Esophagal Manometry Question

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girl_geek
Regular Member


Date Joined Oct 2009
Total Posts : 58
   Posted 1/21/2010 1:10 PM (GMT -6)   
In another post, someone mentioned that the tube used for manometries was "thinner than a spaghetti noodle."  I had my manometry a month or two ago, but I could have sworn the tube they used for me was much thicker -- I want to say around 1/4", but perhaps I'm remembering it bigger than it actually was just because I did not have a good manometry experience ;)  Does anyone know if there are different widths of tubes they use?
 
Just curious because not only did they have a horrible time inserting the tube (it kept getting stuck in my sinuses, somewhere between my nose and throat), but the tube kept folding up inside my esophagus and they were never able to get any results.  At this point my doctor has not mentioned having the test redone, but if I ever start considering surgery then obviously it'd be a good idea to try it again first...


Diagnoses: GERD, small hiatal hernia, anxiety, allergies
Medications: Nexium (GERD), Lexapro (anxiety), Singulair (allergies), Tazorac (acne)
Note: I suspect my GERD was caused by taking antibiotics for acne. Please be careful about taking antibiotics when not necessary!


Alcie
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Date Joined Oct 2009
Total Posts : 5029
   Posted 1/21/2010 2:59 PM (GMT -6)   
Hi geek

No, they've pretty much done away with the old rubber tubes, and now the little thin ones tend to curl up a lot. Mine kept going into my trachea and making me gag and cough. The doc finally went in with a baby scope, threaded a stiff wire through it, pulled out the scope and ran the tube over the wire and pulled out the wire. It was awful, but I knew I was in danger of dying without the surgery, so I tried my best to cooperate. (I had a paraesophageal hernia - stomach stuck in chest. It kept moving around, trying to twist. Only 50% chance of survival if it did twist and cut off blood supply.)

I'm really glad I stuck it out! They found I don't have a very strong swallow reflex, so I needed the partial wrap (Toupet) because I would never have been able to swallow past a full one.
Alcie
 
 


couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 1/21/2010 4:22 PM (GMT -6)   
Mine was the bigger sized one. It felt like it was 3 inches wide. ;))

Joy

opnwhl4
Veteran Member


Date Joined Dec 2008
Total Posts : 4961
   Posted 1/22/2010 12:24 AM (GMT -6)   
The manometry one is bigger than a spaghetti noodle. The wired PH probe is the thinner one. I've had the manometry 3 times and it was the same size all 3 times, well except for the "new" one they tried the first time. It was quite larger than the "old" one and a lot stiffer. She couldn't get that one to turn the corner and head down. She gave up after 5 or 6 tries and went back the the old style they used before.

Bill

girl_geek
Regular Member


Date Joined Oct 2009
Total Posts : 58
   Posted 1/22/2010 4:48 PM (GMT -6)   
Bill -- I bet I had the "new" tube you described, it did seem pretty wide and stiff, and when I say it got stuck in my sinuses maybe that was the same problem you had where you say it couldn't "turn the corner."  But once they finally got it in, it kept folding up in my esophagus (so maybe it wasn't that stiff after all?) so they gave up since we'd already been fighting it for 45-60 minutes and I was trembling, nose bleeding, etc... not fun, but I kind of wish they would have just tried again that day so I could have got some results!  (Actually, they didn't even ask me if I wanted to keep trying, they just gave up on me!)
 
Gah... we'll just see what my doctor says, I won't mention getting a second one unless he brings up the possibility of surgery ;)  I kind of want to get my sinuses x-rayed some day though, the nurses seemed surprised when they couldn't get the tube in! I already get sinus headaches from allergies, maybe I have more sinus problems than I realized!
Diagnoses: GERD, small hiatal hernia, anxiety, allergies
Medications: Nexium (GERD), Lexapro (anxiety), Singulair (allergies), Tazorac (acne)
Note: I suspect my GERD was caused by taking antibiotics for acne. Please be careful about taking antibiotics when not necessary!


Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5029
   Posted 1/22/2010 7:21 PM (GMT -6)   
GG -
Are you rescheduled for the test? Read my post above and suggest that approach before doing without the test. Not fun, but it got the job done.

My pH test was cancelled (after they finally got the manometry done). I think it was because it was 5 PM and they were just closing for the day. Then I had to reschedule and re-do the 10 days without any acid reducers - with a wide open LES and a pH of 1.2 all day when the test was finally done!
Alcie
 
 


joe1619
Regular Member


Date Joined Dec 2009
Total Posts : 293
   Posted 1/23/2010 2:49 PM (GMT -6)   
i had the test done. i suffer horrible anxiety and barely made it, nose running, gagging the whole time. i am having it again in 2 weeks along with the 24 hr probe. i have gerd, lpr, gastritis. why are they doing the test. you have to just focus and try and relax, its horrible having these diseases we all suffer

joe1619
Regular Member


Date Joined Dec 2009
Total Posts : 293
   Posted 1/23/2010 2:52 PM (GMT -6)   
oh, and i am staying on my acid pills for the 24 hr, my doc says it makes no sense to go off them, the point is to see if youre still having acidity with the meds. in my case i think they are not working. research is starting to suggest even 2 a day ppi do not cover us for 24 hrs. all of my stuff was caused by a doctor who gave me meds that caused it all

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 1/23/2010 3:56 PM (GMT -6)   
Yes, the mamometry is rough. But you survived! :)

Just relax and zone out and you can get through it.

Joy

girl_geek
Regular Member


Date Joined Oct 2009
Total Posts : 58
   Posted 1/25/2010 4:03 PM (GMT -6)   
No, I don't have another manometry scheduled yet. I do have another endoscopy scheduled (tomorrow actually!) and my doctor is waiting to see the results of that before we discuss next steps -- e.g. will diet and meds be enough? do I need surgery? etc. I will keep that wire trick in mind if I need another manometry though!
Diagnoses: GERD, small hiatal hernia, anxiety, allergies
Medications: Nexium (GERD), Lexapro (anxiety), Singulair (allergies), Tazorac (acne)
Note: I suspect my GERD was caused by taking antibiotics for acne. Please be careful about taking antibiotics when not necessary!


Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5029
   Posted 1/25/2010 8:35 PM (GMT -6)   
There's no reason to go off acid pills for manometry. It's the pH test that you have to go off them for. Since that's usually performed right after manometry, that's why we write about it.
Alcie
 
 

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