Atlantic Digestive Specialists

Helping people inside & out

  • Our Physicians
    • Aristotle J. Damianos, MD
    • Roger M. Epstein, MD
    • Brian H. Hyett, MD
    • Sukeerti Kesar, MD
    • Jennifer Lewis, MD
    • Sean P. Lynch, MD
    • William E. Maher, MD
    • Khushboo Munot, MD
    • Robert A. Ruben, MD
    • Sonya Alyea, APRN
    • Shelby Menard, APRN
    • Alyssa Young, APRN
    • Robert Ketchum, PA
    • Kathy Gibson, PA
    • Kerry Loan, PA
    • Rachel Whitman, PA
    • Jenna Adams, FNP
  • Conditions
    • Acid Reflux
    • Eosinophilic Esophagitis
    • Irritable Bowel Syndrome (IBS)
    • Barrett’s Esophagus
    • Food Allergies
    • Lactose Intolerance
    • Celiac Disease
    • Esophageal Diseases
    • Liver Disease
    • Cirrhosis
    • Gallstones
    • Nausea/Vomiting
    • C. Difficile Infection (C. diff)
    • Gastroesophageal Reflux (GERD)
    • Obesity
    • Colorectal Cancer
    • GI Infections
    • Pancreatitis
    • Constipation
    • Heartburn
    • Peptic Ulcers
    • Crohn’s Disease
    • Hemorrhoids
    • Polyps
    • Diarrhea
    • Hepatitis
    • Ulcerative Colitis
    • Diverticulitis
    • Inflammatory Bowel Disease (IBD)
  • Procedures
    • Bacterial Overgrowth Breath Test (SIBO)
    • Colon Cancer Screening
    • Colonoscopy
    • Endoscopic Retrograde Cholangiopancreatography
    • Endoscopic Ultrasound (EUS)
    • Esophageal Manometry
    • Esophagogastroduodenoscopy
    • Helicobacter Pylori Breath Test
    • Lactose Intolerance Breath Test
    • Liver Biopsy
    • pH Probe Placement – Impedance
    • Photodynamic Therapy
    • Radiofrequency Ablation of Barrett’s Esophagus
    • Video Capsule Endoscopy
  • Prep Instructions
    • Colonoscopy Preparations
      • Gatorade Miralax Colon Prep Instructions
      • Mag Citrate Colon Prep Instructions
      • Moviprep Colon Prep Instructions
      • Nulytely Colon Prep Instructions
      • 5 Day Miralax/Nulytely Prep Instructions
      • OSMO Pill Colon Prep Instructions
      • Prepopik Split-Dose Colon Prep Instructions
      • Suprep Split-Dose Colon Prep Instructions
    • Sigmoidoscopy Preparations
      • Sigmoidoscopy Hospital Prep Instructions
      • Sigmoidoscopy In-Office Prep Instructions
    • Upper Endoscopy Preparations
      • Esophageal Manometry Prep Instructions
      • Upper Endoscopy Hospital Prep Instructions
      • Upper Endoscopy In-Office Prep Instructions
    • Other Preparations
      • H-Pylori Breath Test Prep Instructions
      • Lactose Tolerance Testing Prep Instructions
      • Outpatient Liver Biopsy Prep Instructions
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Lactose Tolerance Testing Prep Instructions

Ensure a safe and effective lactose tolerance (bacterial overgrowth) procedure by following these instructions exactly as directed below.

Two weeks before procedure:

  • No Enema or Barium Studies.
  • If you are experiencing severe diarrhea, it will be necessary to reschedule your procedure.
  • No antibiotics.

Day before / 24 hours before procedure:

  • No smoking (including second hand smoke).
  • Avoid the following foods:
    • Grain products: pastas, whole grain products (including cereals and melba toast), brans or high fiber cereals, granola etc.
    • All bread
    • Fruits, fruit juices, applesauce, dried fruits, yogurt with fruit in it.
    • Vegetables, vegetable juice (i.e.- potatoes, salad, broccoli …etc).
    • Nuts seeds and beans — any foods that contain seeds.
    • All dairy products (except eggs)- milk, cheese, ice cream, yogurt, butter.
    • Meats, pastas, corn or products that contain corn.

Last meal night before procedure:

  • Suggestions for the last meal to consume prior to procedure:
    • Baked or broiled chicken, fish or turkey (salt and pepper only)
    • Plain steamed white rice
    • Eggs
    • Clear chicken or beef broth
    • 12 hours before procedure:
  • Nothing to eat or drink prior to your procedure. (This includes gum, mints, candy, water, etc. When brushing your teeth, do not swallow the water or toothpaste). Only rinse with water — do not use mouthwash.
  • Fasting begins at 8:00 PM the night before your procedure.

One hour before procedure:

  • No sleeping or vigorous exercise.

During procedure:

  • No physical exertion, sleeping, or eating during the procedure. Feel free to bring a book, laptop, or any device that will occupy your time. You may also want to bring a light sweater, as the office can get cool.

Day of procedure

  • Please arrive promptly at our office for your procedure at 8:15 AM.
  • Your procedure lasts approximately three (3) hours, beginning at 8:15 am to approximately 11:30 am.
  • If you are 18 years old and younger, a parent/legal guardian must accompany you for your procedure.
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