Gastrointestinal and Abdominal Examinations

Preparation for Stomach Examination

•  Diet (3 days before): Exclude black bread, dairy products, legumes, cabbage, fresh vegetables, fruits, sweet, and carbonated drinks. Do not fast!
• Medication (3 days): Take Mezym Forte (1-2 tablets three times a day).
• For frequent bloating (3 days): Take Espumisan (2 capsules three times a day).
• On the day of the study: Arrive on an empty stomach (do not brush teeth, do not drink water, do not take medication)!

Preparation for Gastrointestinal Tract Examination (IRIGOSCOPY)

• Diet (3 days before): Exclude black bread, dairy products, legumes, cabbage, fresh vegetables, fruits, sweet, and carbonated drinks. Do not fast!
• Medication (3 days): Take Mezym Forte (1-2 tablets three times a day).
• For frequent bloating (3 days): Take Espumisan (2 capsules three times a day).
• On the day of the study: Arrive on an empty stomach and after a cleansing enema performed the day before (until clear water) and again in the morning.

Preparation for Ultrasound of Abdominal Organs and Retroperitoneal Space

• Diet (3 days before): Exclude black bread, dairy products, legumes, cabbage, fresh vegetables, sweet, and carbonated drinks. Do not fast!
• Medication (3 days): Take Mezym Forte (1-2 tablets three times a day).
• For frequent bloating (3 days): Take Espumisan (2 capsules three times a day).
• On the day of the study: Arrive on an empty stomach!

Preparation for Examination of the Lumbar Spine and Coccyx (Tailbone)

• Diet (3 days before): Exclude black bread, dairy products, legumes, cabbage, fresh vegetables, fruits, sweet, and carbonated drinks. Do not fast!
• Medication (3 days): Take Mezym Forte (1-2 tablets three times a day).
• For frequent bloating (3 days): Take Espumisan (2 capsules three capsules a day).
• On the day of the study: Arrive on an empty stomach and after a cleansing enema performed the day before (until clear water) and again in the morning.

Preparation for Intravenous Examination of the Urinary System (Intravenous Urography)

• Diet (3 days before): Exclude black bread, dairy products, legumes, cabbage, fresh vegetables, fruits, sweet, and carbonated drinks. Do not fast!
• Medication (3 days): Take Mezym Forte (1-2 tablets three times a day).
• For frequent bloating (3 days): Take Espumisan (2 capsules three times a day).
• On the day of the study: Arrive on an empty stomach after a cleansing enema performed the day before (until clear water) and again in the morning.

Blood and Urine Tests

General Clinical Blood Test

• Blood should be collected using special single-use sterile Monovett systems.
• Blood must be drawn on an empty stomach.

Biochemical Blood Test

• Blood for the study must be drawn from a vein on an empty stomach.

Blood Tests for Infectious Diseases, Hormones, and Other Markers

• Venous blood is drawn in the morning on an empty stomach using special single-use Monovett systems.

General Urine Test

• Urine sample is the morning portion.
• Hygiene procedures are mandatory before collecting the urine.
• A single-use plastic container should be used for urine collection.

Stool, Anal, and Gynecological Examinations

Stool Analysis (General)

•  Collect the stool sample in a single-use plastic container with a spoon, in an amount no more than 1/3 of the container volume.
• The collected stool must be delivered to the laboratory quickly, as prolonged storage causes changes due to microbes and enzymes.
• Do not collect stool after an enema or after taking certain medications (belladonna, pilocarpine) that change intestinal peristalsis or affect the stool color (iron, bismuth, barium).

Preparation for Proctologist Examination and Diagnostic Recto-Romo-Scopy

• Evening before: No dinner (supper); you can drink water, tea. Perform 2 cleansing enemas with cool water at 7:00 PM and 8:00 PM.
• Morning of: No breakfast; you can drink water, tea. Perform 2 cleansing enemas with cool water, with a 1-hour interval.
• Arrive at the doctor’s office 2 hours after the last enema.
• Alternative:  The above preparation can be replaced by administering Normacol or Fleet Enema (single-use) according to the attached instructions.

