Eating and Drinking before Anesthesia

The importance of fasting and following all of your pre-procedure instructions.
Reviewed on June 8, 2026 by Patricia Reilly, CRNA, CPPS
Nurse explaining procedure to patient
Article Summary
Before your surgery or medical procedure, you will receive instructions about how to prepare for anesthesia. This will include information about eating and drinking and when you should start fasting. This article will answer common questions about eating and drinking before anesthesia.

Why can't I eat or drink before anesthesia?

Fasting before anesthesia is essential in preventing a complication called aspiration. Aspiration occurs when food, water, stomach contents, and saliva are inhaled into the airway and lungs. Most people have experienced the sensation of “swallowing wrong” and coughing or gagging on fluid, food, or saliva. While this is an unpleasant sensation, your body knows how to react when you are awake. 

During sedation and general anesthesia, you may be unconscious, have a breathing tube, and not be able to move your muscles. This makes it easier for food, water, stomach contents, and saliva to enter into your airway and lungs. Aspiration can lead to pneumonia, lung damage, and can even be a medical emergency. 

The best way to decrease the risk of aspiration is to have an empty stomach. Depending on the surgery and the type of anesthesia required, you may be instructed to fast anywhere from 2 to 8 hours before your procedure. Make sure you follow the specific instructions given to you by your healthcare team.

Are there any food or drinks that I should avoid before anesthesia?

Yes, in the days leading up to your surgery, you should avoid alcohol as instructed by your healthcare team. Alcohol can affect anesthesia, hydration, and recovery. For some people with reflux or a sensitivity to anesthesia, they may be advised to avoid spicy or greasy food the day before their surgery. For some procedures, such as colonoscopies, you may be instructed to avoid foods or liquids with red or purple food dye. This is because the dyes can sometimes be confused for blood. Follow the instructions provided for your specific procedure.  

Some procedures and surgeries that involve the digestive system might have more specific instructions about what to eat and drink in the days leading up to your surgery. Learn about Getting Ready for Your Colonoscopy.

Most instructions will tell you to have your last normal meal the evening before your surgery. Some instructions may allow for clear liquids the morning of your surgery. Make sure you follow the specific instructions given to you by your healthcare team. If you were unable to follow the instructions for whatever reason, it is essential that you notify your anesthesia professional, such as a Certified Registered Nurse Anesthetist (CRNA), for your own safety.  

Will my surgery or procedure be canceled if I eat or drink anything?

Yes, if you eat or drink anything your surgery or procedure may be canceled or delayed. Eating or drinking before anesthesia can increase the risk of aspiration, and your healthcare team may delay or cancel your surgery or procedure to protect your safety.  

This depends on the type of anesthesia required, your anesthesia professional’s preferences, facility policy, and what you ate or drank in the hours leading up to your surgery or procedure.  

To avoid this risk, follow the pre-procedure instructions given to you by your healthcare team. 

Can I brush my teeth or take medications before anesthesia? 

Yes, most pre-procedure instructions will allow you to brush your teeth the morning before you receive anesthesia. Avoid swallowing water, toothpaste, and mouthwash. 

If you take medications or supplements, talk with your healthcare team about what you should and should not take the morning of your surgery. Your medical provider may advise you to take some essential medications with a small sip of water. Most instructions will have you skip supplements and vitamins before you receive anesthesia. Make sure you follow the specific instructions given to you by your healthcare team. 

Disclaimer: The information on this page is for general educational and informational purposes only and does not constitute medical advice or a recommendation for any specific anesthesia technique, drug, or treatment. Users should consult a qualified medical professional before making any decisions regarding anesthesia care. For complete terms, see our Terms of Use.


 

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