You’re probably thinking, “Why do I need to wear anything at all to an endoscopy?” You might be surprised to learn that you actually want to wear something special for this procedure. You’ll be lying on your side with your stomach exposed, which means you’ll have to wear a gown and nothing else. That’s right—no underwear! Today, we will discuss What to Wear to an Endoscopy, what to wear to upper endoscopy and what to bring to an endoscopy. If you don’t think you can handle the idea of going commando, then we’ve got some tips for what to wear under your gown. An endoscopy is a procedure that uses a narrow, flexible tube with a light and camera on the end to look inside your body. It’s used to diagnose digestive tract disorders, such as ulcers, inflammation, tumors, and infections. Here’s what you should know about what to wear before an endoscopy:
What to Wear to an Endoscopy
It’s the day of your endoscopy, and you’re probably feeling a little nervous.
There are a lot of factors that go into having a successful endoscopy—from the preparation beforehand to the procedure itself. But there’s one thing that can make or break your experience: what you wear.
Sure, you might think it doesn’t matter if you wear your favorite jeans or sweatpants to the appointment. But in fact, the way you dress for an endoscopy can affect how well the procedure goes. And not just for yourself—you can also help make things easier for your doctor by wearing clothes that make it easier for them to access your GI tract.
What to wear to upper endoscopy
So what should you wear? Here are some tips from Dr. David Bergman, who specializes in gastroenterology:
The doctor has prescribed you an endoscopy. This is a procedure that allows the doctor to look inside your body and see if there are any problems or abnormalities. You may be wondering what you should wear to an endoscopy, so we’ve put together this handy guide!
Before you go to the appointment, you’ll need to make sure that you have all of your paperwork in order. Make sure that you have all of your insurance information and any other documentation that may be needed for the appointment. You should also pack anything that might make the process easier on everyone involved—for example, if you have a medical condition like diabetes or heart disease, bring along your glucose monitor or other equipment as directed by your doctor. If possible, try to avoid wearing belts or jewelry during this procedure—these items can interfere with how well the procedure goes and could cause serious problems for both your safety and that of the medical staff performing it.
Once at the hospital or clinic where your endoscopy will take place (and after having filled out all of their paperwork), ask someone from their reception desk whether there’s anything else they need from you before beginning (like signing some release forms). They’ll let
When you’re having an endoscopy, it can be hard to know what to expect. You might be nervous about the procedure, or you might just want to make sure you’re prepared for whatever happens.
Either way, we’re here to help. Here are a few tips on what to wear to an endoscopy:
- Wear loose-fitting clothes so that they don’t get in the way of your doctor and nurse as they do their work.
- If possible, wear underwear with a hook-and-eye closure or an elastic waistband so that it’s not too tight around your midsection (where the procedure will take place).
- If you have long hair and plan on having it down during your procedure, consider wearing it up because it will likely get in the way as well.
Please wear loose comfortable clothing. You may keep most clothing on for upper endoscopy as well as comfortable shirt and socks for colonoscopy. Women may keep their bra on for the procedure. Please do not wear lotions, oils or perfumes/cologne to the center due to the monitoring devices.
What to Bring to an Endoscopy
Upper Endoscopy (EGD)
Why is this procedure necessary?
Your physician has recommended this procedure to visualize the upper esophagus and stomach to look for ulcers, stricture, bleeding hiatal hernia, or inflammation . Your condition may require a dilatation. You may be experiencing symptoms of GERD (Gastro-esophageal reflux disease), difficulty swallowing or frequent heartburn.
How is an upper endoscopy performed?
The procedure is performed with you lying on your left side.
Immediately prior to the start of the exam, a small bite block will be inserted into your mouth.
After the administration of a mild sedative through a small intravenous, the endoscope is gently inserted through your mouth into the upper esophagus .
You can breathe easily throughout the exam.
Your physician many use a numbing throat spray.
What is the preparation procedure?
