What is it like to have a 24 hour ph test?

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Sheila1366
Regular Member


Date Joined Aug 2005
Total Posts : 384
   Posted 5/17/2011 12:32 PM (GMT -6)   
My dr. wants to do this if things aren't better in a couple of months. I looked it up on the internet but would like to hear what it was like for others here.
Thanks!

Gritty
Regular Member


Date Joined Mar 2011
Total Posts : 82
   Posted 5/17/2011 12:57 PM (GMT -6)   
I can't say it's pleasant but it's bearable. With me I went into hospital and they did the swallow test where they lube a tube and thread it through your nose into the oesophagus. They then pull it out slowly getting you to swallow at intervals. That was the most unpleasant bit. They then hooked me up with the PH tube and monitoring pack. This tube is thankfully a lot thinner. They thread it through your nose again and tape it around your ear and to the side of your neck to keep it in place and send you on your way. The monitor pack was not that heavy but a bit cumbersome but you have a harness thing to keep it in place. I was off the nexium for a week before the test and that was quite unpleasant as the acid was in full swing. You basically go home and try to eat and move about normally so they can see when your acid peaks over 24 hours. The full on reflux was nasty and I found that the most uncomfortable bit was when eating, if you swallowed a big bit of food it tugged on the tube and you can feel it in the back of your nose but it wasn't that bad. I slept quite well with the tube in, wearing a t-shirt and sleeping on my back. The next day they whipped the tube out and I waited for my results. It sounds a lot worse than it is and whilst it's a bit uncomfortable it's vital in seeing how bad your reflux is if you're considering surgery. Good luck with it!

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 5/17/2011 2:19 PM (GMT -6)   
I did the capsule method called a BRAVO. They attach a small capsule to my esophagus and I wore a small receiver for 48 hours.
Joy

mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1604
   Posted 5/18/2011 2:47 AM (GMT -6)   
The Bravo test doesn't seem to be much available in the UK. I dread needing pH monitoring as I can't have anything pushed down my throat unless I'm unconscious. Nor could I cope with it being left there - bleah! Wonder what they do for children or other people who just can't tolerate such procedures?

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 5/18/2011 3:06 PM (GMT -6)   
Sheila,
Honestly the wired probe isn't all that bad, and you only have it in for 24 hours. It's a manageable amount of time. I'm not saying it's a picnic, but it's an important test. I've had it done 3 times and I'm still here! I'd have it again tomorrow if someone suggested I needed it.

Really, the worst part is doing without your PPI's for a week in preparation for it. You can take Ranitidine and antacids longer, but still, if you tend to have a lot of heartburn, you'll be having it. That said, it's worth getting it done to get the information it provides.

From what I've heard around here lately, the BRAVO capsule isn't any picnic either. I'd just as soon have the wired probe and know it'll come out the next day, than deal with the BRAVO hanging around and hurting until it feels like falling off!
Don't worry...it's not that big a deal.
Good luck!
Denise

pegster
Regular Member


Date Joined Feb 2011
Total Posts : 95
   Posted 5/19/2011 8:42 PM (GMT -6)   
Sheila,

I have a crazy strong gag reflex that made the 24 hr. pH cause near constant choking feeling. I pulled it out after about 4 hours. Had the 48 hour Bravo, which was a piece of cake for me.

Peggy

mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1604
   Posted 5/20/2011 1:33 AM (GMT -6)   
If you have to stop ppis just before the test, are they not just simply measuring acid rebound?!
New stuff: GERD. Interstitial Cystitis
Lifelong stuff: Food allergies, eczema, asthma

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted 5/20/2011 1:43 PM (GMT -6)   
My doctor didn't make me go off my ppis any. My acid was still high.
Joy

Beargirl
Regular Member


Date Joined May 2011
Total Posts : 44
   Posted 5/24/2011 2:49 PM (GMT -6)   
I had the procedure a year ago & whilst I can't say it was pleasurable, it wasn't the worst thing I've ever done! I can't take PPIs so am coping on Ranitidine, antacids & Gaviscon Advance, so being off them for 7 days before the test was unpleasant. Glad I did it though as I'm seriously looking at the LINX & Dr. Ashton needs those results to make the final decision as to whether I'm elegible - here's hoping!!

Try not to worry too much about the Ph tests, you should be fine.

Good Luck
Jan

SuzetteMB
New Member


Date Joined Jun 2012
Total Posts : 5
   Posted Today 5:06 PM (GMT -6)   
Pegster, what is the difference between the 24 hour PH test and the 48 hour Bravo test? I saw a doctor yesterday who suggested that I do the 24 hour ph test and I been looking up information and forums about it and other people whose done the test and from what I read it seems to make you gag a lot and I have a HORRIBLE gag reflux. If I do the 48 hour Bravo test or suggest it to my doctor instead will I get the same results? And how does that test work? And does it also cause gagging?

Your help will be highly appreciated thank you

-Suzette

couchtater
Elite Member


Date Joined Jul 2009
Total Posts : 14475
   Posted Today 6:06 PM (GMT -6)   
You get the same results and there is no gagging involved unless they put it in while you're awake.

Mine was inserted under sedation during an EGD. I only felt it when I turned my head a certain way or ate large foods.
You wear a small receiver for 2 days and return it to the doctor for download. There are some buttons on it you have to push if you have reflux, pain, or burping. The doctor will explain them better.
Joy

SuzetteMB
New Member


Date Joined Jun 2012
Total Posts : 5
   Posted Today 6:11 PM (GMT -6)   
Okay thank you so much. I actually just got off the phone with my doctor and he said he's not sure if the place he's referring me to get it done at still does it but he will call tomorrow and if they do that test still then that test will be done instead. If not, well, I will go some where else. lol Gagging for 24 hours and being miserable isn't worth it to me.

Thanks again :)

-Suzette

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted Today 6:24 PM (GMT -6)   
Hi Suzette,
I had the wired PH monitor three times, and really, while it's not pleasant, it's not a big deal.  It's just 24 hours, then you go back and get it pulled out.  Sometimes people find the BRAVO test to be uncomfortable as they can feel the capsule pulling.  Either one is just a short term discomfort and will provide your doctors with lots of important information!
Don't worry!  You'll do just fine either way.
Best wishes,
Denise
Words of wisdom by Eckhart Tolle:
"Whatever you fight, you strengthen, and what you resist, persists.”

“Worry pretends to be necessary but serves no useful purpose”

“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”

ailingca2
New Member


Date Joined Jun 2012
Total Posts : 2
   Posted Today 8:31 PM (GMT -6)   
Hi Suzette, I had the 24 hour PH monitor. The worst part was inserting the tube and getting comfortable to sleep. Apparently I had reflux 23 out of 24 hours. So the worst part for me were the results.

SuzetteMB
New Member


Date Joined Jun 2012
Total Posts : 5
   Posted Today 9:17 PM (GMT -6)   
Thank you so much Denise for your words and thank you as well Ailingca2. If I can't get a doctor to do the bravo then I will for sure still do the 24 hour ph test. I just heard from others and what I read on here and other forums that if you have a bad reflux it's kind of hard to deal with but willing to if that's the only thing that can tell what's going on after 6 plus years of (GERD) hell.

-Suzette

SuzetteMB
New Member


Date Joined Jun 2012
Total Posts : 5
   Posted Today 9:18 PM (GMT -6)   
And sorry ailingca2 for the bad results. What did they suggest you do? Surgery? Or just different meds?
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