Frequently asked questions

Complete Blood Count/ CBC Three days before the test day, medications especially the antibiotics should be discontinued. Also alcohol and spicy, greasy food should not be taken within that time.

It is a fasting blood test, thus the blood should be taken 6-8 hours after the last meal, which should be light and easy digestible. Water and tea without sugar can be consumed before the test.

Urine Test

A fasting urine sample should be used. It can be taken after arriving into the hospital; we will provide you sterile glassware. If you bring the urine sample into laboratory, it should be taken from the middle portion during the urination and put in a clean container. Please refrain from consuming beetroot, chocolates, coffee and sweets the day before the test.
Avoid heavy physical activities tree days before the test, such as physical work, fitness, bodybuilding, and long distance walking, jogging. No urine test is taken during the menstruation.

Sputum analysis Please obtain a sterile container from the laboratory beforehand. The best time to collect sputum is the early morning. Do not eat and drink before the mucus collection. Please rinse well your mouth, take a deep breath, slightly bend forward, cough and split the mucus into the container without keeping it in your mouth.

Stool test

Flash the toilet beforehand, put a special tissue in the toilet seat. After defecating, take a sample without urine contamination and put into the designated container.

Please let us know if you are having any metal part inside your body such as:

• Spine pins and needles
• Hip or knee replacement pins and implants
• Metal parts in heart (pacemaker, valve replacement) and so on

How to prepare for the procedure?
Do not wear tight clothing with metal fastening (buttons, zipper)
The instructions on eating before the MRI depend on the type of the actual MRI test. In some cases 8-12 hour fasting is required. If you have not been warned about it, then you can take food and medications as usual.
In some cases, a contrast substance is required to be taken or injected before the MRI procedure. The radiologist or the technician will ask you if you have any allergies for such kind of substances, for any other medications and food; if you suffer from sever chronic conditions or had recently an operation. Patients with severe kidney diseases and some other conditions cannot have the contrast substances.
If you are pregnant, you must inform the doctor and the technician. MRIs have been performed since 1980 and there is no evidence so far, that MRI has any negative results on pregnant women and the fetus. However, this diagnostic procedure uses very strong magnetic field, thus pregnant women should undergo MRI only when it is necessary.
You should take off jewelry and other accessories. Metal and electronic tools interrupt the MRI’s magnetic field, thus do not take with you into the MRI room the following items:

• Jewelry, watches, bank cards, hearing devices
• Hair clip, metal buttons, zipper
• Removable dentures
• Pen, jack-knife, keys, eye glasses
• Earrings, rings, bracelets, necklaces

Patients with metal based implants can undergo most MRI tests, however there are some implants that do not permit testing, such as:

• Installed internal defibrillator or pacemaker
• Cochlear implants
• Cerebrovascular clips

You should inform the technician about certain treatments or any electronic devices that you wear. Devices, such as listed below, may interfere with MRI and pose certain risks.

• Artificial heart valves
• Implanted injection catheters
• Internally installed electronic devices such as pacemakers
• Artificial limbs or metallic joint prostheses
• Installed nerve stimulators
• Stent, surgical clips, metal pins

Chest and abdominal Computer Tomography

• Fasting for 5-6 hours prior testing is required.
• Take off some or all of your clothing and wear loose clothing. Remove any metal objects, such as a belt or jewelry and mobile phones, which might interfere with image results.
• If contrast is required for the scan, contrast test will be done in 15-20 minutes prior the test. If allergic reaction occurs, scan with contrast will not be done.
• Patient shall read through and sign the permission slip for scan with contrast.
• Depending on the scans, contract can be taken orally or rectally.
• If bladder and pelvic organs are being tested, bladder must have enough urine.
• If patient is in severe or critical condition, the doctor in charge and nurse shall accompany the patient.
• Depending on outpatient or inpatient services, patient shall bring the hospital ID card or medical record, respectively.

If you take regularly hypertension medications, please make sure that on the day of the procedure you have taken it. However, if you take diabetic medication, you should skip it on the day of the procedure.

Preparations before the procedure

The day before the procedure eat some easily digestible and soft food for the breakfast and the lunch. Do not eat or drink in the evening and on the morning of the procedure. During this period do not consume colored fruits with seeds and dairy products as it will interfere with the procedure.

How to use the laxative

• On the day before the colonoscopy at 5 pm, dissolve half of the laxative with in 45ml of water and take it. After 10 min start drinking small amounts of water until you drink the total of 4 liters of it. During this period make sure you move enough (massaging the stomach clock-wise, walk around and do light exercises and etc.) In the morning of the day of the examination at 5 am dissolve the rest of the laxative and drink it up, after 10 min continue to drink small sips of warm boiled water until the stool became liquid and light yellowish (3-4 liters).
• Drink the liquid with a blue cap at 7 am in the morning of the procedure day to suppress foaming in the intestinal walls

Things to pay attention
Please use the laxative according to the instruction only. You will have diarrhea afterward. In rare cases, nausea may occur while taking the laxative. In this case, you can chew gum and use colorless mint candy. Try not to vomit out the laxative. Be sure to notify your nurse if vomiting occurs.

Please note that due to incomplete bowel cleansing, you may not be correctly diagnosed and the colonoscopy may not be effective, you might experience severe discomfort during the procedure, and its duration may be prolonged. In some cases you might need to take the laxative medication again.

In some very rare occasions, dizziness and lightheadedness may occur during and after bowel cleansing. In this case, please contact us.

Abdominal Ultrasound

• You’ll need to fast for 4-6 hours before your abdominal ultrasound.
• If you have excessive weight or have flatulence, avoid bloat inducing food (diary products, eggs, and carbonated drinks) for 3 days prior the examination day. Also, intake of carboline or activated charcoal tablets 3 times/day can help reduce the bloating.
• For examining the pelvic area organs, the bladder should be full.

EKG

• If you take any medication for heart, please do not take them before the test. Consult with your doctor.
• Avoid drinks or food containing caffeine or alcohol, which stimulates faster heartbeat. Avoid drinking cold water or exercising immediately before an electrocardiogram.
• Physical activity, such as climbing stairs, may increase your heart rate.

Pap smear test

To ensure that your Pap smear is most effective, follow these tips prior to your test:

• douching (48 hours)
• using any vaginal medicines or spermicidal foams (7 days), or
• creams or jellies for 2 days before having a Pap smear, as these may wash away or obscure abnormal cells
• Avoid intercourse (24 hours),

Гоо сайхны мэс засал хийлгэхэд анхаарах зүйл:

• If you are using Vitamin E, fish oil, Omega 3, aspirin and NSAID medications, please stop it 4 weeks in advance of the planned surgery, because they might cause excessive bleeding. Other Supplements and Plant based products with the similar effect of blood thinning should be discontinued.
• If you take acne medication, such as Isotretinoin (Roaccutance), it should be stopped 12-18 months prior the surgery. This medication prevents wound from healing and causes scarring
• If you smoke, stop smoking 4 weeks before and 4 weeks after the surgery! Smoking can interfere with healing by constricting and decreasing blood flow all over the body, which may prevent the wound from healing properly.
• Face or body moisturizer or make-up should be avoided on the day of the surgery.
• Should wear loose-fitting gown with button fastening.
• Арьсанд даралт өгөхөөргүй тайлахад хялбар товчтой хувцас өмссөн байх.
• Prior Face or forehead lift surgeries face and ears should be thoroughly cleaned. Hair coloring can be done 2 week prior or 3 week after the surgery. If you have a short hair, it is appropriate to grow it to enough length that will cover the wound
• There should be no alcohol consumption the day before the procedure and for a minimum a weeks after it.