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Question:

Should I have IV antibiotics prior to colonoscopy?

I am scheduled for a colonoscopy. One cardiologist says yes to antibiotic treatment IV style (which requires my being there two hours ahead of procedure so I can have required meds) while another doctor says new protocol says meds are not required. Had biologic aortic valve surgery in 2004 and heart ablation in 2008. Which is the course to be followed in this case? I am postponing colonoscopy until I can be certain, since using IV antibiotics after all the colon cleansing agents will be hard on the body. 

submitted by Maureen from Dorval, Quebec, Canada on 3/7/2013

Answer:

by Texas Heart Institute cardiologist, Michael J. Mihalick, MD  

Michael J. Mihalick, MDThe current guidelines recommend no antibiotic prophylaxis prior to GI endoscopy because the risk is so low. Previous recommendations were based on theoretical estimates that have not been confirmed.  

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Updated March 2013
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Texas Heart Institute Heart Information Center
Through this community outreach program, staff members of the Texas Heart Institute (THI) provide educational information related to the prevention, diagnosis, and treatment of cardiovascular disease. It is not the intention of THI to provide specific medical advice, but rather to provide users with information to better understand their health and their diagnosed disorders. Specific medical advice will not be provided and THI urges you to visit a qualified physician for diagnosis and for answers to your questions.
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