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Upper Gastrointestinal Series

WHAT YOU SHOULD KNOW

An upper gastrointestinal series (also called an upper GI series) is an x-ray examination of your esophagus (the tube connecting the throat to the stomach), stomach, and duodenum (the upper part of the bowel). During the exam, you'll need to drink a liquid filled with barium. This substance blocks x-rays, making it easier for the doctor to see the outlines of your digestive tract.

Risks

If the barium stays in your body, it can harden and block your bowel. Barium can also draw water from the body, causing dehydration. To avoid this, follow post-exam instructions with care.

Call Your Doctor If...

  • You have a cold or flu, or are running a high temperature. Your test may have to be put off until you are well.

IF YOU'RE HEADING FOR THE HOSPITAL...

Before You Go

  • The Week Before the Test:
  • To help your body get rid of the barium after the test, begin eating foods high in fiber, such as fruits, grain, and vegetables, 2 to 3 days before the test.
  • During the same period, drink at least 6 to 8 large glasses of water each day.
  • The Night Before the Test:
  • Just before the test, you should not eat or drink anything. Your doctor will tell you when to begin fasting.
  • Stop smoking once midnight is past.

When You Arrive

  • If your doctor approves, you may take your usual medications with a single sip of water before the test. You should not, however, take narcotic pain-killers or medicine for a peptic ulcer.
  • You may be given a laxative to help speed the barium out of your system after the test.

What to Expect While You're There

You may encounter the following procedures and equipment during your stay.
  • Taking Vital Signs: These include your temperature, blood pressure, pulse (counting your heartbeats), and respirations (counting your breaths). A stethoscope is used to listen to your heart and lungs. Your blood pressure is taken by wrapping a cuff around your arm.
  • During the Upper GI Study...
  • You'll be asked to drink 1 or 2 large barium "milkshakes." Because the barium has a chalky taste, some hospitals give flavored milkshakes---strawberry, for example.
  • Your doctor will take x-rays as the barium flows down your esophagus to your stomach.
  • The test takes about 15 to 30 minutes. You may need follow-up pictures 6 hours after you swallowed the barium.

After You Leave

  • Drink 2 to 3 soda-can sized glasses of water after the test. This will help flush the barium from your body.
  • Your bowel movements will be chalky and light-colored for 24 to 72 hours after the test.
  • If you have a colostomy, irrigate it after the last x-ray is taken and again in the morning.

Call Your Doctor If...

  • Your bowel movements haven't shown any evidence of barium within 2 to 3 days after the exam.
  • You have pain in your lower abdomen or stomach.
  • Your bowel movements are pencil-thin, or more or less frequent than usual.

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