24-Hour Esophageal pH Study

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The Procedure

A 24-hour esophageal pH study is used to measure the number of acid reflux episodes a patient experiences during a 24-hour period. The study also measures the amount of time (in minutes) that stomach acid is present in the esophagus and allows for evaluation of your symptoms with activity, at home or work, and especially during sleep.

Before Your Appointment

The 24-hour esophageal pH study takes place in an examination room. You will not be asked to remove any clothing, and sedation is not usually given. Your appointment will last about an hour, including outpatient admission, instruction and placement of the pH catheter.

  • The nurse will spray the inside of your throat with a topical anesthetic and will use an anesthetic lubricant on the small, flexible pH tube.
  • The tube (1/8? in diameter) is gently placed into one nostril and guided into the esophagus. The end of the tube is positioned precisely 2? above the diaphragm, where acid sensing occurs.
  • After the pH catheter is placed, it is secured to the end of your nose and side of your face with small pieces of silk tape.
  • The catheter is attached to a "Walkman" style recorder, which is provided.

After Your Appointment

After your appointment you will be able to resume normal activities. Some patients find that the pH catheter does not interfere with their normal activities, while others find it to be annoying and choose to have someone drive them home. You will need to return to the clinic 24 hours after the procedure to have the catheter removed. Removal will only take about five minutes.

The catheter may cause:

  • Watery eyes
  • Runny nose
  • Sore throat

Risks

24-Hour esophageal pH monitoring is a very low risk procedure, when performed by a competent specialist. Complications such as perforations (tearing) or bleeding of the gastrointestinal wall can occur, but they are rare. Equipment failure or death are extremely unlikely but remain remote possibilities.

Please feel free to contact us with any questions or concerns, either before or after your appointment.

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Deeply appreciate the kindness and care shown to me for the appointments, the reports and the evaluation ! Also, the follow up after an adverse reaction to the Rx. Was wonderful!!!!!

N.T. Google

Really great medical service and good advice given.I would give a good revue to my friends and family.

D.K. Google

My procedure went well and the doctor was very nice and informed me well of the precise before and after.

R.R. Google

Went smoothly

T.H. Google

I was treated with respect and gentle, great care by everyone as they prepared me for my Endoscopy. And, although I don't remember the procedure, I have great faith in Dr. Parker. She made sure she and her team had answered all of my questions before the anesthesiologist put me gently to sleep. She spoke to me after the procedure to explain her findings. The aftercare team was topnotch, also. I would highly recommend Dr Parker to anyone in need of an Endoscopy or any other procedure.

H.L. Google

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