The Day Before

Meal

10 hours before your appointment The hours have been changed from 8 hours to 10 hours according to the notification by the Ministry of Health, Labor and Welfare in FY2024. No food afterwards (including candy, gum, mint tablets, etc.) *Please refrain from consuming milk and other dairy products if your appointment includes a barium swallow or endoscopy examination. [Precautions] ·The stomach examination cannot be performed if the patient has eaten or drank within the specified time.

Alcohol

Consumption of alcohol is prohibited.

The Day Of

Meal	10 hours before your appointment The hours have been changed from 8 hours to 10 hours according to the notification by the Ministry of Health, Labor and Welfare in FY2024. No food afterwards (including candy, gum, mint tablets, etc.) *Please refrain from consuming milk and other dairy products if your appointment includes a barium swallow or endoscopy examination. [Precautions] ·The stomach examination cannot be performed if the patient has eaten or drank within the specified time. ·Blood tests cannot be performed if the patient has eaten or drank within three and a half hours.
Beverages	Please drink water, only in small amounts. ＊You may drink up to 200ml of water during the two hours leading up to your appointment.
Tobacco	No smoking ＊Please do not smoke.
Medication	You may take your medication as usual. ＊Please take your medication at least two hours before your appointment, and inform the staff upon checking in. ＊If you are taking hypoglycemic agents or injected insulin, please consult with your prescribing physician for instructions. If your physician permits, please hold off on taking them on the day of your appointment. If you are scheduled for an endoscopy, sedation use is not permitted if you have taken your medication. ＊For those who are taking *warfarin (warfarin K) *Anti-coagulants, we are not able to collect tissue examples (biopsy) at our clinic. We kindly ask you to review the Upper Digestive Tract Endoscopy (Upper GI Endoscopy)Examination　section under the Examination Details and Precautions.

【Stool inspection】
Click here to see how to take stool sample.[PDF:300KB]

Collect items within 3 days including the date of consultation. (Please refrain from collecting two at the same time.)

【Urine test】

Collect as soon as You may take your medication as usual. in the morning on the day of the consultation.
＊ For those who are menstruating, we kindly ask that you bring in your urine and stool samples on a later date.

【Please be sure to read before venipuncture procedures such as blood sampling, intravenous injections or infusions】

If you have felt sick or have lost consciousness in the past due to blood sampling or infusions, please notify us so that we may safely perform the procedure. The needle may hit a thin subcutaneous nerve (peripheral nerve) during blood sampling, intravenous injection, or infusion. This can cause pain that may be more intense than usual, followed by a numbness and the pain may persist, but in most cases, the after-affect will subside in a matter of days or weeks. However, in extremely rare cases (once out of 10,000 to 100,000 cases), the pain and numbness may last long-term and the hand may suffer permanent damage. The location of the peripheral nerves varies greatly from person to person, making them imYou may take your medication as usual. to locate in advance, and modern medicine unfortunately cannot completely eliminate the risk entirely. Please be aware that by consenting to blood sampling, intravenous injections, infusions, or any other venipuncture procedures you are agreeing to incur the risks of such rare occurrences.

In the unlikely event that this happens, we will provide the best treatment we can offer. Please note that the medical treatment at that time will be eligible for insurance coverage.

【Tumor markers】

This test measures specific substances produced by tumor cells mainly in the blood (serum). However, these specific substances are also produced in normal cells thus it does not immediately indicate the presence of a tumor.

【Other】

・ Please note that the blood collection results of During Pregnancy may be out of the standard value even if there is no abnormality.

・ The PSA level may be lowered if you are on medicaion for AGA.

【Please be sure to read before CT / X-ray examinations】

There have been reported incidents of partial electrical resetting in some implantable cardiac pacemakers during X-ray and/or CT examinations. Please contact us if you have a pacemaker.

【Instructions and Consent form for Upper Gastrointestinal Endoscopy】

【Please review carefully, if you are requesting to use sedation】

※Reservation is required in advance. Please call the reservation center.

Those who are diagnosed or suspected with glaucoma ( increased intraocular pressure.) or Enlarged Optic Disc Depression should consult with an ophthalmologist in advance. It must be confirmed that you may use sedatives with a written document (medical certificate etc.)or confirm by consulting or phoning an ophthalmologist.

