Upper Endoscopy Instructions
Please make sure to review these instructions a week before your procedure!
The week before your endoscopy

By: Bala Sivakumar
Make sure to arrange for an escort for the day of the procedure.
- Discuss with Dr Gutman and your cardiologist any blood thinners you are on including Plavix, Ticlid, Effient, Coumadin, Warfarin and Lovenox. You may stay on aspirin therapy up to 325mg daily.
- Discuss the use of arthritis and pain medications with Dr. Gutman.
- Avoid arthritis medications for 2 days before the test. These include naproxen (Naprosyn, Aleve), ibuprofen (Motrin, Nuprin) and many others. Mobic, Celebrex, and acetaminophen (Tylenol) do not need to be discontinued.
- Avoid over the counter blood thinners such as Vitamin E and gingko biloba
If you have diabetes, do not take your insulin or diabetic pills on the morning of the test. Please advise your doctor so that he can arrange to have your blood sugar tested by finger stick on the morning of the test and for you to receive the appropriate treatment as needed.
ON THE NIGHT BEFORE YOUR PROCEDURE, DO NOT EAT FOR 6 HOURS BEFORE THE TEST. DO NOT DRINK FOR 4 HOURS BEFORE THE PROCEDURE.
- ON THE DAY OF THE PROCEDURE
- Do Not Drink for 6 Hours before the endoscopy
- Do Not Drink for 4 Hours before the endoscopy
- Please take heart medications or blood pressure medications, other than water pills, 4 hours or more before the appointment. Most other medications can be delayed until after the procedure.
- You MUST have an escort to pick you up after the procedure. If you do not have an escort, the procedure will be cancelled or rescheduled! If you have concerns about this requirement, please discuss it with Dr Gutman.
Upper Endoscopy Information from the American Gastroenterological Association
QUESTIONS?
Call the office if you have any questions
DAVID GUTMAN,MD
(516) 495-5280