Preparing for Fluoroscopy

If you are having fluoroscopy for UGI (Upper Gastro Intestinal), you should have nothing by mouth after midnight the day prior to your appointment until after the exam.

If you are having fluoroscopy for Esophagram, Modified Barium Swallow, or a Small Bowel Series, you should have nothing by mouth after midnight the day prior to your appointment until after the exam.

If you are having fluoroscopy for IVP (Intravenous Pyelogram), you should pick up a LOSO PREP kit from the NYU Medical at Columbus Radiology Department and follow the instructions below for 24-hour Bowel Cleansing.

24-Hour Bowel Cleansing

Instructions
A LOSO PREP bowel cleansing system is available at NYU Medical at Columbus Radiology Department for use as part of a bowel cleansing regimen. The LOSO PREP kit will help you prepare for your procedure by cleansing your lower intestinal tract. It is important that you follow and complete the directions carefully.

You should take only the medications, foods and fluids in the amounts specified, at the times shown unless otherwise instructed by your doctor.

The Day Before Your Exam

A high fluid intake is required for this preparation. Drink at least 8 ounces of water at each of the times specified according to the instructions of the kit that is available for you.

  • Breakfast: Clear soup (any broth); strained fruit juices without pulp; flavored gelatin that is not red (do not add extra ingredients); soft drinks, black coffee or plain tea.
  • Noon: Clear soup (any broth); strained fruit juices without pulp; flavored gelatin that is not red (do not add extra ingredients); soft drinks, black coffee or plain tea.
  • Force fluids in the form of 8 ounces of water per hour from 1pm to 4pm.
  • 5:00 pm: Slowly add approximately one half of the contents of the packet of Magnesium Carbonate, Citric Acid and Potassium Citrate for Oral Solution to 8 ounces of cold water in a large glass (minimum 16 fl oz capacity) Stir gently. After effervescence (fizzing) stops, slowly add the remaining contents of the packet to the glass. Stir gently, wait until effervescence (fizzing) stops and drink entire contents of glass. This product generally produces a bowel movement in 30 minutes to 6 hours.
  • 6:00 p.m.: Drink 8 ounces of water.
  • 7:00 p.m.: Drink 8 ounces of water.
  • 7:30 pm.: Peel the backing off the packet of bisacodyl tablets and remove the four (4) enclosed tablets. Take all four (4) with 8 ounces of water. Do not chew tablets. The tablets are to be taken two hours after drinking the contents of the packet for oral solution. Bisacodyl tablets generally produce bowel movement in 6 to 12 hours.
  • 8:00 p.m.: Drink 8 ounces of water.
  • 9:00 p.m.: Drink 8 ounces of water. Do not eat after 9:00 p.m.

The Day of Your Exam

Do not eat or drink anything on the day of your exam.

At least two hours before the examination, unwrap the Bisacodyl suppository and discard the wrapper. While lying on your side with thigh raised, insert the suppository into the rectum and gently push in as far as possible. Retain the suppository for at least 15 minutes, if possible. Bowel movement usually occurs within 15-60 minutes. Patients requiring assistance should have a bed pan, commode or help readily available.