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Patient Name: ___Amount due at time of service: ___Appointment Date___Time___ **Check in 15min prior** What is an Upper GI? This examination is used to study the esophagus, the tube leading from the
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How to fill out upper gi x-ray

01
Register at the front desk and provide your personal information
02
Change into a hospital gown
03
Lie down on the x-ray table
04
Follow the technologist's instructions to drink a contrast material
05
Hold your breath and stay still while the x-ray images are taken
06
The procedure is usually completed within half an hour

Who needs upper gi x-ray?

01
Individuals who are experiencing symptoms such as difficulty swallowing, persistent heartburn, or unexplained abdominal pain may need to undergo an upper GI x-ray to help diagnose potential digestive disorders.

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An upper GI X-ray is a radiographic exam that allows doctors to visualize the upper gastrointestinal tract including the esophagus, stomach, and duodenum, using a contrast material known as barium.
Patients who are experiencing symptoms related to their upper gastrointestinal tract, such as persistent nausea, vomiting, or abdominal pain, are typically required to undergo an upper GI X-ray as part of their diagnostic workup.
To fill out the paperwork for an upper GI X-ray, patients must provide personal information, medical history, any previous imaging done, and details about current symptoms or medications.
The purpose of an upper GI X-ray is to diagnose conditions such as ulcers, tumors, inflammation, hernias, or blockages in the upper gastrointestinal tract.
The report from an upper GI X-ray must include findings such as the presence of abnormalities, sizes of any lesions, the condition of the mucosal lining, and any indications of disease.
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