Examination Details and Precautions

Information for new questionnaires

* * Important * * Please be sure to read this for all visitors.
Requests to examinees to prevent the spread of new coronavirus infections >>

General Information

  • Fundoscopic and tonometry exams are performed with the naked eye. If you use contact lenses, be sure to bring a contact lens case or an extra pair of lenses.
  • Please refrain from bringing children to any appointments.
  • If you still have not received the pre-mailed paperwork (exam kit, etc.) 1 week prior to your appointment, please contact us.
  • The various medical checkup and comprehensive health screening costs are not covered by medical insurance.
  • Please be sure to bring your insurance card, as we may conduct examinations that are eligible for insurance coverage.
  • We are not able to give out parking tickets so please use public transportation.

Advance Notices

If any of the following items apply to you, please let us know in advance.

  • If your surname or insurance card information has changed since the time of booking
  • If there is an error in your name, date of birth, etc.
  • If you are currently pregnant or there is a change you are pregnant
  • Wheelchair users and/or those who need assistance
  • If you have a pacemaker
  • If you have undergone breast augmentation surgery (silicone, saline bags, fat / hyaluronic acid injection, etc.)

Examination Details and Precautions

About sample container

Stool inspection: Collect items within 3 days including the date of consultation. (Please refrain from collecting two at the same time.)
Urine test: Collect as soon as possible in the morning on the day of the consultation.

Blood tests

[Please be sure to read before venipuncture procedures such as blood sampling, intravenous injections or infusions]

If you have felt sick or have lost consciousness in the past due to blood sampling or infusions, please notify us so that we may safely perform the procedure. The needle may hit a thin subcutaneous nerve (peripheral nerve) during blood sampling, intravenous injection, or infusion. This can cause pain that may be more intense than usual, followed by a numbness and the pain may persist, but in most cases, the after-affect will subside in a matter of days or weeks. However, in extremely rare cases (once out of 10,000 to 100,000 cases), the pain and numbness may last long-term and the hand may suffer permanent damage. The location of the peripheral nerves varies greatly from person to person, making them impossible to locate in advance, and modern medicine unfortunately cannot completely eliminate the risk entirely. Please be aware that by consenting to blood sampling, intravenous injections, infusions, or any other venipuncture procedures you are agreeing to incur the risks of such rare occurrences. In the unlikely event that this happens, we will provide the best treatment we can offer. Please note that the medical treatment at that time will be eligible for insurance coverage.

In the unlikely event that this happens, we will provide the best treatment we can offer. Please note that the medical treatment at that time will be eligible for insurance coverage.

Tumor markers

This test measures specific substances produced by tumor cells mainly in the blood (serum). However, these specific substances are also produced in normal cells thus it does not immediately indicate the presence of a tumor.

Other

・ Please note that the blood collection results of During Pregnancy may be out of the standard value even if there is no abnormality.

・ The PSA level may be lowered if you are on medicaion for AGA.

CT / X-ray Examinations

[Please be sure to read before CT / X-ray examinations]

There have been reported incidents of partial electrical resetting in some implantable cardiac pacemakers during X-ray and/or CT examinations. Please contact us if you have a pacemaker.

Radiation Exposure and Its Effects~Basic Information~(PDF)
Upper Digestive Tract Endoscopy (Upper GI Endoscopy) Examination
Instructions for Upper Gastrointestinal Endoscopy (PDF)

You may choose between oral or nasal endoscopy.
Trans-nasal endoscopy gives you the advantage of being able to freely communicate with the physician during the exam, because the camera is inserted through the nose and the mouth remains unobstructed. However, because the oral cameras provide clearer images, oral endoscopies are recommended for patients post H. pylori infection and eradication, ages 40 to 50-years-old and more, who have a higher risk for gastric cancer.

[Please review carefully, if you are requesting to use sedation]

Those who have glaucoma (including suspicion, high intraocular pressure, etc.) or enlarged optic disc recesses should consult with their ophthalmologist in advance, and will receive a "sedative and consent form regarding the use of sedatives". Please bring on the day. If you use sedatives, you cannot drive, drink or exercise on the day. You will also need to rest for about an hour after the inspection.

