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Preparations for pediatric radiographic/fluoroscopic exams - out-patient

Esophagram, upper gastrointestinal exam - OUTPATIENT

Your child has an appointment at the pediatric radiology department of Loma Linda University Children's Hospital on __________, ___________at_____a.m._____p.m.

If you have any questions or cannot keep this appointment, please call (909) 558-8205.

This is an examination using x-rays of the esophagus, stomach and/or bowel through which the food passes as it is eaten and digested. These structures are not seen on plain x-ray pictures, when your child drinks a special liquid it allows the radiologist to see the esophagus, stomach and bowel on x-rays.

Your child will be asked to change from his clothing into a gown. In the x-ray room, the doctor (a radiologist) will ask the child to drink the special liquid and x-ray pictures of the digestive system will be obtained.

After the examination is completed, your child may eat or drink anything he desires, but encourage your child to drink water and fruit juices plentifully. Notify your physician if constipation persists. Although most children have no problem, some may become transiently constipated for a few days after the exam.

The x-ray examination may take from 1 to 2 hours. Our technologist will tell you when the examination is finished and you may leave.

In order to obtain the best x-ray pictures, it is important that the stomach and upper bowel be empty. Please follow the instructions listed below:

( ) Newborn -- 6 months: Nothing to eat or drink for at least 2 hours before the examination.

( ) 6 months --12 months: Nothing to eat or drink for 3 to 4 hours before the examination.

( ) 12 months --18 years: Nothing to eat or drink after midnight on the day of the examination.

A generous fluid intake is encouraged the day before the examination in all ages.

During the examination, the x-ray technologist and the radiologist will attend your child. One parent may be allowed in the room as permitted by the radiologist.

 

Pediatric barium enema (standard colon X-ray exam) - OUTPATIENT

Your child has an appointment at the pediatric radiology department of Loma Linda University Children's Hospital on __________, ___________at_____a.m._____p.m.

If you have any questions or cannot keep this appointment, please call (909) 558-8205.

The colon (lower bowel) is not well seen on plain x-ray pictures, therefore, it must be filled by enema with a liquid (usually barium) to be clearly visible. The child is asked to change from his clothing into a gown. In the x-ray exam room, a small tube is inserted into the child's rectum and a liquid barium mixture is introduced slowly through the tube. The doctor (a radiologist) obtains x-ray pictures of the colon.

During the exam, the x-ray technologist and the radiologist will attend your child. One parent may be allowed in the exam room as permitted by the radiologist.

In order to obtain the best x-ray pictures, it is important that the preparation instructions be followed. If there is a question of Hirschsprung's disease, no castor oil, suppositories, or enemas are to be given.

( ) Newborn --6 months: No preparation.

( ) 6 months --2 years: Child should drink generous amounts of liquids,

especially fruit juice the day before the exam.

Nothing to eat or drink after midnight on the day of the exam.

On the morning of the exam at 6:00 a.m., insert one half of a 10 mg DULCOLAX suppository into the rectum. Take child to toilet for bowel movement in about 20 minutes.

( ) 2 years --18 years: Generous amounts of fluids the day before the

exam. Give NEOLOID (flavored castor oil) at 4:00 p.m. that day before the exam as follows:

( ) 2-5 years2 tsp of NEOLOID

( ) 5-8 years1 tbls of NEOLOID

( ) 8-18 years2 tbls of NEOLOID

Nothing to eat or drink after midnight on the day of the exam. On the morning of the exam at 6:00 a.m., insert one 10 mg DULCOLAX suppository into the rectum. Take child to toilet for bowel movement in about 20 minutes.

The colon examination will take about one hour. After the examination, your child may eat normally.

 

Pediatric barium air-contrast enema - OUTPATIENT

Air-contrast colon X-ray exam

Your child has an appointment at the pediatric radiology department of Loma Linda University Children's Hospital on __________, ___________at_____a.m._____p.m.

If you have any questions or cannot keep this appointment, please call (909) 558-8205.

