Recovery After Upper Endoscopy: What to Expect

Medically Reviewed By William C. Lloyd III, MD, FACS
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Unseen woman holding throat in pain

Upper endoscopy is a minimally invasive procedure that uses an endoscope to examine the upper gastrointestinal tract—the esophagus, the stomach, and the first segment of the small intestine. An endoscope is a small, tube-like instrument with a lighted camera (or endoscopic ultrasound) that sends pictures of the inside of your body to a video screen. With these images, your doctor can diagnose and sometimes treat conditions of the upper GI tract.

Most people recover quickly after upper endoscopy with little discomfort. Knowing what to expect after upper endoscopy allows you to plan ahead to ease any discomfort, identify any concerning symptoms, and speed the recovery process.

Typical Post-Endoscopy Symptoms

What you experience after endoscopy depends on your health, your specific procedure, and other factors. Post-procedure symptoms relate to either the sedation for the procedure or the endoscopy procedure itself. Common symptoms after an upper endoscopy include:

  • Amnesia or fragmented memories of your outpatient stay
  • Bloating
  • Grogginess
  • Impaired swallowing
  • Mild pain at the site of the intravenous line
  • Sore throat

These symptoms should resolve within a day or two. If you continue to experience discomfort after a couple of days, call your doctor’s office for advice.

Plan Ahead for a Comfortable Recovery

Follow these tips for a safe, restful and speedy recovery:

  • Arrange for someone else to drive you to and from the hospital or outpatient center. After receiving intravenous sedation, you cannot safely operate a vehicle.
  • Drink plenty of water to help eliminate the sedation medications from your system.
  • Eat soft foods or liquids for the first meal or two after endoscopy. Good choices include broth, gelatin, mashed potatoes, eggs, and other easy-to-swallow foods.
  • Follow your doctor’s written instructions.
  • Plan to spend the day resting.
  • Suck on hard candies or popsicles to soothe a sore throat.
  • Take frequent walks if you experience discomfort from bloating.

Watch for Concerning Symptoms

Watch for these serious symptoms that may indicate a serious or life-threatening situation. These symptoms require prompt medical intervention. Call your doctor’s office right away or seek immediate medical care:

  • Breathing problems
  • Change in mental status, such as fainting or delirium
  • Chest pain and other symptoms of a heart attack
  • Fever over 101 degrees Fahrenheit
  • Severe endoscopy pain beyond mild bloating or pain that gets progressively worse instead of better
  • Stool that is bloody, black or tarry

Always call 911 for emergency medical assistance when symptoms appear life threatening, such as in the case of a suspected heart attack. For other potential endoscopy complications, call your doctor’s office to find out how to proceed.

Because upper endoscopy is minimally invasive, most people recover quickly and get back to regular life within a day or so.

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Medical Reviewer: William C. Lloyd III, MD, FACS
Last Review Date: 2020 May 12
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THIS TOOL DOES NOT PROVIDE MEDICAL ADVICE. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on the site. If you think you may have a medical emergency, immediately call your doctor or dial 911.
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