Diet – Nothing to eat or drink after midnight the night before your procedure.
You should avoid chewing gum.
Some foods to avoid the day before your appointment include red or purple food like Jell-O.
If you become uncomfortable with a dry mouth you may swish and spit out water or mouth wash.
Medications – If you take heart, blood pressure or respiratory medications, take them one hour before your appointment with a small amount of water.
Please notify your doctor if you are taking anticoagulants or blood thinners such as Coumadin, Plavix or Aspirin regularly. Special instructions may be necessary.
When you arrive for your appointment, please notify the staff at The Endoscopy Center the date of your last dose of these medications
When should I arrive?
After discussing with your physician to have an Upper Endoscopy and scheduling a date, you should arrive at least 30 minutes prior to the procedure time.
There are papers to sign and preparation procedures before having the procedure.
How long will the procedure take?
An upper endoscopy can take as little as 10minutes to perform but may take longer depending on your condition. The total time you may be at The Endoscopy Center can vary, but is approximately 1 to 2 hours.
What to bring
Insurance card
List of the drugs you are currently taking
List of medication allergies or allergies to adhesive tape or latex
The name (if any) of the physician(s) that you would like to receive copies of the report (the findings of the exam).
You will be asked questions about your medical and surgical history. It is helpful to have this information in written format.
What to wear – Wear loose fitting, comfortable clothes. Bring socks to keep your feet warm.
Do not wear heavy or bulky sweaters. Avoid girdles, pantyhose, or tight-fitting garments.
You will be required to change into a patient gown. Prior to the procedure you will be asked to remove any dentures or eye glasses.
Contact lenses will not need to be removed. Leave all jewelry and valuables at home. You may keep hearing assist devices in place.
Monitoring – Before the procedure begins, your temperature, pulse, blood pressure and blood oxygen will be measured.
During the procedure and recovery period, monitoring of blood pressure, pulse and blood oxygen level is continued.
You may receive supplemental oxygen during the procedure using a small tube which fits under your nose.
During the procedure, your EKG (heart rhythm) will be monitored.
If you have diabetes, your blood sugar will be monitored if necessary.
Transportation – Bring a driver since you may not drive yourself home.
Because of the effects of the sedation you will be receiving, you will not be able to drive for at least 12 hours after your procedure.
If possible, your driver should be someone with whom your doctor can freely discuss the results of your procedure, since you may be a little forgetful afterwards.
We request that your driver remain at the center during your exam. However, if this is not possible, we will ask for contact information such as a cell phone number. You should plan on being at the Endoscopy Center approximately 1 to 2 hours.
Taxis and Buses are unacceptable means of transportation unless you will be accompanied by a family member or friend who will sign you out.
You’re Permission – If you have any questions or concerns about this exam, do not hesitate to ask your doctor about them. To signify that you completely understand what this exam involves and that you are giving permission for the doctor to perform this exam, you will be asked to sign a written consent form before the exam begins.
What information do I need before I go home?
While you will soon be resuming your normal activities, there are several directions and precautions that you should be aware of to insure your safety.
Because of the medication you are given during the procedure, you may experience amnesia, which may last for the remainder of the day. You will be given written instructions upon discharge to review as your amnesia subsides.
Because you have been sedated for the procedure, you are not to drive a motor vehicle, operate dangerous machinery, or perform potentially hazardous tasks for at least twelve hours or until you have completely recovered from the effects of the medication. You may not consume alcohol for 12 hours following your procedure. Do not conduct important business or sign any legal documents.
Since you have been fasting and your upper intestinal tract has been investigated, it is wise to slowly resume your eating. A light snack as your first food is advisable.
During the procedure, the doctor uses air to inflate the stomach to help visualize this organ. While he removes as much as possible, some air may remain and be passed normally. You may feel slightly bloated and gaseous. This is normal and will go away within a few hours.