The colon (lower bowel) is not well seen on plain x-ray pictures. However, when the bowel if filled by enema with barium it is made clearly visible. In order to obtain the best x-ray pictures, it is important that the preparation instructions below be followed.

Instructions and preparations

  1. Starting on the morning of _____________(3 days before the exam) your child may eat foods as per the attached "Low Residue Diet".
  2. On the night of ____________(2 days before the exam) insert a DULCOLAX suppository in the child's rectum according to age, as outlined below. Repeat this on the night of _____________(the night before the exam).

( ) Newborn --6 months: No preparation.

( ) 6 months --2 years: Child should drink generous amounts of liquids, especially fruit juice --see "Clear Liquid Diet" attached --the day before the exam. Nothing to eat or drink after midnight on the day of the exam.

On the morning of the exam at 6:00 a.m., insert one half of a 10 mg DULCOLAX suppository into the rectum. Take child to toilet for bowel movement in about 20 minutes.

( ) 2 years --18 years Generous amounts of fluids the day before the exam. Give NEOLOID (flavored castor oil) at 4:00 p.m. the day before the exam as follows:

( ) 2-5 years2 tsp of NEOLOID

( ) 5-8 years1 tbls of NEOLOID

( ) 8-18 years2 tbls of NEOLOID

Nothing to eat or drink after midnight on the day of the exam. On the morning of the exam at 6:00 a.m., insert one 10 mg DULCOLAX suppository into the rectum. Take child to toilet for bowel movement in about 20 minutes.

The examination takes about one hour. After the examination is finished, your child may eat normally.

Low residue diet

Recommended foods

*Applicable for inpatient/outpatient preparations

Mild and mild products: Skin, 2%, buttermilk, whole and chocolate milk, yogurt without fruit, low-fat cheeses, such as mozzarella, ricotta, Muenster, cottage or farmer cheeses.

Meat and meat substitutes: Tender beef, ham, lamb, liver, poultry, or veal that is baked, broiled, pan-broiled or stewed; fresh or frozen fish without bones, canned tuna or salmon, cooked shellfish; eggs prepared without added fat.

Combination dishes/soups: Casseroles made with allowed foods; strained soups, bouillon, broth, and soups made with allowed foods.

Starches: French, Vienna, Italian, refined white and rye breads without seeds; crackers, biscuits, French toast and pancakes (fat-free) fried in Teflon pan; plain hard rolls, rusk, and zwieback; cooked cereals --farina, cream of wheat, cream of rice, Malt-0-meal; dry cereals --any made from refined wheat, corn, rice or oat; mashed and scalloped potatoes, baked and boiled white potatoes without skins (with limited fat and milk); macaroni, noodles, white rice, spaghetti.

Fruits/fruit juices: All strained juices and nectars except prune juice. Limit to two servings/day of the following: peeled, canned or cooked fruit without seeds, including apricots, peaches and pears. Fresh fruit , including bananas, cantaloupe, watermelon, honeydew melon and papaya.

Vegetables: Vegetable juices in unlimited quantity; canned or cooked vegetables --limited to 2 cup serving/day of the following: asparagus, green beans, wax beans, string beans, pumpkin, seeded squash, spinach, tomato sauce, puree and paste.

Fats and oils: In limited amounts only: crisp bacon, butter, oils, cream, dry cream substitute, margarine, mayonnaise, shortenings, smooth salad dressings, sour cream.

Desserts: Custards, gelatin, puddings, plain cookies and cakes, sherbets; pastry without nuts or prohibited fruits, ice milk.

Beverages: Fruit-flavored drinks, carbonated beverages, coffee, decaffeinated coffee, tea.

Miscellaneous: Sugar, syrup, honey, jelly, hard candy, gumdrops, marshmallows; ground or finely chopped herbs and spices, salt, flavoring extracts, ketchup, chocolate, white sauce, soy sauce, vinegar, mustard, gravy from meat juices skimmed off fat.

