Problem with my Bravo meter?

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Alcie
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Date Joined Oct 2009
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   Posted 10/7/2009 7:35 PM (GMT -6)   
Hi!  I'm a newbie to posting, been reading for months.  I'm undergoing a Bravo pH test and having lots of problems.
 
As soon as I had a drink of coffee on the way home the pH dropped into the low 2 range.  It spent most of the next 24 hours around 1.2 - 1.4.  I have really bad reflux after a 10 day prep off all acid reducers. 
 
I was having so much chest pain and agony from the capsule I called in to see if I really had to finish the test.  Yes, they told me, but I could take a Pepcid.  So I did that and now the meter's running above 9 for the last 4 hours.
 
Did I wreck the meter?
 
What's this new reading going to do to the DeMeester Score?
 
I'm having so much chest pain I'm planning on asking to have the capsule removed tomorrow morning.  Eating anything solid causes severe esophageal spasms radiating up into my jaw.
 
I really need a fundoplication because I have a traumatic paraesophageal hernia stuck in my chest, since a stupid girl ran a red light and hit my vehicle head-on at high speed.  3 broken ribs, broken nose, lots of other small injuries.  I've been jumping through the testing hoops for 4 months.  Now I'm scared they might not do the surgery if I flunk the pH test.
 

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 12139
   Posted 10/7/2009 7:40 PM (GMT -6)   
You mean yours is still hanging on?! Mine fell off after five days. If it's still causing problems give the doctor a yell.

Mine was low at night and high during the day.

Joy

griffdawg
Regular Member


Date Joined May 2009
Total Posts : 247
   Posted 10/7/2009 7:42 PM (GMT -6)   
mine kept reading low numbers all day and at nite it was mellow...
and than the doctor read me the results and told me he about hit the roof from the amount of acid that was coming up.. apparently though the machine read 7's and 8s, i was at 20+
stupid bravo machine... so hold out til the test is done and wait for ur results, well worth it!
griff

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3372
   Posted 10/7/2009 7:42 PM (GMT -6)   
I just got the thing yesterday.  Yes, it's still on.  Sending signals - but I can't imagine a reading of 9 is accurate.  I thought 8 was about the max.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3372
   Posted 10/7/2009 7:44 PM (GMT -6)   
Griff
The max pH can read is 14.  Maybe you meant your score?

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3372
   Posted 10/8/2009 12:30 AM (GMT -6)   
I think the capsule just dropped off early.  I tried sipping some dilute vinegar and water and nothing happened to the pH meter.
 
I take it in today.  Now I'm scared I'll have to go through this whole thing again!

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32596
   Posted 10/8/2009 6:55 AM (GMT -6)   
Hello and welcome to HealingWell and the GERD/Heartburn Forum.  I see you have already met many of our special members here.
 
I just wanted to pop in and welcome you to our wonderful community and encourage you to stick with us.  We do love our new members.
 
Hugs
Kitt
 
 
 

Kitt,
Moderator: Osteoarthritis, GERD/Heartburn
Anxiety/Panic
*~*
http://www.healingwell.com/donate *~*
"When you find peace within yourself, you become the kind of person who can live at peace with others."
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Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3372
   Posted 10/8/2009 10:10 AM (GMT -6)   
I went to the hospital today and got a chest x-ray.  The capsule was indeed gone.  Now I just have to wait and hope there was enough data recorded so I don't have to do that all over again.
 
At my hospital there is a 10 day prep off ppi's and a week off everything else, including nsaids and cholesterol meds.  For me, with a never-closing LES, that was torture.  A nurse puts the Bravo beastie down your throat while you sit up - no spray or other anesthesia.  Wouldn't be bad if I didn't have an unusually awful gag reflex.  Then you are supposed to eat and do all activities normally for 48 hours.  You are supposed to sleep lying flat.  It would be fine for most people, but my LES is stuck in my chest with my herniated stomach.
 
