Information for Patients

Fluoroscopy (GI, barium studies)

Barium Enema

Important note: Physicians may modify any prep containing laxatives for patients with diarrhea, rectal bleeding or severe bowel inflammation. If any modifications are necessary, call (804) 828-5498 and speak with a radiologist.

Adult
On the day before the exam:        

  1. Noon – Begin a clear liquid diet.
  2. 1 p.m. – Drink one full glass or more of water.
  3. 3 p.m. – Drink one full glass or more of water.
  4. 4 p.m. – Drink one 10 oz. bottle of cold Magnesium Citrate.
  5. 5 p.m. – Continue a clear liquid diet.
  6. 7 p.m. – Drink one full glass or more of water
  7. 8 p.m. – Take all four tablets of Bisacodyl 5 mg. by mouth and take each with one full glass or more of water

Clear liquids include: clear gelatin, clear broth, clear juices such as apple juice, grape juice, cranberry juice, water, fruit ice, popsicle without pulp, clear hard candy, tea or coffee without milk or cream, Kool-aid, soft drinks.       

On the day of the exam:

7 a.m. – Drink one and a half glasses of water. Unwrap and insert one suppository of Bisacodyl 10 mg. into rectum.                                   

Pediatric
Please note: There is no prep for infants weighing less than 20 lbs.

On the day before the exam for patients weighing more than 20 lbs, call (804) 828-6831 and ask for the pediatric reading room to discuss prep for this patient.

Defecography

  1. No bowel prep needed.
  2. Patient does not need to be NPO.

Esophogram

  1. If patient weighs less than 45 pounds:
    nothing to eat or drink for six hours prior to the exam.
  2. If patient weighs more than 45 pounds:
    nothing to eat or drink from midnight the night before the exam.
  3. No smoking from midnight the night before the exam.

Enteroclysis

  1. If the patient weighs less than 45 pounds:
    nothing to eat or drink for six hours prior to the exam.
  2. If the patient weighs more than 45 pounds:
    nothing to eat or drink from midnight the night before the exam.
  3. No smoking from midnight the night before the exam.
  4. Patient to void prior to transport to radiology.
  5. Study does entail insertion of nasalduodenal tube.

Fistulogram

No prep necessary.

GI Feeding Tube Placement

No prep necessary.

Ileoanal Pouchogram

No prep necessary.

Intravenous Pyelogram – IVP

Important note: Physicians may modify any prep containing laxatives for patients with diarrhea, rectal bleeding or severe bowel inflammation. If any modifications are necessary, call (804) 828-5498.

Adult
On the day before the exam:

  1. 2 to 4 p.m. – Drink one 10 oz. bottle of cold Magnesium Citrate.
  2. 2 to 4 p.m. – Drink two full glasses of cold water.
  3. 5 p.m. – Begin a clear liquid diet.

Clear liquids include: clear gelatin, clear broth, clear juices such as apple juice, grape juice, cranberry juice, water, fruit ice, popsicle without pulp, clear hard candy, tea or coffee without milk or cream, Kool-aid, soft drinks.    

On the day of the exam:

Patient should have nothing to eat or drink for four hours before the scheduled test time until after the test is completed.

Note:  If you have severe diarrhea or rectal bleeding, do not take the above laxative (Magnesium Citrate) without first checking with your doctor. Under these special circumstances, your doctor may change your instructions.

Diabetic patients should not take an insulin injection on the morning of the exam, and should drink a glass of orange juice for breakfast.

After completing the exam, drink plenty of fluids the rest of the day.  Resume your usual pre-test diet.

Modified Barium Swallow

  1. Study done in conjunction with speech therapist.
  2. No prep necessary.

Myelogram – cervical, thoracic or lumbar

  1. Metformin (Glucophage or Glucovance) must be withheld for 48 hours after receiving iodinated contrast. If the patient’s blood sugar control does not allow for withholding Metformin, call (804) 628-2927
  2. If the patient has had a previous allergic reaction to IV contrast, call (804) 628-2927.
  3. Plenty of fluids for 12 hours prior to the exam time.
  4. Full liquid diet for four hours prior to the exam time. Changes to this prep will only be allowed due to the priority level requirements.
  5. Patient to void prior to transport to radiology.

T-Tube Cholangiogram

  1. Patient should have nothing to eat or drink for four hours prior to the exam time except a small amount of water with routine medications. Changes to this prep will only be allowed due to the priority level requirements.
  2. Patient to void prior to transport to radiology.
  3. Transplant patients need antibiotic coverage prior to study.

Upper GI Series

  1. If patient weighs less than 45 pounds:
    nothing to eat or drink for six hours prior to the exam.
  2. If patient weighs more than 45 pounds:
    nothing to eat or drink from midnight the night before the exam.
  3. No smoking from midnight the night before the exam.
  4. May take oral medication with small sip of water at least two hours prior to exam.

Upper GI/Small Bowel Series

  1. If patient weighs less than 45 pounds:
    nothing to eat or drink for six hours prior to the exam.
  2. If patient weighs more than 45 pounds:
    nothing to eat or drink from midnight the night before the exam.
  3. No smoking from midnight the night before the exam.
  4. May take oral medication with small sip of water at least two hours prior to exam.
  5. Study takes longer than Upper GI Series. Patient should be prepared to stay in department at least two hours after the examination begins.
VCU Department of Radiology Virginia Commonwealth University VCU Medical Center