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About 2 days before endoscopy that usually have a blood test to check the ability of blood to clot. If you are taking medicines that change how your blood clots, it is very important to let your doctor know. These drugs include aspirin, arthritis medicines, warfarin (Coumadin). Below is an animation that shows what happens when you have an endoscopy to look for changes in your digestive system, stomach or small intestine. You can have an endoscopy in outpatient settings. A nurse will be there to support you throughout the procedure. Most people have a choice between having the test while they are awake, or having had a medicine to make them sleepy (a sedative). Your hospital may not be happy for you to have a sedative if you live alone and have no one to take care of you when you go home. If you live alone, but really want to sedation, your hospital may allow you to stay overnight. If you do not have a sedative, you will have a spray to numb the back of her throat and make it easier for you to swallow the tube endoscopy. If you prefer to be asleep during the test, you will have an injection to make you very sleepy just before the test. You will need to take someone with you to your appointment at the hospital. You will not be able to drive for the rest of the day and should have someone to go home with you. You can not eat or drink for about 6 to 8 hours before the test so that your stomach and duodenum are empty. The doctor or nurse will give you written instructions about this in advance, or they can arrive with your letter of appointment. When you arrive at the clinic, you may be asked to take your clothes off and put a top coat. Once you are ready, you get on the bed or couch X-ray. When you're lying comfortably injection sedative to make you very sleepy. Or your doctor or nurse will spray the back of the throat to numb it. Once the sedative or throat spray has worked, your doctor or nurse endoscopist will pass the endoscope tube down her throat to the area who want to watch. They will ask you to swallow the tube goes down, but if you have had a sedative, you do not remember after that. If there are abnormal areas, the doctor or nurse will take pieces of tissue (biopsies) from them to send to the laboratory for examination under a microscope. When the test is finished you will need to rest for a while '. If you have had a sedative, you may not remember much discussion (if not more) on the test once you have come. You should be able to go home the same day.