE PROCEDURE ___/__ v DO NOT EAT OR DRINK ANYTHING AFTER MIDNIGHT. ______________________________________

v v v DAY OF PROCEDURE /___/__ NO ALCOHOL, NO FOOD OR DRINK , NO HARD CANDY, NO CHEWING GUM !!! Take blood pressure, heart, seizure and thyroid medication with a sip of water at 6 AM. IF PROCEDURE IS TO BE DONE @ 1 PM OR LATER- YOU MAY DRINK A GLASS OF CLEAR WHITE JUICE WITHOUT PULP OR SEEDS @ 6 AM. DO NOT take Insulin or other diabetic medications. For questions, concerns and to reschedule call the GI Suite, 973 -676 -1000 x 1248. The Procedure • You lie on the endoscopy table. • Your throat may be numbed with a spray or gargle. You are given sedating (relaxing) medication through an intravenous (IV) line. • The endoscope is inserted. This is thinner than most pieces of food that you swallow. It will not affect your breathing. The medication helps keep you from gagging. • Air is inserted to expand your GI tract. It can make you burp. • The endoscope carries images of your upper GI tract to a video screen. If you are awake, you may be able to look at the images. • After the procedure is done, you rest for a time. An adult must drive you home. Call your doctor if you have: • Black or tarry stools; blood in your stool. • Fever. • Persistent pain in your abdomen.

EGD Instructions Consult with primary doctor before stopping TICLID/PLAVIX/COUMADIN. Call your Gastroenterologist if you are unable to stop blood thinners. Stop taking Iron, Aspirin, Bufferin, Ecotrin, Ibuprofen (Advil, Motrin), Naproxen (Aleve, Naprosyn), Ticlid, Plavix and Fish Oil 7 days before procedure on ________. May take Tylenol for pain. Stop Coumadin before your exam on _______ v. The Gastroenterologist you saw today was: ________the Nurse: _______ v You are scheduled for your test on _______at ______ at the LYONS VA v Please report to Building 3 Specialty Clinic to check-in ½ hr before the procedure. v Bring your driver/escort with you when you check-in or your procedure will be cancelled. They need to sign a form. v Because you will receive a sedative, DO NOT drive or operate machinery, DO NOT make any critical decisions or sign legal documents UNTIL 24 HOURS AFTER your procedure. DAY BEFORE PROCEDURE / /___ v DO NOT EAT OR DRINK ANYTHING AFTER MIDNIGHT. ______________________________________

DAY OF PROCEDURE / / v NO ALCOHOL, NO FOOD OR DRINK, NO HARD CANDY, NO CHEWING GUM !!! v Take blood pressure, heart, seizure and thyroid medication with a sip of water at 6 AM v IF PROCEDURE IS TO BE DONE @ 1 PM OR LATER- YOU MAY DRINK A GLASS OF CLEAR WHITE JUICE WITHOUT PULP OR SEEDS @ 6 AM. v DO NOT take Insulin or other diabetic medications. v For questions and concerns call the GI Suite, 908 -647 -0180 x 4644/4645. v If you need to reschedule your procedure call 1 -908 -647 -0180 x 6636 The Procedure • You lie on the endoscopy table. • Your throat may be numbed with a spray or gargle. You are given sedating (relaxing) medication through an intravenous (IV) line. • The endoscope is inserted. This is thinner than most pieces of food that you swallow. It will not affect your breathing. The medication helps keep you from gagging. • Air is inserted to expand your GI tract. It can make you burp. • The endoscope carries images of your upper GI tract to a video screen. If you are awake, you may be able to look at the images. • After the procedure is done, you rest for a time. An adult must drive you home. Call your doctor if you have: • Black or tarry stools; blood in your stool. • Fever. • Persistent pain in your abdomen.