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Radiology

Guidelines for Fluoroscopy Preparation

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Preparation for your child's examination:

Barium Swallow
or Esophagus and Upper GI
or Upper GI and Small Bowel

Infants up to 4 months: Nothing by mouth for the 3 hours preceding the exam

5 months 2 years: No liquids for four hour prior to the exam; no solids after midnight preceding the exam

Over 2 years: Nothing by mouth after midnight

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IVP and Barium Enema
(make sure to scroll through entire chart)

6-30 pounds:
Nothing by mouth three hours prior to the exam
Insert 1/2 Dulcolax suppository rectally at bedtime
Insert 1/4 Dulcolax suppository rectally at 6:00 am

31-45 pounds:
Nothing by mouth after midnight
10 cc castor oil by mouth at 2:00 pm (2 teaspoons)
Insert 1/2 Dulcolax suppository rectally at bedtime
Insert 1/2 Dulcolax suppository rectally at 6:00 am

46-60 pounds:
Nothing by mouth after midnight
20 cc castor oil by mouth at 2:00 pm (4 teaspoons)
Insert 1 Dulcolax suppository rectally at bedtime

61-75 pounds:
Nothing by mouth after midnight
30 cc castor oil by mouth at 2:00 pm (1 ounce)
Insert 1 Dulcolax suppository rectally at bedtime

76-90 pounds:
Nothing by mouth after midnight
35 cc castor oil by mouth at 2:00 pm (7 teaspoons)
Insert 1 Dulcolax suppository rectally at bedtime

91 pounds and over:
Nothing by mouth after midnight
60 cc castor oil by mouth at 2:00 pm (2 ounces)
Insert 1 Dulcolax suppository rectally at bedtime

Barium Enema for Hirschsprungs and Crohn's:
Nothing by mouth 3 hours prior to the exam for infants
Nothing by mouth after midnight for all others
No other preparation

Barium Enema for Constipation:
Nothing by mouth 3 hours prior to exam for infants
Nothing by mouth after midnight for all others
No other preparation

Barium Enema for Rectal Bleeding or Polyps:
Give air contrast preparation even when regular barium enema is ordered.

IVP:
A consent form must be signed by legal guardian or parents prior to examination being performed.

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Barium Enema with Air Contrast

For two days prior to examination, no solids are to be eaten. A liquid diet may consist of clear juices, clear broth, plain jello, soft drinks, i.e., Coke, 7-UP, etc. No milk, milk products, cream or solid food is to be taken. Clear liquid (no milk) may be taken the morning of the examination.

6-30 pounds:
Nothing by mouth 3 hours prior to the exam
Insert 1/2 Dulcolax suppository rectally at bedtime
Insert 1/2 Dulcolax suppository rectally at 6:00 am

31-45 pounds:
Nothing by mouth after midnight
10 cc castor oil by mouth at 2:00 pm (2 teaspoons)
Insert 1/2 Dulcolax suppository rectally at bedtime
Insert 1/2 Dulcolax suppository rectally at 6:00 am

46-60 pounds:
Nothing by mouth after midnight
20 cc castor oil by mouth at 2:00 pm (4 teaspoons)
Insert 1 Dulcolax suppository rectally at bedtime

61-75 pounds:
Nothing by mouth after midnight
30 cc castor oil by mouth at 2:00 pm (1 ounce)
Insert 1 Dulcolax suppository rectally at bedtime

76-90 pounds:
Nothing by mouth after midnight
35 cc castor oil by mouth at 2:00 pm (7 teaspoons)
Insert 1 Dulcolax suppository rectally at bedtime

91 pounds and over:
Nothing by mouth after midnight
60 cc castor oil by mouth at 2:00 pm (2 ounces)
Before retiring, tap water enemas (1 quart each) until returns are clear. Take enemas lying down

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Gall Bladder Preparation (No Ultrasound)

Fat-free dinner the night before the examination. Take capsules at 9:00 pm. Nothing to eat or drink after midnight. No laxatives.

Under 75 pounds:
Radiologist will determine dosage

75-90 pounds:
4 capsules Oragrafin

90-150 pounds:
6 capsules Oragrafin

150-200 pounds:
9 capsules Oragrafin

Over 200 pounds:
12 capsules Oragrafin

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