If you have redness or swelling at sites where medications were given, place a warm wet washcloth over the affected area for twenty minutes. If the symptoms persist for over two days please contact our office at 760-274-2700
Call our office if you develop fever greater than 101 degrees or chills during the next 48 hours.
Call your physician if any questions or problems arise.
Rarely, complications can occur. While every caution is taken to prevent any problems, complications can occur and sometimes these may not become evident for several hours.
If, in the next 24 hours you experience any of the following, contact your Physician immediately. If the physician is unavailable, have someone drive you to the Emergency Department.
Vomiting of blood or black, coffee ground material.
Severe chest pain or new onset of abdominal pain.
Difficulty or pain during swallowing.
Severe dizziness of fainting.
Sweating, severe nausea or high fever.
These symptoms may indicate a complication of the procedure. Your physician will want to discuss these symptoms with you.
• The Endoscopy Staff will telephone you the day after your procedure to check on your condition.
• We are available to answer your questions or concerns during center hours ( 7:00 am-3:30pm )
• However, if you call after hours you will need to contact your physician directly.
• We welcome comments and feedback on your satisfaction with The Endoscopy Center so please email us.
Endoscopy Prep Drink
You may drink: apple juice, white grape juice, Kool- Aid, sports drinks, water, tea, clear soda, clear chicken or beef broth, popsicles, hard candy, Jell-O. Please avoid any liquids that are red or purple.
Upper Endoscopy (EGD) Prep Instructions Planning for the Procedure You must have a driver who is 18 years or older present at check in and discharge. If you do not have a driver with you at check in, we will need to reschedule your appointment. This person must remain in the unit during your entire visit so that they are available as soon as you are ready to be discharged. You will not be discharged unless this person is in the unit. Because your judgment may be impaired after this procedure, you will not be released to take public transportation, a taxicab, or even walk home without another responsible adult present to accompany you.
● The entire procedure appointment may take at least 3 to 4 hours to complete. Please advise your driver that they will need to remain in the facility for the duration of the procedure. If you have diabetes, ask your health care provider for diet and medicine instructions. If you have dysphagia, gastroparesis or achalasia, please see the “Special Considerations” instructions on page 2. View the video describing risks and benefits of EGD Visit: http://michmed.org/eaLgY If you must cancel or reschedule your appointment, please call the Endoscopy Call Center as soon as possible at 734-936-9250 or toll-free 877758-2626. Following are your instructions for taking medicines and preparing for your procedure. Follow the instructions carefully to ensure a successful exam. 7 days before your upper endoscopy:
● If you take aspirin or NSAIDs such as Advil, Motrin, Celebrex, or ibuprofen, you may continue to take them as usual. Medical Procedures Unit -1-
● If you take a blood thinner like Plavix, Pradaxa, Clopidogrel, Coumadin, warfarin, Effient, Prasugrel or Lovenox ask your health care provider for specific instructions.
● Stop taking Phentermine (Adipex-P, Lomira, Fastin, Phentercot) Phentermine + topiramate (Qsymia). This is a weight loss medication. 1 day before your upper endoscopy: You may have your normal diet the day before the procedure. Special considerations: Dysphagia & Gastroparesis
● If your Endoscopy Appointment is scheduled to take place before 12pm, do not eat or drink after midnight the night before.
● If your Endoscopy Appointment is scheduled to take place at 12pm or later, you may have clear liquids up to 8 hours before your scheduled appointment time. Achalasia ● You may only have clear liquids the day before your procedure; do not eat or drink after midnight. Day of your upper endoscopy: Stop eating all solid foods 8 hours before your procedure. Clear liquids are acceptable to drink. Upper Endoscopy (EGD) Prep Instructions Medical Procedures Unit -2- Allowed clear liquids: Not allowed Non ● Gatorade, Pedialyte or Powerade clear liquids
● Chicken, beef or vegetable broth ● Coffee or tea (no milk or non-dairy creamer)
● Carbonated and non-carbonated soft drinks ● Kool-Aid or other fruit-flavored drinks ● Red or purple items of any kind ● alcohol ● Milk or non-dairy creamers ● Juice with pulp ● Any liquid you cannot see through
● Hard candy ● Apple juice, white cranberry, or white grape juice ● Jell-O (gelatin) or popsicles ● You may take all of your morning medicines (except for oral diabetes pills) as usual with 4 oz. of water up to 4 hours before your procedure. ● If you take oral diabetes medicine (pills): do not take the medicine the morning of your test.
