China Merchants Health Care -Women's Painless Gastrointestinal Endoscopy Examination Package

Health Check Precautions

1. Diet and Lifestyle Before the Examination: On the morning of the examination, you must fast and avoid drinking water. The day before, maintain a light diet, avoid eating after 8 PM, and refrain from drinking water after 10 PM. Ensure adequate sleep, avoid strenuous exercise, and stay emotionally calm to ensure accurate test results.
2. Blood Tests: If blood tests are included, fast for 8-12 hours prior to the test. If you have a history of fainting or feeling dizzy during blood draws, please inform medical staff in advance.
3. Radiation-Related Tests: For X-ray examinations, do not wear clothing with metal decorations or accessories. Pregnant women or those planning to conceive within six months should avoid radiation-related tests such as X-rays.
4. Gynecological Examinations: For ultrasound examinations of the uterus and its appendages, retain urine in the bladder beforehand. Women with no sexual history or who are pregnant should not undergo gynecological examinations. Women during menstruation should not undergo gynecological examinations or routine urine tests; it is recommended to schedule the examination 2-3 days after the menstrual period ends.

Precautions for Gastrointestinal Endoscopy

What is Painless Gastrointestinal Endoscopy?

Painless gastrointestinal endoscopy refers to a technique where a small amount of short-acting sedative and analgesic drugs are administered intravenously during the procedure. This allows the patient to undergo the examination in a state of light sleep, experiencing no pain or discomfort and retaining no memory of the procedure. At the end of the examination, due to the short half-life of the drugs, the sedative effects wear off quickly, and the patient regains consciousness rapidly. Painless gastrointestinal endoscopy is very safe when performed in a well-equipped medical center.

Who Needs a Gastroscopy?

1. Individuals suspected of having esophageal, gastric, or duodenal diseases who have not been definitively diagnosed through comprehensive examinations.
2. Those experiencing retrosternal pain, burning sensation, or difficulty swallowing, suspected of having esophageal conditions.
3. Patients with peptic ulcers requiring gastroscopy to monitor healing and differentiate between benign and malignant conditions.
4. Individuals undergoing screening for gastric or esophageal cancer, requiring gastroscopic treatment and timely follow-up.
5. Those with upper gastrointestinal polyps or protruding lesions, needing gastroscopic treatment and regular follow-up.
6. Patients with upper gastrointestinal bleeding, to identify the source of bleeding and facilitate prompt and appropriate treatment.
7. Individuals with chronic upper gastrointestinal inflammation, such as chronic gastritis, who may require repeated gastroscopy for treatment and follow-up.
8. Patients who have undergone gastric surgery and need periodic gastroscopy for follow-up.
9. People over 40 years old, recommended to undergo gastroscopy annually.

Who Needs a Gastroscopy?

1. Individuals experiencing recurrent pain in the middle or lower abdomen, with unexplained changes in bowel habits (increased or decreased frequency).
2. Those with symptoms such as rectal bleeding, unexplained weight loss, or anemia.
3. People with recurrent irregular bowel movements, bloating, or persistently dry or loose stools that do not respond to treatment.
4. Individuals over 40 years old with a family history of colorectal cancer.
5. Those with repeatedly positive fecal occult blood tests during routine physical examinations.

Painless Gastrointestinal Endoscopy Procedure:

1、Doctor’s Assessment: The doctor evaluates whether the patient is suitable for painless gastrointestinal endoscopy and discusses related risks. If the patient is deemed suitable, the doctor confirms the appointment time for the procedure, and the patient takes home the prescribed laxative. If the patient is not suitable for painless gastrointestinal endoscopy, the patient will need to pay HKD 2,230 for the other health check items in this package, and the remaining difference will be refunded.

2、Examination Process: The patient must arrive on time for the scheduled appointment. The afternoon before the examination, a nurse from the medical center will call to confirm the appointment time and provide relevant precautions.

1. Gastroscopy

1. Anesthesia: The patient is injected with anesthesia and undergoes the procedure after falling asleep.
2. Procedure: The endoscope is inserted through the mouth, passing through the esophagus and stomach, into the duodenum for examination.
3. Duration: The entire process takes approximately 10–20 minutes.

2. Colonoscopy

1. Anesthesia: The patient is injected with anesthesia and undergoes the procedure after falling asleep.
2. Procedure: The endoscope is inserted through the anus to carefully examine the large intestine.
3. Duration: The entire process takes approximately 15–30 minutes.

3. Explanation of Report by Doctor

The final price of the gastrointestinal endoscopy examination will be determined based on the results of the examination. If additional tests or treatments, such as complex procedures, are required during the gastrointestinal endoscopy, the doctor will typically proceed with the necessary interventions for your health. The costs for endoscopic procedures and the use of instruments are not included in this package and will be billed separately. Dezheng Clinic of China Merchants Renhe Houde Medical Management (Shenzhen) Co. Ltd. bank cards, Alipay, WeChat, AlipayHK, and WeChatHK payments (settled according to the exchange rate on the day of payment). For painless gastrointestinal endoscopy, if suspicious lesions are found requiring biopsy or treatment, the detailed costs are as follows:

Examination Information

1、During the visit, the doctor will conduct an assessment and schedule the examination time.

