Bravo test results

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johnboy85
Regular Member


Date Joined Apr 2010
Total Posts : 85
   Posted 6/7/2011 12:05 PM (GMT -6)   
Here is my Bravo test results. I was off of PPIs 3 days prior and h2 blockers 1 day prior. My acid reflux doesn't seem bad but I was wondering about the high levels of ph. Does this mean that I am getting bile reflux?

VIEW IMAGE

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Post Edited (johnboy85) : 6/7/2011 1:11:18 PM (GMT-6)


couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 12064
   Posted 6/7/2011 3:24 PM (GMT -6)   
High levels of pH means a reflux of some type.
Joy

johnboy85
Regular Member


Date Joined Apr 2010
Total Posts : 85
   Posted 6/7/2011 7:41 PM (GMT -6)   
Thanks for the response.

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 6867
   Posted 6/7/2011 9:19 PM (GMT -6)   
Hi johnboy85,

I looked over your report, and although I'm no expert, what I came up with was this...your DeMeester scores were very low. Anything under 14.75 or so is considered normal amounts of reflux. Your scores were 4-6 something, which is considered very normal. Your doc wrote something like "DeMeester scores were negative" and this is what he meant--the results were that you have very little reflux according to the results of this test. (That doesn't mean that you don't have very bad reflux at times...they just didn't show up on this 24 hr test. You could have another test at a different time and your results might be more impressive.)

He also wrote that the correlation between actual reflux and your pushing of the button and reporting pain was not very good. This is probably considered another indication that your reflux was not significant.

These tests are looking for evidence to see whether or not your reflux is significant enough to require surgery. This is actually good news.

That said, I had bad asthma created by GERD for several years. I had this test and the results were a DeMeester score of 4. At that time my lungs were very bad. My GI doc sent me on my way saying that my asthma wasn't being caused by reflux.

He said that and the test said that, but my PCP and asthma docs weren't convinced. I continued to suffer for four years. Finally, my DeMeester score was 14. Still in the norm, but with the continued pressure from my PCP the GI doc told me that I could continue to treat my reflux with meds, or I could go to a surgeon to discuss possible surgery. Seriously? The meds weren't working. I went to the surgeon, who also expressed concern over my low DeMeester score, but agreed to do the surgery. Two and a half months after surgery my lungs were about 100% better. For the first time in four years, I was able to reduce my steroid load and no longer needed my nebulizer treatments to breathe.

I don't know what led you to the PH testing, but like all tests, it is a snapshot of a moment in time.

Good luck,
Denise

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 6867
   Posted 6/7/2011 9:21 PM (GMT -6)   
PS
Here is a webpage that discusses PH and what levels are acidic as opposed to basic (bile):
www.chem4kids.com/files/react_acidbase.html

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 6867
   Posted 6/7/2011 9:45 PM (GMT -6)   
PPS
It just occurred to me...you said that you were off PPI's for just 3 days prior to the test. While I know some docs will do the test while patients are on PPI's, the standard procedure is to be off PPI's for a minimum of 7 days prior to the test.

If you scroll down on the page linked below, you will see the test prep that is more standard:

my.clevelandclinic.org/services/esophageal_ph_test/hic_24-hour_esophageal_ph_test.aspx

It does state that a doctor may want you to continue with a specific med during testing in order to determine its effectiveness, but it seems to me if that were the case the doc would have let you stay on the meds altogether.

In any case, it seems to me that the results could be skewed if there are some residual PPI or H2Blocker in your system. just a thought...

johnboy85
Regular Member


Date Joined Apr 2010
Total Posts : 85
   Posted 6/8/2011 11:38 AM (GMT -6)   
Hey Dencha,

Thanks for the info.
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