 

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 12139
   Posted 10/8/2009 4:45 PM (GMT -6)   
While your sitting up? No sedation! No wonder you hurt.

Goodness! My doc did it while he was doing my endoscopy. I was sedated and didn't know a thing.

Joy

griffdawg
Regular Member


Date Joined May 2009
Total Posts : 247
   Posted 10/9/2009 1:55 PM (GMT -6)   
yes i meant a 20+ on my score, my ph thing read round an 7 or 8 the whole time, i figured it was normal, wat did i know lol.
for mine i was sedated'
griff

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3372
   Posted 10/9/2009 3:10 PM (GMT -6)   
grif -  7 -8 is high for an esophageal pH.
 
My pH read as low as 1.0 part of the time, sat mostly in the low 1's for 24 hours, then when the capsule dropped off and went past my stomach into my small intestine it read 8.8 to 9.9 and even said Hi pH sometimes.  Small intestine shouldn't have been that alkaline, but maybe there was some reaction to the extreme low pH in my esophagus.
 
I don't know yet what my score was.  Nobody's seen fit to call me back and let me know anything.
Alcie
 
 


Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3372
   Posted 10/9/2009 3:18 PM (GMT -6)   
couchtater - my endoscopy was through my nose - part of the monometry test because they couldn't get the little tube to not curl up and go down my trachea.  So they shoved a 15 french endoscope past my deviated septum and I gagged and vomited while they threaded a wire into my stomach and then pushed the manometry tube over the wire.  I got local gel for my nose and a spray for my throat, but don't dream of sedation for manometry because you have to be awake to swallow water later.
Alcie
 
 


Shooz
Regular Member


Date Joined Aug 2009
Total Posts : 92
   Posted 10/9/2009 3:31 PM (GMT -6)   
Alcie,
When I had my Bravo test I was told that I could only drink water or milk and only with a meal. No carbonated liquids were allowed. Actually no liquids other that water or milk. Did you have an endoscopy first, this would give your Doc a good look at you esophagus. I was aware that it was in place and noticed it mostly when I ate something. I'm sorry to hear of your problems and hope you can hang in there. The benefits are worth it. Good luck, we will be thinking about you. Shooz

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3372
   Posted 10/9/2009 5:30 PM (GMT -6)   
Shooz -
 
I was told with the Bravo to eat and drink normally.  I had to record it unless it was water.  Nothing I ate or drank did much for the pH.  It remained below 4 no matter what.  Untill the capsule fell off.
 
Then suddenly I noticed I could eat a little without extreme spasms.  Drinking was never a big problem.
 
I was supposed to sleep flat too.  Hah!  Normally, with Nexium, I can sleep flat, but not for this test.  It was horrible even to contemplate.
 
I'm hanging.  Sometime don't want to, but I've been in the GERD group for over 25 years.  I'm grateful for finally finding this forum.  I've learned a lot even with my years of personal experience.
Alcie
 
 


opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4811
   Posted 10/9/2009 6:54 PM (GMT -6)   
Alcie-
You might want to find a GI that does the wired Ph study, it's more accurate anyhow. It is more of a hassle with the wire, but it won't fall off and can be placed accurately. I am not so sure about the way your GIs do tings, sounds awful strange to me. Sorry you had to go through so much and not get a full test in.

Take care,
Bill

Post Edited (opnwhl4) : 10/10/2009 5:18:16 PM (GMT-6)


Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3372
   Posted 10/9/2009 7:37 PM (GMT -6)   
Bill -
Thanks for the suggestion, but I gagged and threw up for 2 1/2 hours just doing the monometry.  Bravo was hell enough, near gagging all the time it was in place.  I'm not going through any of it again if I can help it.  If I wake up with an NG tube after Nissen I'll pull it out after deflating the cuff.
Alcie
 
 


Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3372
   Posted 10/9/2009 7:43 PM (GMT -6)   
Bill -
Thanks for the suggestion.  But I gagged and threw up for 2 1/2 hours during the manometry.  Going down the nose is no help to me.  The Bravo capsule had me gagging all the time it was in place with no wire tickling .  My surgeon should accept 24 hours, which is how long I felt it was in place.  One of his minions answered the page when I called and said it would be OK.  But then, another doc in the same hospital said I didn't need the pH and the surgeon yelled at me.
 
