Having 24 hr PH test atm, lots of wretching

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Andy1986
Veteran Member


Date Joined Dec 2012
Total Posts : 1171
   Posted 2/9/2013 7:15 AM (GMT -6)   
Hi

Ive currently got the ph test tube up my nose and down my throat and am having discomfort issues. I had the manometry test this morning, that wasnt too bad as it doesnt last too long, but this 24 hour test is starting to seem much worse. I can cinstantly feel the tube down the back of my throat and have been retching a lot as a result, especially when i move around. Its been about 2 hours since it was put in, will i eventually get used to it and is there a danger the resukts will be invalid because im retching all the time

Albez
Regular Member


Date Joined Jan 2013
Total Posts : 103
   Posted 2/9/2013 9:33 AM (GMT -6)   
I had the 24hr test about a week ago and found it uncomfortable and made my throat sore but wasn't making me wretch. I found laying down with it the most comfortable. Biggest mistake I made was eating rice and tuna with it tugging pretty bad on my throat, gave up after a few mouthfuls. It was a relief to have it removed, not the greatest test I've ever had but it was bearable.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5004
   Posted 2/9/2013 9:45 AM (GMT -6)   
Hi Andy.

Sorry you are having trouble. Some people don'e even notice the tube, but some can't tolerate it. I haven't had that tube but have had several NG tubes after surgery, some for a week. I have a horrible gag reflex, so the tubes were awful.

The only way I could tolerate tubes was to try hard not to swallow. I couldn't drink anything, much less eat. Instead of swallowing saliva I had to spit it out. I lost a lot of weight.

If the retching continues call your doctor. If you can't get an answer you may have to go to an ER and get the thing removed.

Andy1986
Veteran Member


Date Joined Dec 2012
Total Posts : 1171
   Posted 2/9/2013 10:21 AM (GMT -6)   
Hi, thanks for the replies. Its been in 5 hours now and im more used to. Havent retched in a while but its still uncomfortable. Im managing to eat and drink which is good cos it sets off my reflux, but its getting sore in my nose and at back of my throat where its rubbing.

Think ill be able to stick with it but its definitely made me think twice about a possible fundo. If im finding this just about bareable so i dunno how ill cope with an operation!

pegster
Regular Member


Date Joined Feb 2011
Total Posts : 95
   Posted 2/9/2013 12:43 PM (GMT -6)   
I wretched so much with the 24 hour probe that the nurses were not sure they should send me home with it. I did go home thinking if I could just do the things asked to see with this test, it would be ok. So, I tried to sleep and that was impossible. Then, I tried to eat, which was my undoing. I pulled the probe out myself after 2 1/2 hours at home. My GI said I would have to live with the gerd since I could not do the test. However, the GI that supervised the testing said I could do the 48 hour bravo. I tolerated that very well, got good test results and the LNF. 2 years later everything is good.

Peggy

Andy1986
Veteran Member


Date Joined Dec 2012
Total Posts : 1171
   Posted 2/9/2013 1:09 PM (GMT -6)   
Cool ill keep that in mind. Only 5 more hours till i go to bed. Cant wait! Think i shud be ok sleeping iv had to put up with worse in the past, but tomorrow morning its gonna feel so good when i can pull this darn thing out :)

Andy1986
Veteran Member


Date Joined Dec 2012
Total Posts : 1171
   Posted 2/11/2013 4:30 AM (GMT -6)   
I thought I would update this in case someone else comes across it when looking for some info on this.

I made it through the 24 hour test, despite wanting to pull the thing out after only about 1 hour. It took me quite a while to get used to it, I had patches of retching about 5 times in the first few hours due to the tube moving in my throat, but after about 5 hours i didnt have a problem with retching and I was able to move around, go for walks etc without any retching, just some mild discomfort.

