Esophageal Manometry

Esophageal Manometry

Dr. Paluzzi has ordered the esophageal manometry test that measures the pressures of the esophagus (swallowing tube). This test is for people who suffer from heartburn, difficulty swallowing, hoarseness, chronic cough and chest pain unrelated to heart disease.  This procedure tells us how well the esophagus squeezes the food into your stomach. A registered nurse will do the procedure.

 

After numbing your nose and throat, a small tube is inserted in one side of your nose. You will be asked to take small sips of water to help the tube go down into your stomach.  Once the catheter (tube) is in place, you will be asked not to speak or move unless absolutely necessary. You will have a small sensor around your neck that will record when you swallow and one placed on abdomen that will record your breathing pattern.  You will be asked to take a deep breath and then again given sips of water and recordings taken as you swallow.  This measures the force and duration of each swallow.  The catheter is pulled out very slowly and pressure readings are taken at different intervals.  When the recordings are complete, the tube is removed.

 

Once the numbing medication has worn off, you may resume your normal diet and activities.  You may notice a sore throat the next day.

 

Complication are rare, but may include bleeding and/or perforation of the esophagus.

 

Preparation:

DO NOT EAT OR DRINK six (6) HOURS  BEFORE THE TEST

 

One week before the procedure, stop taking and medication that will interfere with the test such as Reglan or any motility drugs.

 

  1. Ask your doctor if you are unsure of what medications to not take.
  2. Wear comfortable clothes including a shirt that buttons in the front.

 

Once the test is complete, you will be able to take your regular medication, UNLESS you are also scheduled to have pH study.  If you are scheduled for this test, you will receive additional instructions.  Dr. Paluzzi will review and interpret the test results.  He will discuss the results with you and together you will decide on a treatment plan that best meet your needs.

 

Your appointment is scheduled for____________________________________________.

 

Please report to the Admissions/Registration Department on the 1st floor of Oconee Medical Center. You will then be directed to the Endoscopy Department on the 1st floor.

 

If you have any questions, please call the Endoscopy Department at 885-7495 or office at 864 888-0909

 

24 Hour Ambulatory Esophageal pH Study

This study records how much acid your esophagus (swallowing tube) is exposed to during a 24-hour period.

This is done by placing a small probe (small plastic tube) through your nose and into the esophagus. The tube softens as your body temperature warms it. Medication will be used to numb your nose and back of your throat before the tube is inserted. Side effects are rare and most commonly seen are a sore throat or nasal drip. You will return to the endoscopy center the next day to have the probe removed and the information it has recorded will be retrieved and put in a computer to send to your doctor. Your doctor will discuss the results with you.

It is important that you resume normal activities as much as possible while this probe is in to allow accurate information to be obtained. You will be asked to keep a diary of your activities, meals, and medications.

To assure results are as accurate as possible you will need to follow these instructions:

  • five (5) days before the study, stop taking antacids and any medications such as: Axid, Prilosec, Nexium, Dexilant, Protonix, Prevacid, Aciphex, Tagamet, or Zantac.
  • If you have any questions about what you can take, please call your doctor.
  • DO NOT eat or drink anything at least six (6) hours before your appointment time. You will be allowed to eat and drink as usual after the numbing medication used in the study has worn off. If you drink grapefruit, orange, or tomato juice, please do so with a meal.
  • Wear comfortable clothes with a shirt or blouse that buttons in the front.
  • DO NOT shower or swim with the probe in place to avoid getting the recorder wet. This is a very expensive piece of equipment and you are responsible for protecting it from any damage.
  • Bring all of your medications with you the day of your test.
  • You may use antacids and medications once the probe is removed.