Pediatric Procedures Esophagram, Video Swallow or Upper GI (Swallow Test or Stomach Test) 1. The child must be hungry enough to drink the barium, which usually means withholding the meal just before the study.
2. You may bring food with you to give the child after the study.
3. Children under 4 should have only small amounts of clear liquid (water, jello, soda, popsicles or clear juice such as apple or cranberry) starting 4 hours prior to the exam time.
4. Children over 4 should have nothing by mouth after midnight, but may have small amounts of clear liquids. Small Bowel Follow Through If this study is being done to look for polyps, inflammatory bowel disease or bleeding, there are some dietary restrictions called a “low residue diet,” which should be followed for 3 days prior to the exam (see below). | Food Groups | Low Residue Food allowed | | Condiments | salt, sugar, jelly | | Cheese | cottage cheese | | Fat | butter or margarine | | Eggs | hard boiled, poached , scrambled | | Meat | minced chicken or fish | | Soup | broth only | | Beverages | tea, soda, fruit juice – no milk | | Vegetables | vegetable juice only | | Fruit | juice only | | Bread,cereal | refined foods only: macaroni, spaghetti, noodles, rice, Soda crackers | | Desserts | popsicles, Jell-O, plain cake, cookies without fruits or nuts |
Note: If the small bowel follow through is not being done for the following diagnosis— inflammatory bowel disease, polyps or bleeding, this dietary restriction may not be necessary, especially if the patient is an infant on breast milk or formula. Please call the technologists at (410)955-7717 if you need further clarification. Barium Enema (Colon Test): 1. If the study is being done for Hirschprung’s disease, constipation or to clean out impacted stool, there is no prep.
2. If the study is being done for inflammatory bowel disease, rectal bleeding or polyps, the following prep should be followed unless the child is under 2 years old or is an infant on breast or formula feeds. Call 410.955.6141 before doing this extended prep. a. Pre-Exam Diet: Follow the low residue diet (explained in the above table) under small bowel follow through for three days prior to the test.
b. The evening prior to the exam, give Magnesium citrate (available without prescription from the drug store, sold as a fizzy liquid in soda-type bottle). 2-6 years old should drink 1/3 bottle, 6-12 years old should drink 2/3 bottle, over 12 years old should drink the entire bottle.
c. Clear liquids only (water, jello, soda, popsicles or clear juice (apple or cranberry) after midnight the day of exam. IVP or CT (CAT) Scan
No solid food for three hours before the exam. VCUG (Voiding Bladder Test) Patient should not urinate just before the exam. It is important that some urine be in the bladder, but the bladder does not have to be full. Abdomen Ultrasound (sonogram looking at the liver and spleen)
Do not eat the meal just before the exam. The meal prior to that one should be a low-fat meal. Kidney and Bladder or Pelvis Ultrasound The bladder should be full.
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