My procedure is in the afternoon. Can I eat or drink in the morning?
A: No. To ensure your safety during the procedure, it is important that the stomach is empty. Only the 2nd dose of the colonoscopy preparation and blood pressure medications (as described above) should be taken the morning of your procedure.
I ate breakfast (lunch or dinner) the day before my colonoscopy. Is that okay?
A: If the preparation instructions were not followed properly, residual stool may remain in the colon and the colonoscopy may be suboptimal. In some cases, if the preparation is poor, you may have to repeat the preparation and exam. If you accidentally eat any solid food the day before your exam, please call and ask to speak with a member of the nursing staff.
I was not able to arrange a ride. Is that okay?
A: No. If you do not have a responsible person accompany you home, your procedure will be canceled.
What should I do with my blood pressure medications? Aspirin? Plavix? Coumadin? Iron pills?
A: Please see above. Remember, blood pressure pills (except water pills/diuretics) need to be taken the morning of your procedure.
What are the indications for a colonoscopy?
A: Change of bowel habits, blood in your stool, abdominal pain, weight loss, anemia, constipation, diarrhea, family history of colon cancer, personal history of colon polyps, personal history of breast cancer, inflammatory bowel disease, and other symptoms that may be related to gastrointestinal disturbances.
What are the indications for an upper endoscopy or EGD, (esophagogastroduodenoscopy)?
A: Anemia, abdominal pain, bloating, belching, loss of appetite, weight loss, heartburn, acid reflux, difficult or painful swallowing, nausea, vomiting, and other symptoms that may be related to gastrointestinal disturbances.
How do I schedule to have an endoscopy exam?
A: If your insurance does not require a referral from your primary care physician, you may call any of our doctors’ offices and schedule a new appointment at 216-286-ENDO (3636). This appointment will determine if you need an endoscopy exam. If your insurance requires a referral from your primary care physician, see or talk to your doctor prior to making an appointment with our office. Also, check with your insurance company to see if our facility is an acceptable site for your appointment or exam.
What do I need to prepare for a procedure?
A: If you are having an endoscopy procedure, you will be instructed on how to prep for the exam by your doctor’s office. Please bring your insurance card(s) and an emergency contact person’s name and phone number for our records. Also, have a list of your current medications and allergies. Arrange to have someone bring you and drive you home on the day of the exam. We cannot let you drive or take the bus home if you have been medicated during the exam.
How long does the procedure take, and how long will I be in your facility?
A: An endoscopy takes between 15 and 45 minutes depending on what is found (i.e., multiple polyps that can be removed during the exam). You will be asked to arrive at the endoscopy center half an hour to 45 minutes prior to your exam time in order to sign consent forms and post-procedure instructions. A nurse will go over your medical history and place a small intravenous catheter in your vein in order for the physician to administer medication that will make you sleepy during the procedure. You will be monitored in the recovery area for at least 60 minutes after the procedure. The total time in our facility for an endoscopy exam is usually 2-3 hours.
Will I be asleep for the procedure?
A: You may request no medication for the exam; however, you may experience some discomfort or cramping due to air being put into your stomach or intestine. Most patients receive medication so that they can fall asleep shortly after receiving it. Your physician will give you an intravenous medication to make you feel relaxed. Some people fall asleep and do not remember the procedure when they awaken. The physician will put air into your colon (for colonoscopy) or stomach (upper endoscopy) to help visualize the lining. This sometimes causes a cramping or bloated sensation. (Passing this air during and following the exam will relieve any discomfort.)
How will I feel after the procedure?
A: You may feel back to normal, euphoric, or very sleepy. Most patients report that they go home and take a nap and resume regular activities the next day.