I've appreciated your story - been reading the updates for a while.
Alcie
 
 


couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 12139
   Posted 10/9/2009 9:19 PM (GMT -6)   
Alcie, You need to find a different GI. They have done your tests kind of odd. Also, they way they have been treating you is not right. You need to fire him and get another doctor, really.

Joy

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4811
   Posted 10/10/2009 3:51 AM (GMT -6)   
Alice-
The Ng tube is easily removed since it is just sitting there and held on your nose with tape. Mine didn't have any type of inflated cuff. They just pulled the tape off and pulled it out. I almost had one after the second Nissen, but I fought that tooth and nail. I won too! Not all surgeons use the NG after a Nissen. I pray they have enough information and you can get on with what ever solution is needed for you.
Take care,
Bill

Ps. If there is anyting I can help to answer don't hesitate to ask here or my email.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 3372
   Posted 10/10/2009 8:37 AM (GMT -6)   
Joy -
I see my regular gastro guy next week before the surgeon.  I am going to see if he has any suggestions on switching docs.  The surgeon is technically extremely highly qualified, but he's terminally arrogant, and his staff are rude and dismissive, and his residents ignorant.  There are a couple of other possible docs in the area.
 
Bill-
Thanks for the NG note.  I thought they had a cuff.  Makes it easier to just yank out the thing without it when you aren't thinking clearly post-op.  I see the surgeon in a week and a half, and that's an item on my long list of questions for him.
 
I'm going to start another post on a Nissen subject.  I need to know if my irradiated stomach fundus will hold up to a wrap.  I'll tell that story on the new post.
 
I retrieved the Bravo capsule (TMI), so that story is over unless I have to redo the test, which I guess I won't hear about until the surgeon yells at me again.
Alcie
 
 


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32596
   Posted 10/10/2009 12:09 PM (GMT -6)   
((((((((((((Alcie)))))))))))))
 
No yelling at you here so post away. :-)    yeah     :-)
Kitt

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4811
   Posted 10/10/2009 12:38 PM (GMT -6)   
Alcie-
As Kitt said, No yelling here only helpfullness. Post away my new friend. We are a strange bunch, but will help anyway we can. We have even been known to "Call out the Herd" and et them docs straightened out. devil devil devil
Seriuosly, if you feel the need to start a new thread by all means do so, but with this one getting attention you might jst want to add to it. I know my thread has gone several directions and I think that is so cool. I never mind anyone posting whatever on my thread, it gives it a life all it's own and makes for some interesting reading.
Don't be affraid to ask us anything, if we don't know it Kitt usually can find it. If the surgeon and the group is the way you say, Fire them! You don't need to deal with the "Holier than though" attitudes some surgeons have. I have been there and won't ever deal with it again. I just recently had to because of an emergency, but I am now with a great group of urologists. Please don't think because they have a reputation you have to go to them. There are plenty of great surgeons who aren't pompus asses out there. I am lucky t have a great thoracic/general surgeon, an awesome surgeon for my nissen, and a great urologist group now. None are the type to believe they are better than anyone. I feel truly blessed to have found them. I believe with all my heart you can too. Don't rush into this with a surgeon with a bad personality.
If you have read my thread from the beginning you are a reading fiend. That thing is long, but it, Denise's, Bea's, Rafael's, Griff's, Janice's, and so many others are so full of great information.

Take care,
Bill

Post Edited (opnwhl4) : 10/10/2009 5:18:32 PM (GMT-6)

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