Its quite uncomfortable, but I think actually maybe it felt worse because I was off the PPIs and it was the first day I hadn't been allowed to take any gaviscon. I was also doing everything I could to provoke reflux which meant a few cups of peppermint tea, finally eating my christmas chocolates and moving around after meals and drinks. Also I slept flat for the first time in months, didnt feel any reflux in the night but could tell in the morning the day and night before had taken it's toll.

I actually found sleeping to be ok, for me moving around was worst as I could really feel the tube whereas lying still eventually I just forgot about it. I've had to overcome serious sleep problems in the past due to anxiety problems, which I think really helped me as I've learned how to get my body to sleep even when it doesn't really want to.

I actually found eating to be ok, it does tug on the tube a bit but I held it on my face so it didnt rub in the nose and throat as much.

Overall it was really tough for me as I also suffer from anxiety and clinical depression. Combined with coming off PPIs it's been really tough on me psychologically and even though the test is over now I am still dealing with the reflux pains while the PPIs start to kick in again. These pains have really brought my mood down and my anxiety is high. I have overcome these problems before but it doesn't make them any less worse now that I have to tackle them again.

So for anyone about to do this test, I would say it isn't pleasant, but if I can get through it with my psychological problems then Im sure most other people will find it much easier. Given how important the test is Im glad I managed to get through it. The first few hours are the worst but my advice is just keep busy and try to pass the time as quick as you can.

I was very symptomatic during the test so am hoping that it will give me a diagnosis and tell me whether what Im feeling is reflux or something else, as my doctors still arent convinced due to my psychological problems.

If anyone reads this and gets worried, dont be. Worst case scenario is you cant deal with it, but then you can just pull the tube out yourself and it's over. I think being off PPIs is worse than the test itself.

markau
New Member


Date Joined Feb 2013
Total Posts : 1
   Posted 2/11/2013 11:13 AM (GMT -6)   
It is very uncomfortable. I actually clawed it out in my sleep. Fortunately, they had 16 hours of data and it was enough.

Albez
Regular Member


Date Joined Jan 2013
Total Posts : 103
   Posted 2/11/2013 11:57 AM (GMT -6)   
Did your 24 hr meter have pH readings on it? Mine had two readings one I think was the pH of my stomach and the other the pH of the gullet. My reflux wasn't too bad during the test but did notice the pH levels were at a pH of 2 some of the time. Will have to wait to see the gastro doc to get the results I guess.

steppingstone
Regular Member


Date Joined Apr 2010
Total Posts : 372
   Posted 2/12/2013 11:16 AM (GMT -6)   
I absolutely hated this test the 2 times I've had to have it done. The fact that they do not want us to take any antacids or prescription meds for the GERD for several days prior to the test does not help. The last time around, I was actually vomiting during the night because of my gag reflex, and finally pulled the tubing out in my sleep due to my discomfort. Fortunately, I had it in for about 17-18 hours prior to this happening, or I would have had to repeat the test.

Andy1986
Veteran Member


Date Joined Dec 2012
Total Posts : 1171
   Posted 2/13/2013 3:06 AM (GMT -6)   
Mine didnt have any ph readings so i couldnt see what it was saying. Ill just have to wait for the results to come through.

I actually found the week before ok, its this week thats hard, been getting heartburn and nausea since the test, hopefully that means i had a lot of reflux during the test and its healing up now

dencha
Forum Moderator


Date Joined Feb 2009
Total Posts : 7181
   Posted 2/13/2013 8:32 AM (GMT -6)   
Hi Andy,
 
Thanks so very much for your follow-up post.  I'm sure it will help many who come searching for answers.  I'm glad to hear you made it through, and that you could use the tools you've worked hard to develop, to help you manage the challenges.  It's not fun, but you made it!
 
I've had three of those fun tests, and can remember the sensation of the probe very well.  It's definitely a "mind over matter" endeavor.  I hope you get the results you're looking for, and can find relief from your GERD!
 
Take care,
Denise
 
 
GERD/Heartburn Moderator
Nissen Fundoplication 2/09
Allergy/Asthma

"Whatever you fight, you strengthen, and what you resist, persists.”

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