Sample menus

Breakfast
4 oz strained orange juice
1 scrambled egg
C Rice Krispies
1 slice white toast with 1 tsp margarine
8 oz skim milk
jelly
sugar

Lunch
4 oz chicken noodle soup
2 soda crackers
2 oz broiled beef patty on
1 white bun with ketchup
C canned beans

Dinner
4 oz tomato juice
3 oz baked chicken (meat only)
C whipped potatoes
C canned pears
4 oz orange sherbet
8 oz skim milk

Afternoon snack
5 vanilla wafers
6 oz strained pineapple juice

Evening snack
roast beef sandwich on white bread
6 oz lemonade

Clear liquid diet
*Applicable for inpatient/outpatient preparations


Allowed foods

  1. Broth
    1. clear broth
    2. bouillon
  2. Strained fruit juices
    1. apple
    2. grape
    3. cherry
    4. cranberry
    5. cranapple
    6. grapefruit
    7. Juicy Juice
  3. Other beverages
    1. fruit drinks
    2. Gatorade
    3. carbonated beverages
    4. Kool-aid
    5. lemonade (made from powdered mix or strained juice)
    6. Coffee (includes decaffeinated coffee)
    7. tea
    8. water, ice
  4. Desserts
    1. plain flavored gelatin
    2. fruit ice
    3. Popsicle's
    4. slush
  5. Miscellaneous
    1. sugar
    2. salt

 

Guidelines at various ages

Under Age 8 months: Glucose water, Gatorade, diluted apple or apple/cherry juice
Age 8-11 months: Same as above
Age 12 months and older: Any foods listed in ALLOWED FOODS
 
 
 
Sample menu

Breakfast Lunch Dinner
Broth, 6 ounces Broth, 6 ounces Broth, 6 ounces
Gelatin, cup Gelatin, cup Gelatin, cup
Apple juice, 6 ounces Juicy Juice, 4 ounces Apple Juice 4 ounces
1 Popsicle Fruit ice, 4 ounces 1 Popsicle
     
Afternoon snack Evening snack  
Popsicle 8 ounces of 7-UP  
 
Pediatric intravenous urogram - OUTPATIENT


(IVU --kidney X-ray exam)


Your child has an appointment at the pediatric radiology department of Loma Linda University Children's Hospital on __________, ___________at_____a.m._____p.m.


If you have any questions or cannot keep this appointment, please call (909) 558-8205.


The kidneys, ureters (the tubes that carry urine from the kidneys) and the bladder are not visible on plain x-ray pictures. This special examination is to show each of these structures. Following an initial x-ray picture of the abdomen, the doctor (a radiologist) will give an intravenous injection of material that is excreted by the kidneys and allows the kidneys, ureters and bladder to be visible on the x-ray pictures.


During the exam, the x-ray technologist and the radiologist will attend your child. One parent may be allowed in the exam room as permitted by the radiologist.


In order to get the best x-ray pictures for this exam; please follow the preparation schedule below:


Instructions and preparations


( ) Newborn - 6 months: Nothing to eat for one hour before the examination.


( ) 6 months - 2 years Nothing to eat for 4 hours before the examination.


Encourage the child to drink fluids the previous day.


( ) 2 years - 18 years Encourage fluids the day before the examination.


Give NEOLOID (flavored castor oil) at 4:00 p.m. the day before the exam as follows:


( ) 2-5 years2 tsp of NEOLOID


( ) 5-8 years1 tbls of NEOLOID


( ) 8-18 years2 tbls of NEOLOID


Nothing to eat or drink after midnight on the day of the exam. If the child is constipated, a soapsuds in tap water enema should be given the morning of the exam at 6:00 a.m.


( ) Patients with meningomyelocele or paraplegia:


Encourage child to drink extra fluids for 2 days before the exam. No castor oil should be given. For age 2 years and over, give a soapsuds in tap water enema the evening before the exam. Nothing to eat or drink after midnight. The x-ray examination will last about one hour. After the examination if finished, your child may eat normally.
 

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