Paediatric Gastroenterology

Paediatric Endoscopy is the extension of our existing gastroenterology services to children aged between two and 16 years old.

Bowel Preparation - Child (2 - 5 years old)

To allow a clear view, the colon (large intestine) must be completely clear of waste material.  Your child will need to be on a clear fluid diet starting 48 hours before the procedure.  Clear fluids allowed include water, ice pops, clear soup, clear fruit juice (but not those with pulp such as fruit juice), Pedialyte, jelly, powdered drinks, soft drink and boiled sweets.  No milk or dairy products are allowed.

Your child will need to be given an enema (liquid medicine through the anus into the rectum) the night before the procedure.  You will need to make arrangements for this to be administered by a nurse at your GP’s practice if you are not comfortable doing this at home.  A medicine to help move the bowels (Dulcolax) will also need to be given by mouth the evening before the procedure.  A prescription will be posted out to you for the enema and the Dulcolax.  The Dulcolax may need to be crushed in some water depending on the age of your child.  A further enema will be given at Mercy Hospital on the day of the procedure.

On the day of the procedure, your child should have nothing to eat from 7:30 am. However, clear fluids (but not jelly or boiled sweets) are allowed until 11:30 am. After 11:30 am, your child is not allowed anything to eat or drink until after the procedure. It is most important that your child has an empty stomach at the time of the procedure so that there is no risk of fluid going from the stomach to the lungs while the child is asleep. If these instructions are not carried out, the procedure may need to be cancelled.

After the Procedure:

Following the procedure, your child will go to a recovery room for a short time.  When your child is fully awake, fluids or an ice block are offered. Your child can return to a normal diet at home unless otherwise instructed.

Please inform us if your child has persistent pain, black tarry stool, or troublesome vomiting in the hours or days after the procedure.

Dr Roberts will discuss the findings of the endoscopy with you before discharge. Subsequent follow-up will need to be arranged (two weeks after the procedure), to discuss biopsy results, management and any required ongoing follow-up.


These are the main instructions in summary

  1. Clear fluid diet for 48 hours before the procedure (no milk or dairy products)
  2. Enema medicine and some Dulcolax medicine the day before
  3. Nothing solid to eat from 7:30 am on the day of the procedure, but clear fluids (not jelly or boiled sweets) are allowed until 11:30 am
  4. Nothing to eat or drink at all from 11:30 am
  5. Please arrive at Mercy Hospital at least 30 minutes prior to your appointment time

Bowel Preparation - Child ( 6 - 8 years old)

To allow a clear view, the colon (large intestine) must be completely clear of waste material.  Your child will need to be on a clear fluid diet starting 48 hours before the procedure.  Clear fluids allowed include water, ice pops, clear soup, clear fruit juice (but not those with pulp such as fruit juice), Pedialyte, jelly, powdered drinks, soft drink and boiled sweets.  No milk or dairy products are allowed.

The day before the procedure, your child will need to have half a sachet of Picoprep at 10:00 am and another half sachet of Picoprep at 4:00 pm. It is important to keep drinking clear fluids after the Picoprep has been consumed, otherwise it will not work. Your child needs to drink at least 1 cup of water every hour (minimum) from 10:00 am until they go to bed at night.

On the day of the procedure, your child should have nothing to eat from 7:30 am. However, clear fluids (but not jelly or boiled sweets) are allowed until 11:30 am. After 11:30 am, your child is not allowed anything to eat or drink until after the procedure. It is most important that your child has an empty stomach at the time of the procedure so that there is no risk of fluid going from the stomach to the lungs while the child is asleep. If these instructions are not carried out, the procedure may need to be cancelled.

After the Procedure:

Following the procedure, your child will go to a recovery room for a short time.  When your child is fully awake, fluids or an ice block are offered. Your child can return to a normal diet at home unless otherwise instructed.

Please inform us if your child has persistent pain, black tarry stool, or troublesome vomiting in the hours or days after the procedure.

Dr Roberts will discuss the findings of the endoscopy with you before discharge. Subsequent follow-up will need to be arranged (two weeks after the procedure), to discuss biopsy results, management and any required ongoing follow-up.

These are the main instructions in summary

  1. Clear fluid diet for 48 hours before the procedure (no milk or dairy products)
  2. Picoprep (sachet x 2) the day before
  3. Nothing solid to eat from 7:30 am on the day of the procedure, but clear fluids (not jelly or boiled sweets) are allowed until 11:30 am
  4. Nothing to eat or drink at all from 11:30 am
  5. Please arrive at Mercy Hospital at least 30 mins prior to your appointment time

Bowel Preparation - Child (9 years and older)

To allow a clear view, the colon (large intestine) must be completely clear of waste material.  Your child will need to be on a clear fluid diet starting 48 hours before the procedure.  Clear fluids allowed include water, ice pops, clear soup, clear fruit juice (but not those with pulp such as fruit juice), Pedialyte, jelly, powdered drinks, soft drink and boiled sweets.  No milk or dairy products are allowed.

The day before the procedure, your child will need to have 1 sachet of Picoprep at 10 am and another 1 sachet of Picoprep at 4 pm. It is important to keep drinking clear fluids after the Picoprep has been consumed, otherwise it will not work. Your child needs to drink at least 1 cup of water every hour (minimum) from 10 am until they go to bed at night.

On the day of the procedure, your child should have nothing to eat from 7:30 am. However, clear fluids (but not jelly or boiled sweets) are allowed until 11:30 am. After 11:30 am, your child is not allowed anything to eat or drink until after the procedure. It is most important that your child has an empty stomach at the time of the procedure so that there is no risk of fluid going from the stomach to the lungs while the child is asleep. If these instructions are not carried out, the procedure may need to be cancelled.

After the Procedure:

Following the procedure, your child will go to a recovery room for a short time.  When your child is fully awake, fluids or an ice block are offered. Your child can return to a normal diet at home unless otherwise instructed.

Please inform us if your child has persistent pain, black tarry stool, or troublesome vomiting in the hours or days after the procedure.

Dr Roberts will discuss the findings of the endoscopy with you before discharge. Subsequent follow-up will need to be arranged (two weeks after the procedure), to discuss biopsy results, management and any required ongoing follow-up.

These are the main instructions in summary

  1. Clear fluid diet for 48 hours before the procedure (no milk or dairy products)
  2. Picoprep (sachet x 2) the day before
  3. Nothing solid to eat from 7:30 am on the day of the procedure, but clear fluids (not jelly or boiled sweets) are allowed until 11:30 am
  4. Nothing to eat or drink at all from 11:30 am
  5. Please arrive at Mercy Hospital at least 30 mins prior to your appointment time

Payment Details

  • We advise you to apply to your insurance company for prior approval before your admission
  • Bring your health insurance prior approval letter to your appointment
  • With the exception of Southern Cross, once your account has been finalised, we will forward your invoice to your insurance company
  • If you do not have medical insurance or prior approval from your medical insurance, we will calculate an estimated total cost of your procedure and a deposit will be required on admission.  On completion of your stay your account will be processed and the amount adjusted accordingly. The total amount charged varies from patient to patient and any extra charges are to be settled on discharge.