2、Please inform the doctor in advance if you have any of the following conditions:

(1) History of drug allergies, bleeding disorders, heart disease, hypertension, liver disease, glaucoma, prostate enlargement, urinary retention, or symptoms on the day of the examination such as sore throat, palpitations, shortness of breath, headache, chest pain, or abdominal pain.

(2) Currently taking anticoagulant or antiplatelet medications (e.g., aspirin, clopidogrel, warfarin, dabigatran, etc.).

3、On the day of the examination, temporarily stop taking diabetes medications until the procedure is complete. Medications for hypertension or thyroid treatment can be taken with a small amount of water at 6:00 AM on the day of the examination.

4、Please bring identification documents for verification. Wear loose, comfortable clothing, avoid heavy makeup and nail polish, and do not wear jewelry or bring valuable items. Before the examination, remove dentures, glasses, and metal objects, and hand them to family members for safekeeping.

5、Women should avoid undergoing endoscopy during their menstrual period.

6、On the day of the examination, you must be accompanied by a family member to prevent falls.

7、After the examination, rest adequately. If you experience severe discomfort (e.g., abdominal pain, blood in stool, or blood in urine), contact us immediately or seek medical attention promptly.

Precautions for Gastroscopy

1、Patients should fast for 8 hours and refrain from drinking for 4 hours before the examination.

2、During the examination, try to relax and avoid excessive nervousness. Lie on your left side with legs slightly bent, and follow the instructions of the doctor or nurse.

3、After the examination, spit out saliva. Due to throat anesthesia, you may feel a foreign body sensation in the throat. Avoid vigorous coughing to prevent damage to the throat mucosa. You may use lozenges or rinse with diluted saltwater to relieve discomfort.

4、You may drink water 2 hours after the examination to avoid choking or aspiration. If a biopsy was performed, consume cool or lukewarm semi-liquid or soft foods for one day after the 2-hour mark to prevent rough foods from rubbing against the gastric mucosa and causing bleeding.

5、Within 24 hours after the examination, do not drive, avoid smoking and alcohol, refrain from intense exercise, avoid making major decisions, and ensure adequate rest.

6、After polyp removal, fast for 4-6 hours and consume only liquids for 24 hours (the doctor will provide specific instructions based on your condition).

Precautions for Colonoscopy

1、Carefully read the "Dietary Guidelines and Instructions for Taking Oral Laxatives Before Colonoscopy" (see details below).

2、Before the examination, remove underwear and outer pants in the changing room and change into specialized colonoscopy pants.

3、During the examination, try to relax and avoid excessive nervousness. Lie on your left side with your legs bent at a right angle, and follow the instructions of the doctor or nurse.

4、After the examination, if you feel abdominal bloating, perform squatting movements to help expel gas.

5、If there is no discomfort after the examination, you may resume a normal diet. If a biopsy was performed, consume a liquid or low-residue, non-gas-producing diet for 1-2 days, followed by soft foods for 3 days. Maintain smooth and soft bowel movements to avoid bleeding from the biopsy site.

6、Within 24 hours after the examination, do not drive, avoid smoking and alcohol, refrain from intense exercise, avoid making major decisions, and ensure adequate rest.

7、After polyp removal, fast for 4-6 hours and consume only liquids for 24 hours (the doctor will provide specific instructions based on your condition).

Dietary Guidelines and Instructions for Taking Oral Laxatives Before Colonoscopy

I. Dietary Guidelines Before the Examination

1. 3 Days Before the Examination: Stop taking iron supplements, seeded fruits, and high-fiber foods.
2. 2 Days Before the Examination: Avoid melons, beans, vegetables, fruits, and high-fiber foods. Porridge, noodles, rice, bread, and meat can be consumed as usual.
3. 1 Day Before the Examination: Only consume liquid foods (for breakfast, lunch, and dinner).

II. Instructions for Taking Oral Laxatives

※The colonoscopy is scheduled in the afternoon

On the Day of the Examination:

1. Before 6:00 AM: You may consume a small amount of plain porridge. After 6:00 AM, begin fasting.
2. 6:00 AM - 7:00 AM: Take the first packet of “Heshuang” (laxative) mixed with 1000ml of warm water and drink it within 1 hour.
3. 7:30 AM - 8:30 AM: Take the second packet of “Heshuang” (laxative) mixed with 1000ml of warm water and drink it within 1 hour.
4. 9:00 AM - 10:00 AM: Take the third packet of “Heshuang” (laxative) mixed with 1000ml of warm water and drink it within 1 hour.
5. Immediately after finishing the laxative, take 30ml (1 bottle) of simethicone mixed with 50ml of warm water. After this, fasting and abstaining from drinking are required.