For those who are taking antithrombotic drugs (anti-coagulants)

Please note: You may need to submit your doctor's confirmation form for some medications

Drugs that make the blood saline (e.g., antiplatelet drugs (Viaspirin, Plavix, etc.) and anticoagulants (Warfarin, Plaxa, etc.) may be used to treat or prevent cerebral infarction, myocardial infarction, lower limb venous thrombosis, pulmonary thromboembolism, etc.

When performing endoscopy, biopsy (biopsy), or polypectomy of the large intestine while using these drugs, once bleeding, it is difficult to stop blood and may be dangerous. On the other hand, if these drugs are stopped, the prophylactic effect of thrombosis is naturally lost, and the risk of severe thromboembolism such as cerebral infarction, myocardial infarction, venous thrombosis of lower limbs, pulmonary thromboembolism increases .

Therefore, if you are taking these drugs, consider both the risk of bleeding from continuing the drug and the risk of thromboembolism from discontinuing the drug. The decision to continue or discontinue the drug should be carefully made by your physician. The decision takes into consideration the purpose of the examination and treatment, and is carefully made by the physician, in accordance to the guidelines published by the academic societies of endoscopy and thromboembolism however, at this clinic we use the following criteria .

In the unlikely event that bleeding or thromboembolism occurs, we will provide the best treatment we can offer, including referring to a higher-level medical institution. We ask for your understanding and cooperation in conducting safer examinations.

●Gastrointestinal Endoscopy: Available (no need for cessation of medication)
● Biopsy: May require medication cessation or restrictions where a biopsy cannot be taken
* Please see the list of drugs that have restrictions in the attachment.

List of Restricted Drugs (PDF)

* Prior confirmation is required from the attending physician.
Please avoid the cessation of medication based on your own decision, as it is dangerous

If you are taking any of these medications, you need to check with your doctor. Download the “Physician Confirmation” beforehand and follow the instructions.
Please come to the clinic with the form on the day of your appointment.

Physician confirmation (PDF)
Upper Digestive Tract X-ray (Barium) Test

The upper gastrointestinal tract X-ray (upper GI) test is a test in which barium (a barium sulfate preparation) is consumed. Barium is a medicine that clearly shows up in the stomach and is needed for a detailed examination. However, sometimes after drinking barium, one can experience side effects such as constipation, temporary diarrhea, anal pain, and nausea. Additionally, in rare cases, there has been reports of patients experiencing shock (allergic symptom) called barium hypersensitivity. To ensure that patients understand the necessity and dangers of the barium exam, and that examinations are safely conducted, please check the following contraindications.

In addition to the contraindications, those who weigh more than 130 kg on the day of the test cannot be examined due to the safety concerns regarding the imaging device. In addition, please be aware that if there is residual food in your stomach on the day of the examination, or if there is excess water, it will hinder imaging and interpretation, so we may refuse to conduct the examination. Once the test is completed, please drink lots of water and to help excrete the barium out of the body as soon as possible.

If any of the following items apply, you are not eligible for barium testing at this clinic:

  • Water restrictions related to the treatment of an illness (e.g. hemodialysis / peritoneal dialysis)
  • Hypersensitivity to barium preparations
  • Previous or current history of intestinal obstruction, Crohn's disease, or diverticulitis
  • History of gastrointestinal perforation
  • Undergone abdominal surgery within the last 12 months (e.g. laparotomy, laparoscopic surgery, cesarean section)
  • Undergone a colonoscopy polypectomy within the last 30 days
  • Currently pregnant / possibly of a pregnancy
  • Severe hypertension with blood pressure of BP180 / 110mmHg or over on the day of the test
MRI / MRA Examination

MRI is an examination that uses magnetic force and radio waves (high frequency) in a high magnetic field to image out the hydrogen inside the body. Since no radiation is used, there is no influence from radiation exposure.

Precautions before conducting the examination

Magnetic force and radio waves do not usually affect the human body, but if there is metal on the surface or inside the body, not only does it affect the accuracy of the test, but it can also result in dangerous situations where the metal generates heat.

If any of the following items apply, you are not eligible for an MRI at this clinic.