● If you have diabetes and you take oral or injectable medicines but do not use a pump, follow the instructions in the handout: Preparing for a Medical Procedure: Guidelines for Adults not on Insulin Pumps:
● Stop everything by mouth, including all liquids, smoking and chewing gum/mints. Bring a list of all of your current medicines with you, including any over-the counter medicines. Upper Endoscopy (EGD) Prep Instructions Medical Procedures Unit -3- When should I call the call center? If you have been ill and have had any of the following symptoms within 48 hours of your appointment, please call the call center at (734) 936-9250:
● Fever greater than 100.6 ● Productive cough (where your cough is producing phlegm)
● Diarrhea Vomiting (not related to taking the bowel prep) Turn the page to learn about the benefits, risks and alternatives for Upper Endoscopy>> Upper Endoscopy (EGD) Prep Instructions Medical Procedures Unit -4- What are the Benefits, Risks and Alternatives for an Upper Endoscopy (EGD)? Before starting the procedure, a member of our team will ask you to sign an informed consent indicating that you understand the procedure, its benefits and risks, and the alternatives for an Upper Endoscopy procedure, also called an EGD (Esophago-Gastro-Duodenoscopy). Read this handout or view the video at: http://michmed.org/eaLgY to understand your informed consent. What is the purpose of an EGD? Upper GI endoscopy is a procedure in which a doctor passes a thin tube called an endoscope through your mouth to see the lining of the upper part of your digestive system also upper GI tract. EDG enables doctors to diagnose and treat many symptoms and conditions that affect the esophagus, stomach, and the first part of the small intestine also called duodenum. What are the benefits of a EGD? © NIDDK An EGD enables doctor to see the lining of these internal organs and diagnose many conditions such as: ● Gastroesophageal reflux disease (GERD)
● Ulcers ● Cancer ● Inflammation, or swelling ● Precancerous abnormalities such as Barrett’s esophagus
● Celiac disease ● Strictures or narrowing of the esophagus ● Blockages Upper Endoscopy (EGD) Prep Instructions Medical Procedures Unit -5- The endoscopy also enables the doctor to pass different instruments. One of these can obtain a small piece of tissue for testing, this is call a biopsy. Biopsies are needed to diagnose conditions such as cancer, celiac disease and gastritis. Other instruments include various types of dilators for treating strictures, or ablation devices for treating bleeding, tumors, or abnormal tissue. What are the risks of an EGD? EGD is considered a safe procedure. The risks of complications from an EGD are low, but may include:
● A reaction to the sedating medication, including breathing or heart problems. ● Bleeding. Occurs in less than 1 out of 100 patients (less than 1%) ● Perforation: a tear or a hole in bowel. Occurs in less than 1 in 100 patients (less than 1%).
● Infection. Occurs in less than 1 out of 100 patients (less than 1%)
● Aspiration: stomach contents may get into the lungs leading to a lung infection (pneumonia). Occurs in less than 1 in 100 patients (less than 1%) Rarely blood transfusion or surgery are needed to treat these conditions. Risks are higher in in people taking steroids or anti-coagulation medicines, or in people that have certain serious diseases. Risks may also be higher when dilation or tissue ablation is performed. What are the alternatives? The only alternatives to EGD are other imaging tests such as x-rays or CT scans taken from outside the body. While imaging tests can be helpful in identifying problems in the upper GI tract, they are not able to provide the same level of detail as an EGD, and do not allow taking a biopsy or treating different conditions as described above.
