IVP / IVU With Non Ionic Contrast

Intravenous Pyelogram (IVP) or Intravenous Urogram (IVU) is a radiological procedure that involves the use of X-rays along with a contrast material to visualize the urinary tract. The procedure helps in examining the kidneys, ureters, and bladder. The use of non-ionic contrast material minimizes the risk of allergic reactions, making it safer for most patients.

IVP or IVU is an invaluable tool in the diagnosis and management of various urinary tract disorders. The procedure involves injecting a contrast material into the bloodstream, which is then filtered out by the kidneys. This contrast material helps to outline the kidneys, ureters, and bladder on X-ray images. By providing a detailed view of the urinary tract, this procedure can help diagnose kidney stones, tumors, or other abnormalities.

Non-ionic contrast material is used because it is less likely to cause allergic reactions compared to ionic contrast material. This makes it safer, especially for patients with a history of allergies or asthma.

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• Fasting: Usually, patients are asked to fast for 8 to 12 hours before the procedure. This means not eating or drinking anything except water.
• Medication: Inform your doctor about any medications you are taking, as they might ask you to stop certain medications before the procedure.
• Allergies: It’s crucial to tell your doctor if you have any allergies, especially to iodine or any contrast materials.
• Previous Reactions: If you’ve had a reaction to contrast material in the past, inform your doctor as they may take precautions to minimize reactions.
• Clothing: Wear comfortable clothing and avoid wearing jewelry or any metal objects as they will need to be removed.

The procedure is usually carried out in the radiology department. You’ll be asked to change into a hospital gown and lie on an X-ray table. An IV line will be inserted into a vein, usually in your arm, and the contrast material will be injected. X-ray images will be taken at different time intervals as the contrast material moves through your urinary tract. You might be asked to change positions or hold your breath at times.

IVP/IVU is essential for the diagnosis and management of various urinary tract conditions such as:

• Kidney Stones: Helps in detecting the presence and location of kidney stones.
• Tumors: Useful in identifying tumors in the kidneys or urinary tract.
• Infections: Can help in diagnosing chronic kidney infections.
• Structural Abnormalities: Used to detect any structural abnormalities in the urinary tract.
• Kidney Function: Helps in assessing the function of the kidneys.

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Preparation for a IVP / IVU With Non Ionic Contrast may vary depending on the exact nature and location of the suspected sinus tract. You should communicate with your doctor about any medications you are currently taking, any allergies you have (especially to iodine or contrast material), and if there's a possibility that you are pregnant.

Eating and drinking restrictions might be in place if the procedure requires sedation or anaesthesia. This usually involves fasting (not eating or drinking) for a specified period before the process. However, this largely depends on your doctor's instructions.