Worried About Gagging During Gastroscopy?Ask About the Nasal Route

After transnasal endoscopy, persistent vomiting, fever, a nosebleed, passing blood or vomiting blood needs immediate contact with the treating team or assessment at an emergency department. Tell the clinician which procedure you had.¹

Start with what happened last time

Try: “The last examination was difficult for me. I want to explain what happened and discuss the options for this one.”

Describe the part you remember struggling with and what you most want explained. If you have a previous procedure report, bring it. You can ask the team to review that record alongside your account, especially if you are uncertain which examination you had.

Ask what the nasal route would involve

Transnasal endoscopy passes a thin camera through the nose to examine the food pipe, stomach and duodenum. Tissue samples can be taken if needed. UCLH says many patients experience less gagging with this route; that does not guarantee your comfort.¹

Try: “Could the nasal route answer the question behind my referral? Please explain what you would examine and what I might experience.”¹

Ask for the steps in words you understand. Say which part you want explained again before deciding. If you would like someone close to you involved in that conversation, tell the team who that is and what you want them to hear.

Tell the team about your nose beforehand

UCLH advises contacting the team in advance about blockage on both sides, recent nasal injury or surgery, or frequent nosebleeds, because these may affect suitability. The team needs to assess whether this route fits you.¹

Try: “There is something about my nose that may be relevant. Who should I discuss it with before the appointment?”¹

Give the history in your own words and ask whom to contact if you remember another detail later. Record the answer beside your appointment information so the concern reaches the right service.

Ask about the alternatives before deciding

UCLH describes an examination through the mouth with throat spray or sedation as the main alternative. Ask the team to explain the benefits, risks and suitability of the options for your investigation.¹

Try: “I understand why you want the test. Please explain which options you are offering and why.”

Request the written preparation instructions for the option agreed with your team. Keep unresolved questions with the booking contact rather than borrowing another person’s instructions.

Bloated by Dinner includes a Test It list and visit script for preparing appointment questions.