If you use sedatives, you cannot drive, drink or exercise on the day of the exam. You will also need to rest for about an hour after the inspection.

【For those who are taking *warfarin (warfarin K) *Anti-coagulants】】

Warfarin (warfarin K) an anticoagulant initiates smooth blood flow and is used for medication and prevention for cerebral infraction, myocardial infraction, lower limb vein thrombosis, pulmonary thromboembolism etc.

Since there is an increased risk of post-procedure bleeding , we are not able to collect tissue examples (biopsy) at our clinic even if you take the medication with a physician’s requirement.If that is the case, we will refer you to a specialized medical institution that performs it.

We ask for your understanding of the safe conduct of examinations.

The upper gastrointestinal tract X-ray (upper GI) test is a test in which barium (a barium sulfate preparation) is consumed. Barium is a medicine that clearly shows up in the stomach and is needed for a detailed examination. However, sometimes after drinking barium, one can experience side effects such as constipation, temporary diarrhea, anal pain, and nausea. Additionally, in rare cases, there has been reports of patients experiencing shock (allergic symptom) called barium hypersensitivity. To ensure that patients understand the necessity and dangers of the barium exam, and that examinations are safely conducted, please check the following contraindications.

Please note that in addition to contraindications, the examination may be refused or terminated if there are retained gastric contents on the day of the examination, as it interferes with imaging and reading diagnosis, and there is also a heightened risk for vomiting or aspiration.
In particular, patients taking GLP-1 or GIP/GLP-1 Receptor Agonists for diabetes or obesity treatments or weight loss purposes, even if they have abided by the fasting period, are significantly more likely to have retained gastric contents.
Furthermore, if you have an on-body device (e.g., continuous glucose monitor, insulin pump, etc.), because it may affect the operation of the device, please remove it before the examination with permission from your doctor.

After the examination, please drink plenty of water to help the barium pass through your system more quickly.

If any of the following items apply, you are not eligible for barium testing at this clinic:

MRI is an examination that uses magnetic force and radio waves (high frequency) in a high magnetic field to image out the hydrogen inside the body. Since no radiation is used, there is no influence from radiation exposure.

Precautions before conducting the examination

Magnetic force and radio waves do not usually affect the human body, but if there is metal on the surface or inside the body, not only does it affect the accuracy of the test, but it can also result in dangerous situations where the metal generates heat.

If any of the following items apply, you are not eligible for an MRI at this clinic.

【Persons who are menstruating】

Endometrial cancer exam and vaginal smear culture are not accepted.
＊ We asked that you bring in your urine and stool samples on a later date.
＊ The cervical cancer examination, transvaginal ultrasound, and HPV examinations are available. Thanks to the LBC method, with a high test accuracy is adopted, there have been no cases where specimens could not be created due to menstrual blood contamination since our clinic has been in business. If you wish to have an endometrial cancer exam or vaginal smear culture done, we will reschedule the exams on for a later date.

【Persons currently breastfeeding】

We do not allow the mammography exam at our clinic.
＊ Ultrasound (echo) tests can be performed without any problem, but if you are currently breastfeeding or if its right after you have started weaning, the accuracy of the test may be slightly lower than usual. If you use sedation during your endoscopy (upper GI endoscopy or colonoscopy), we ask that you refrain from breastfeeding for at least 12 hours after administration, so please milk beforehand if necessary.

【Persons undergoing fertility treatment】

Please notify your attending physician of your medical checkup, be sure to receive clear instructions regarding any exams involving radiation and please notify our clinic about your treatment and your physician’s instructions.

【Pregnant women, persons who are potentially pregnant】

Regardless of whether or not you wish to have a baby, the following test items will not be available on the day of your appointment.

• X-ray examination （chest, stomach (barium),Bone density, and mammography）
• CT examination
• MRI / MRA Examination
• Upper gastrointestinal endoscopy (Upper GI Endoscopy)
• Lower digestive tract endoscope (Colonoscopy)
• Uterine cancer test
• Pulmonary function tests

＊ Please note that blood sampling results if you are pregnant may fall outside of the standard range even if there are no abnormalities.