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Upper Endoscopy In Children

WHAT YOU NEED TO KNOW:

An upper endoscopy is also called an upper gastrointestinal (GI) endoscopy, or an esophagogastroduodenoscopy (EGD). A scope (thin, flexible tube with a light and camera) is used to examine the walls of your child's upper intestines. The upper intestines include the esophagus, stomach, and duodenum (first part of the small intestine). An EGD is used to look for problems, such as bleeding, swelling, polyps, ulcers, or infection. An upper endoscopy in children is often used to find the cause of abdominal pain, difficulty swallowing, or nausea and vomiting. It may also be done to remove foreign bodies such as a swallowed coin or toy.

DISCHARGE INSTRUCTIONS:

Call 911 for any of the following:

  • Your child complains of pain in his chest.
  • Your child has trouble breathing.

Seek care immediately if:

  • Your child feels dizzy or faints.
  • Your child has trouble swallowing.
  • Your child's bowel movements are very dark, black, or you can see bright red blood in them.
  • Your child's stomach is very painful, feels hard, and is larger than usual.
  • Your child vomits blood.

Contact your child's healthcare provider if:

  • Your child has a fever or chills.
  • Your child cannot pass gas.
  • Your child does not have a bowel movement for 3 days after his procedure.
  • Your child has nausea or is vomiting.
  • Your child's skin is itchy, swollen, or he has a rash.
  • You have questions or concerns about your child's condition or care.

Care for your child:

  • Limit your child's activity after the procedure. Have your child lie on the couch or rest quietly until the day after his procedure. He may feel tired and need frequent naps. Your child can take short walks to the bathroom or around the house to help pass gas. He should not play sports or do vigorous activity after his procedure. He may be able to go to school or return to daycare the day after his procedure. Ask your healthcare provider when your child can return to his normal activities.
  • Relieve your child's gas and discomfort. Have your child lie on his left side. He may need to take short walks to help move the gas out. Give your child small meals until his bloating has gone away. Start with clear liquids such as juice without pulp. If he does okay with clear liquids, start giving him his usual foods. Ask your child's healthcare provider if your child needs to be on a special diet.
  • Relieve your child's sore throat. Give your child crushed ice or flavored ice pops.

Follow up with your child's healthcare provider as directed:

Write down your questions so you remember to ask them during your visits.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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