III. Precautions for Taking Oral Laxatives

1. Diarrhea typically begins 30-60 minutes after taking the laxative, and you may experience diarrhea more than 10 times (the duration and frequency vary by individual). Monitor your bowel movements. If the stool still contains fecal matter, continue drinking clear water until the output is clear. If permitted, move around to aid the process.
2. If you experience significant abdominal bloating, pause the laxative intake until the bloating subsides, then continue to finish the dose. During laxative intake, if you experience abdominal pain, fever, or blood in the stool, stop taking the laxative immediately and contact Dezheng Clinic of China Merchants Renhe Houde Medical Management (Shenzhen) Co. Ltd. at: +86 400 8466 111 or +86 13312939702.
3. If you feel significant hunger and are not diabetic, you may consider drinking a small amount of sugar water or consuming fruit-flavored candy (not actual fruit).

I. Health Check-up Appointment Guidelines

• After receiving the email confirming successful purchase from health.ESDlife, Dezheng Clinic of China Merchants Renhe Houde Medical Management (Shenzhen) Co. Ltd. will contact the customer to schedule the time and location for the health check within 1 working days during office hours. Customers can also make an appointment by contacting Dezheng Clinic of China Merchants Renhe Houde Medical Management (Shenzhen) Co. Ltd. at least 1 working day in advance (Contact phone Number: +86 13670018171; WeChat:13670018171).
• Upon arrival, the staff of Dezheng Clinic of China Merchants Renhe Houde Medical Management (Shenzhen) Co. Ltd. will verify the customer's name, date of birth, mobile number, and the email confirming successful purchase from health.ESDlife.
• If the customer wants to reschedule the order, please contact contact Dezheng Clinic of China Merchants Renhe Houde Medical Management (Shenzhen) Co. Ltd. at least 1 working day in advance (Contact phone Number: +86 13670018171; WeChat:13670018171).
• The validity period of the health check packages is 3 months. Customers must undergo the relevant checkup within 3 months from the date of confirmed payment. After expiration, it will be considered void.
• During the health check, if customers encounter a doctor who does not speak Cantonese, Dezheng Clinic of China Merchants Renhe Houde Medical Management (Shenzhen) Co. Ltd. can arrange for medical staff to accompany and provide translation services.
• If there are any discrepancies or inconsistencies among the Traditional Chinese, Simplified Chinese, and English versions of the merchant page and the health check package pages, the Traditional Chinese version shall prevail.

II. Retrieval and Explanation of Report

• The health check report is provided in simplified Chinese.
• The health report will be completed within 10 working days after the health check. Customers can choose the following methods to view the report:
  1. After the report is completed, Dezheng Clinic of China Merchants Renhe Houde Medical Management (Shenzhen) Co. Ltd. will send a reminder message to the customer's reserved mobile phone number. The customer can click the link to view the report.
  2. Email: Provide an email address, and Dezheng Clinic of China Merchants Renhe Houde Medical Management (Shenzhen) Co. Ltd. will send the report to the customer's email upon completion.
  3. Mail: Provide a mailing address, and Dezheng Clinic of China Merchants Renhe Houde Medical Management (Shenzhen) Co. Ltd. will mail the report with postage collect (available for delivery to Hong Kong and Macau).
• After the report is completed, customers can schedule an appointment with a doctor to explain the report. The following channels are available:
  1. Telephone explanation: Need to make an appointment at least 1 working day in advance (Contact phone Number: +86 13670018171; WeChat: 13670018171). The doctor will contact the customer proactively at the scheduled time.
  2. Face-to-face explanation: Need to make an appointment at least 1 working day in advance (Contact phone Number: +86 13670018171; WeChat: 13670018171). The customer should go to the health check center at the appointed time to listen to the doctor's face-to-face explanation. Available location for face-to-face explanation:
     • Unit 312, 3rd Floor, Rongchao Economic and Trade Center, No. 4028 Jintian Road, Futian District, Shenzhen City

III. Disclaimer

In case of controversy, health.ESDlife and Dezheng Clinic of China Merchants Renhe Houde Medical Management (Shenzhen) Co. Ltd. reserve the right of final decision.

1. All health check/health screening services are not for the purpose of medical diagnostic or therapeutic purposes. When there is any sign of symptom/disease in your health, please consult Doctor immediately for diagnosis and treatment.
2. The Merchant is the service provider of this Service/Product. ESD Services Limited (“health.ESDlife”) is not the service provider of this Service/Product. Health.ESDlife is irresponsible to any loss, injury or law action caused by using this service/product. Any claims and inquiries should be addressed to the respective Merchant.