Note: In case of acute pain in the perineal and anal area, an examination without preparation is indicated.

How to Prepare for a Gynecological Examination

• Before visiting the gynecologist, you need to take a shower and wear clean underwear. Empty your bladder immediately before the examination.
• A few days before: It is advisable to exclude sexual contact, do not douche, and do not use vaginal suppositories or creams.
• 2 weeks before: Stop taking antibacterial drugs.
• Shaving pubic hair is not mandatory.
• It is important to inform the doctor about taking any medications or contraceptives.
• The best time for a gynecological examination is the first week after the end of menstruation. However, if certain health problems arise, you must see a doctor regardless of the menstrual cycle phase.

The following information from the patient is important for the obstetrician-gynecologist:
– complaints – do you have any disorders of the genitourinary system, namely pain in the pelvic area, pain during urination and sexual intercourse, rash, itching, burning sensation in the external genital area;
– information about menstrual function – at what age did your menstrual cycle begin, the duration and regularity of the cycle, the duration and volume of menstruation itself, the date of your last menstruation;
– information about reproductive function – number of pregnancies, births, abortions, miscarriages, course of pregnancies and births, presence of complications;
– information about sex life – onset of sex life, use of contraceptives, presence of a permanent partner, regularity of sex life;
– history of gynecological diseases – date of last gynecological examination, doctor’s advisory opinion, past gynecological diseases, their treatment, and the effect achieved.

The above information will help your doctor make a diagnosis and prescribe treatment.

Specialized Diagnostic Tests (Eyes, Vessels, Muscles)

Preparation for Analysis of Eye Discharge

• Preliminary preparation: Includes canceling all medications and therapeutic procedures 5-8 hours before the test.
• Material collection is performed after sleep, before washing, from the areas with the greatest accumulation of pathological discharge, using a sterile cotton swab/probe, separately for each eye.
• Intraocular Pressure (IOP) Measurement: Remove contact lenses and inform the doctor about eye diseases, including cases of glaucoma in your family. If you have been diagnosed with glaucoma and use IOP drops, you must instill the drops before the study according to your standard schedule.

How to Prepare for Eyelash Examination for Demodex

• Preliminary preparation: Includes canceling all medications, therapeutic procedures, decorative, and medicated cosmetics 5-8 hours before the test.
• Eyelash collection is performed before washing and separately for each eye.

Microbiological and Mycological Examination of Periodontal Pockets and Oral Cavity

• Sample collection is performed on an empty stomach.
• Before material collection, you must not use any medication, rinse your mouth, or brush your teeth.
• General rule: Patients should refrain from physical exertion, alcohol consumption, and medication.
• The patient should not eat late in the evening and should go to bed at their usual time.

Patient Preparation for Treadmill Test
The patient should not:

• Combine the treadmill test with other examinations that require specific preparation.
• Eat 2-3 hours before the examination.
• Smoke immediately before the study (if they smoke).
• Perform physical exertion beforehand.
• Consume alcoholic beverages the day before.
• Bring: Sports pants (shorts), a towel, and a single-use razor.

Patient Preparation for Ultrasound of Central and Peripheral Vessels
The patient should not:

• Smoke immediately before the study (if they smoke).
• Consume alcoholic beverages the day before.
• Take vascular medications.
• Have a massage.

Patient Preparation for Rheoencephalography (REG) / Rheovasography (RVG)

The patient should not:

• Smoke immediately before the study (if they smoke).
• Consume alcoholic beverages the day before.
• Take vascular medications.
• Have a massage.
• For REG: The head must be clean and free of hair care products.

For microbiological studies (Mycoplasma, feces, pus, breast milk, throat/nose mucus, urine):

• Mycoplasma: Material from the urethra, endocervical canal, vagina (less often from the pharynx, nasopharynx, and conjunctiva) is collected with a swab, as mycoplasmas attach to cells. It is important to obtain the mucosal cells (use flocked or brush swabs). The swab with the material is submerged in transport medium.
• General rules apply regarding prompt delivery, cleanliness, and avoidance of contamination.