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Digestive Diseases and ERCP Testing

How Should I Prepare for ERCP?

Before having ERCP, let your doctor know about any special medical conditions you have, including:

  • Pregnancy.
  • Lung conditions.
  • Heart conditions.
  • Allergies to any medications.

If you have diabetes and use insulin. You may need to adjust the dosage of insulin the day of the test. Your diabetes care provider will help you with this adjustment. Bring your diabetes medication with you so you can take it after the procedure.

If you are taking blood-thinning medications such as Lovenox (enoxaparin), Coumadin (warfarin), aspirin, Persantine (dipyridamole), or Plavix (clopidogrel), your primary doctor may prescribe an alternate method for thinning your blood before the procedure.

Do not discontinue any medication without first consulting with your primary or referring doctor.

You may need to take antibiotics before the procedure if you:

  • Have an artificial heart valve.
  • Have ever been told you need to take antibiotics before a dental or surgical procedure.

Do not eat or drink anything for eight hours before the procedure.

You may be drowsy for some time after sedation, so you should ask for help from a responsible adult who can take you home after the procedure. You should not drive or operate machinery for at least eight hours because the medication given during the procedure may cause drowsiness.

You may need to stay overnight in the hospital after the procedure, so pack personal items you may need.

What Happens After ERCP?

You will stay in a recovery room for about 1-2 hours for observation. You may feel a temporary soreness in your throat. Suck on throat lozenges to relieve the pain.

A responsible adult must take you home after the procedure. It is also recommended that someone stay with you for 24 hours after the procedure.

Do not drive or operate machinery for at least eight hours.

Stay overnight within a 30-minute drive of the hospital so you can get to the emergency room quickly to be evaluated, if necessary.

The results will be sent to your primary or referring doctor, who will discuss them with you. If the results of the procedure indicate that prompt medical attention is needed, the necessary arrangements will be made and your referring doctor will be notified.

Warning About ERCP

If you have any of the following symptoms within 72 hours after ERCP, call your doctor and seek emergency care:

  • Severe abdominal pain
  • A continuous cough
  • Fever
  • Chills
  • Chest pain
  • Nausea or vomiting
  • Bleeding or vomiting blood
  • Blood in your stool

 

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WebMD Medical Reference

Reviewed by William Blahd, MD on August 20, 2014

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