Upper Endoscopy Preparation

Your Appointment is on: _____________

Hospital: __________________________

Report to Admitting Office at:__________

Please have someone drive you as you will be sedated and will be unable to drive.

After Midnight:

Nothing by Mouth

Medication is allowed with small sip of water up until 3 hours before procedure.

If you are Diabetic - Please ask your Doctor about special instructions.

Stop the following Medications:

(Please check with your Doctor for specific instructions)

Coumadin - 5 days

Aspirin, Plavix, Ticlid - 3-5 days

Iron - 3 days