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Regular Member

Date Joined Nov 2012
Total Posts : 105
   Posted 11/20/2012 1:53 PM (GMT -6)   
hey guys first off thanks for reading. I have just been to see my doctor today about what I thought was reflux caused by having a hiatus hernia which was found during an endoscopy. He said there's a chance I have some esophagus spasms which is like irritable bowel but in the upper tract hich can't be treated and surgery could make things worse hence why I am having the ph 24 hr test. I told him I think it's reflux although it doesn't always burn and I've recently read there is Non-acidic reflux. He wants to check that my reflux is coming from my actual stomach and not just happening in my esophagus What I am worried about is if this works on PH levels and I have more of the reflux where it doesn't burn this wont show up and he will think it's the spasms which can't be treated and I am also worried that I may have this done and on that particular day I may not have a lot of reflux it varies one day I can feel ok then another day I can be constantly bringing stuff up.

how effective is this in really giving a clear picture I have been taking ppi's hr'2 prokinetics nothing is helping surgery is my last option and my only hope I just hope this test doesn't come back saying I have spasms I'm alsmost certain it's reflux as sometimes it really does burn


Regular Member

Date Joined Apr 2012
Total Posts : 458
   Posted 11/20/2012 4:26 PM (GMT -6)   
Odds are it's 24 hour ph/impedance. Which does allow measurement of nonacid reflux, or weakly acid reflux which is considered anything ph between 4-7. ph>7 are very rare (alkaline reflux) so sometimes the terms "nonacid" and "weakly acidic" are used interchangeably.
It's a pretty good test and detecting the cause of heartburn.

Regular Member

Date Joined Nov 2012
Total Posts : 105
   Posted 11/20/2012 4:46 PM (GMT -6)   
Ok thanks man I hope it's possible for me to then go on and have the operation this is really taking it's toll on my life

Regular Member

Date Joined Nov 2012
Total Posts : 105
   Posted 11/20/2012 4:48 PM (GMT -6)   
Would you have to retake the test if you didn't have a lot of reflux during then 24 hours though ?

Elite Member

Date Joined Jul 2009
Total Posts : 14475
   Posted 11/20/2012 9:16 PM (GMT -6)   
There is the 48 hr test called a BRAVO. A capsule is attached to your esophagus and sends information to a small receiver attached to a belt. You have to keep a journal during the test and mash certain buttons.
Lupus, Fibromyalgia, Glaucoma, Asthma, Hypothyriodism, Sleep Apnea, Degenerative Disk and Facet Disease, and Allergies

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Forum Moderator

Date Joined Feb 2009
Total Posts : 7188
   Posted 11/20/2012 11:17 PM (GMT -6)   
Hi sammywalker,
Yes, the 24hr PH monitor is just one day in time.  We all have varying amounts of reflux throughout the day and throughout the week.  It's not all that uncommon to be frustrated by lack of reflux on the one (or 2) days that the monitor is in place.  It's frustrating, but a fact of life.
Of course there's always a chance that you can get a follow up test.  In my experience, I knew I had reflux that was creating haoc with my lungs, but my first 24hr PH monitor came back extremely low.  The second one was quite a bit higher, but still pretty much within the normal range.  It took years for the GI doc to agree to send me for a surgical consultation.  He was just trying to protect me, but I suffered greatly with very poor lung health until I finally had the surgery.
Don't stress over the test.  Just be sure to follow the directions and hope for the best.  Worrying about it won't make a difference in the results.  Just take the test and let the chips fall where they may. 
Good luck!
GERD/Heartburn Moderator
Nissen Fundoplication 2/09

"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.”
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Regular Member

Date Joined Nov 2012
Total Posts : 54
   Posted 11/20/2012 11:34 PM (GMT -6)   
Hello sammywalker21 I am also new to this forum but I may have info that can help. I have been awaiting a Nissen Fundoplication surgery for 5 months now and I am happy to say I go under on the 12th. I am particularly addressing u since I notice u are about to have a test I just had last wk. The PH study. Mine was a Bravo 48hr but some docs do 24-48hrs but both are done the same way and are as effective. Most likely u will NOT need a second one but what may happen (which happened to me ) is u have to b awake when they place the probe really if u have had a "motility" study the ph study "probe" placement is MUCH easier then that. The issue is they need ur throat to b dry so the probe can stick otherwise they have to try until one sticks which for me was twice. The first one didn't attach and just went into my stomach. This isn't a big deal that r fairly small and u can't really feel it when it's in u. Eating hurts alil but not bad . After all that it moves thur ur system wo notice. If u have any questions or comments please post thanks and good luck I will b updating about my surgery as it happens along w all test I get done all located under a new thread I will b starting 2mrw 😀
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