  • Persons with a cardiac pacemaker
  • Persons with artificial inner ears
  • Persons with metal (clips, stents, coils, etc.) inside the body from past surgeries
  • Persons with dentures, implants, etc.
  • Persons who are claustrophobic, who are scared of small tight spaces
  • Persons with tattoos (art makeup tattoo)
  • Persons with color contacts
  • Persons with nail art
  • Persons who are pregnant or may be pregnant
  • Persons who cannot maintain the same posture for long periods of time
Breast and Gynecological Examination

Persons who are menstruating

Endometrial cancer exam and vaginal smear culture are not accepted.
* We asked that you bring in your urine and stool samples on a later date.
* The cervical cancer examination, transvaginal ultrasound, and HPV examinations are available. Thanks to the LBC method, with a high test accuracy is adopted, there have been no cases where specimens could not be created due to menstrual blood contamination since our clinic has been in business. If you wish to have an endometrial cancer exam or vaginal smear culture done, we will reschedule the exams on for a later date.

Persons currently breastfeeding

We do not allow the mammography exam at our clinic.
* Ultrasound (echo) tests can be performed without any problem, but if you are currently breastfeeding or if its right after you have started weaning, the accuracy of the test may be slightly lower than usual. If you use sedation during your endoscopy (upper GI endoscopy or colonoscopy), we ask that you refrain from breastfeeding for at least 12 hours after administration, so please milk beforehand if necessary.

Persons undergoing fertility treatment

Please notify your attending physician of your medical checkup, be sure to receive clear instructions regarding any exams involving radiation and please notify our clinic about your treatment and your physician’s instructions.

Pregnant women, persons who are potentially pregnant

Regardless of whether or not you wish to have a baby, the following test items will not be available on the day of your appointment.

  • X-ray examination (chest, stomach (barium)
  • Bone density and mammography
  • CT examination
  • MRI / MRA Examination
  • Upper gastrointestinal endoscopy (Upper GI Endoscopy)
  • Lower digestive tract endoscope (Colonoscopy)
  • Uterine cancer test

* Please note that blood sampling results if you are pregnant may fall outside of the standard range even if there are no abnormalities.

Precautions for the appointment

Drinking/Eating restrictions
Courses starting in the morning

The Day Before

Meal

Until 21:00 the day before
*If you have a stomach examination (barium/endoscope), you cannot eat milk/dairy products.

Alcohol

Alcohol consumption prohibited
Please refrain from drinking alcohol.

The Day Of

Meal

Fasting
Please do not eat

Beverages

Possible (water only)
You can drink up to 200 ml of water within 2 hours before the test.

Tobacco

No smoking
Please refrain from smoking

Medication

Possible
Take medicines for heart disease and hypertension with the minimum amount of water as usual.
Do not take diabetes medicines.
For other medicines, follow the instructions of the prescribed medical institution.
If you have taken it, please let us know by informing you.

Courses starting in the afternoon

The Day Before

Meal

As usual
*If you have a stomach examination (barium/endoscope), you cannot eat milk/dairy products.

Alcohol

Alcohol consumption prohibited
Please refrain from drinking alcohol.

The Day Of

Meal

Up to 8 hours before the start of inspection
Please complete breakfast 8 hours before the inspection. Please refrain from eating after that. (Including candy, gum, freckles, etc. *If you have a stomach examination (barium/endoscope), you cannot eat milk/dairy products.

Beverages

Possible (water only)
You can drink up to 200 ml of water within 2 hours before the test.

Tobacco

No smoking
Please refrain from smoking

Medication

Possible
Take medicines for heart disease and hypertension with the minimum amount of water as usual.
Do not take diabetes medicines.

For other medicines, follow the instructions of the prescribed medical institution.
If you have taken it, please let us know by informing you.

Those who do not have an abdominal examination (abdominal ultrasonography/abdominal CT examination)/stomach examination (barium/endoscope)

  • Please eat and drink fast from 5 hours before.
  • You can drink only water without restriction.
Medications

If you are on medication that lowers blood sugar or injecting insulin, please consult your home physician and if permitted refrain taking the medication on the day of the procedure.
If you are taking the medication on the day of the procedure, sedation will not be used.

If you are on medication to lower blood pressure, please take the medication as usual.

If you are going to have an endoscopy(Lower/ Upper) please read the precaution notes of the procedure prior to your visit.

Other

If you do not feel well on the day of your appointment, we may postpone (or cancel) some tests or the entire comprehensive health screening/medical checkup at the discretion of our doctors.

  • Fever of 37.5 degrees or more
  • If you have symptoms such as high blood pressure
  • Those who be infected with an infectious disease, such as influenza or conjunctivitis (e.g. spearing eyes, severe redness in the eyes, eyes, tears)