|Upper GI first: |
The barium can be mixed with just about anything from formula to applesauce to eggs. Jedd had his done with formula, we gave him 3 ounces through his feeding tube. They like the child to take it relatively quickly as the body can start to digest it. I think I had to give it to him in about 10 mins....I was very worried about puking as his pump normally ran for 30 mins for a bolus that size. He kept it down though.
I gave him the formula as he sat on my lap in their department. Then when we were done, we whisked him over to the table to lay him down. I was very worried about puking again, but they used a TV video to keep him entertained....I'm pretty sure that if you are at a childrens hospital, they should have one there and videos as well.
Nothing is given after that first amount of food. Jedd laid on the table for about 20 to 30 mins (it's been a long time..LOL) and then we were allowed to walk around the hospital for about an hour, then he had to get scanned for an additional 5-10 mins. NO food is allowed during the test at all, even during the time they allow you to leave their department.
Even though it sounds awful, if you need to use a tube to get the right amount into her, it will be quick and done fast and they can yank it as soon as they are done. But, this is coming from someone who did tube feeds for a long time.
We were told to fast from Midnight and he could have clear liquids up to 4 hours prior. We left him empty though. Did not want to risk a vomit......as far as being hungry, I really can't answer that because Jedd had a pretty severe oral aversion and was VERY happy to be allowed to NOT eat.... :(
Now on to the EDG (endoscopy):
Again, NO liquids past midnight and clears up to 4 hours prior I'm pretty sure. They should give you an instruction sheet as to your hospitals protocols.
You will arrive early to the O.R. waiting room, they will do full vitals and ask you all sorts of questions. The GI should come out to talk to you as well as the nurse and the anesthesiologist.
They were super careful with Jedd because he had just has his heart surgery about a month prior, so some precautions taken for him, may not be what happens for you.
With her age and anxiety over DRs and such, I would most def. ask for some versed. We used that on Jedd's last O.R. trip as he had has many of them and we were worried that he would scream, cry, kick and do whatever it took to get away from them.
They gave him a good size dose, trying to get him really drowsy....it made him act drunk...pretty funny actually. He went with them REALLY willingly, they carried him, he could NOT walk...LOL NO issues at all, best decision we made that day for sure.
They do the twilight sedation with gas and it's just enough to make them really really drowsy. Jedd's I.V was placed after he was out, I'm pretty sure they knocked him all the way out, again, he was more of a risk and they wanted to watch him really closely, they also needed to run ABX for him because of the patch on his heart. This meant out PACU stay was longer before we could go home.
It's a really fast procedure, will take all of 15-20 mins to complete. Go straight to the O.R. waiting room and sign in because you will not have time to go and get coffee or anything.
They should come and get you pretty quickly when she is done and bring you to the PACU.....don't be upset is she is screaming and really upset by the time you get there. It can be very scary to wake up and not find Mom there to comfort them. As soon as she is stable, which is pretty fast, they will get you. they want kids to be as calm as possible so it's in their best interest to get you.
The GI will take pictures to show you and will take tissue samples for further testing. The photos can show visible damage but the tissues samples will tell the true tale.
In the PACU you they will give you clears liquids to have her drink, like Pedialtye and such. They don't want to give any "milk like" drinks as the GI tract will be functioning much slower due to sedation. They may allow the prune juice, but again, you should get a list from the hospital and they should provide something for you to give her from the nurses.
We stayed extra long as we had to have the ABX run so we were there in the PACU for about 4 hours at least. They really wanted to observe him longer.
Let us know if you have any other questions.