Rules for preparing for gastroscopy and ultrasound
Are you planning a digestive exam? The exact diagnosis often depends on the correct behavior of the patient. We’ll have to starve for eight or even ten hours. For some, such limitations are a great test. The essence of the methods of gastroscopy and ultrasound of the abdominal cavity and the rules for preparing for them are told by endoscopist Maxim Punutyan.
Do not eat 8-10 hours
During gastroscopy, the doctor examines the upper sections of the gastrointestinal tract: the esophagus, stomach and duodenum using a special device – an endoscope. It is a long thin flexible tube with a diameter of about 2 cm with a lens at the end. The image is transmitted through a special fiber to the eyepiece into which the doctor is looking. In order for the gastroscopy procedure to proceed correctly, the following recommendations must be observed. 2-3 days before the study, it is necessary to abandon the use of spicy dishes and strong alcoholic drinks. It is very important that the patient should not eat or drink for 8-10 hours before gastroscopy.
Food and fluid in the stomach can make it difficult to examine and make the correct diagnosis. Before starting the procedure, you must definitely inform your doctor about an allergy to the medicine, if any. To reduce sensitivity and eliminate the vomiting reflex, a gastroscopy is usually given to gargle with a solution of local anesthetic. After 1-3 minutes, numbness of the mucous membrane of the mouth and pharynx occurs, which serves as a signal to the beginning of the procedure. Between the teeth, the patient clamps the mouthpiece, through which the endoscope is held.
What’s the hardest
The most difficult for the doctor and unpleasant for the patient is the stage of passage of the apparatus from the throat to the esophagus. To make it easier to transfer, it is imperative to completely relax, and then take one sip, during which the doctor, under the control of his vision, will insert the device into the esophagus. After that, air is slowly introduced through the endoscope to straighten the folds of the stomach and to better examine it. During the study, nothing makes breathing difficult, so the fear of some people to suffocate is completely unfounded. Directly while the device is in the gastrointestinal tract, the doctor carefully examines its inner surface and, if necessary, can take a piece of the mucous membrane for further research.
A biopsy is a painless procedure. Sometimes during endoscopy, therapeutic measures can be performed, for example, stopping ulcerative bleeding or removing a polyp. A routine diagnostic study lasts about two minutes, and in the case of medical manipulations, up to half an hour. Gastroscopy is quite safe, and complications are extremely rare. An unpleasant sensation in the throat is considered commonplace for some time after the study. It disappears in a day or even earlier.
You can also see what is happening inside a person with the help of ultrasound. This method examines those organs that do not contain air – the liver, gall bladder, spleen. An ultrasound scan is much safer than an X-ray and in some cases allows you to more accurately diagnose the disease. Proper preparation for ultrasound is very important. Carrying out this procedure can lose all meaning if the patient does not comply with the recommendations of the doctor before the examination. A strong impediment for a doctor may be the gases usually present in the intestines.
Therefore, three days before the examination of the abdominal organs, it is necessary to refuse food that promotes the formation of gases. It includes brown bread, buns, cabbage, peas, beans, fresh fruits and vegetables, whole milk, juices, sodas, sweets. Sour-milk products, meat, fish dishes, a side dish of vegetables other than potatoes, unsweetened cereals, dried white bread are allowed. People suffering from a tendency to bloat with gas need to take digestive enzymes these days, such as festal, mezim forte. Espumisan is very helpful for doctors. It changes the surface tension of gas bubbles in the intestines, and they burst. Espumisan is taken 2 capsules 3 times a day after meals for two days before the study. He is absolutely harmless. Immediately before the ultrasound, you need to refuse food for 12 hours and liquid for 4 hours. You need to bring a towel with you in order to erase after the procedure the traces of a special gel that provides the best contact of the sensors with the skin. Ultrasound examination itself is absolutely painless and does not cause the patient any unpleasant sensations.