What does this manometry result mean?

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Andy1986
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Date Joined Dec 2012
Total Posts : 1178
   Posted 3/9/2013 4:58 AM (GMT -6)   
i just got my manometry results, although when i spoke to my doctor he didnt mention it at all, the results say 'a significant number of oesophageal contractions were hypotensive, less than 30 mmhg (normal=30-180 mmhg)

The resting lower oesophageal sphincter pressure was normal at 14 mmhg.

Does this mean my esophageal contractions are fairly weak? Does this imply my pain is not from eosophageal motility issues?

Also it says the lower sphincter pressure is normal, but i have a hiatus hernia. Can you still get reflux with a normal pressure?

Sorry, last question, does all this mean i might be better off with a partial NF rather than full? Given weak eosophagus and normal lower sphincter pressure.

DOGGBONES
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Date Joined Apr 2012
Total Posts : 707
   Posted 3/9/2013 9:00 AM (GMT -6)   
andy,
If your les is working normal, I'm not sure sure I would be in any hurry to get NF. You may want to look at other ways to control your reflux.

theacidrefluxman
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Date Joined Oct 2009
Total Posts : 739
   Posted 3/9/2013 10:02 AM (GMT -6)   
It means you have esophageal hypomotility/dysmotility. Your muscles aren't acting as strongly as they should. You have weak peristalsis.

Post Edited (theacidrefluxman) : 3/9/2013 8:02:35 PM (GMT-7)


Andy1986
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Date Joined Dec 2012
Total Posts : 1178
   Posted 3/9/2013 2:24 PM (GMT -6)   
Dogg, what other options are there? Im o n max ppis and am taking domperidome which is a prokinetic i believe. Still have symtoms though.

My GI has discharged me and sent me to a surgeon, didnt give me any other options. Didnt even mention the manometry results either.
GERD - Hiatus Hernia, Anxiety and Depression

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted 3/9/2013 4:17 PM (GMT -6)   
andy,
Forgive if you have posted this info but read so many sometimes it all becomes a blur. How long have you had gerd? Do you have lpr symptoms? It concerns me when I see people rush to surgery. Yes, many have success but others do not. Do you have barretts? Your les pressure is good, so for me it makes no sense to create a new les with your stomach when theres nothing wrong with yours. If nothing is wrong with your les, I'm not sure surgery would fix something that isn't broken. What is your ppi dose? Once or twice daily?
 
Now, your question...what else is there to do? A good start is with diet changes. I'm working on getting off ppis all together, at one point in time I was on max ppi x2 daily, h2 blocker, carafate, tums, gavicson and let me tell you I felt like poo! So I believe (unless short term) ppis are no friend of yours, I perfer to control and heal with diet and supplements.
 
I would never get surgery without alot more testing than what you have had done. I'm going to start the fast track diet sometime in April after I get back from vacation and taper off my ppi.

Andy1986
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Date Joined Dec 2012
Total Posts : 1178
   Posted 3/9/2013 5:07 PM (GMT -6)   
Im on nexium twice daily and ranitidine. My les is ok but i have a large hiatus hernia and get pain pretty much everytime i eat. Had gerd for about 8 months now, last time i was off ppi i was in absolute agony, all i ate was bread and water and even then still had constant heartburn.

I get a lump in throat feeling but only occasionally get reflux all the way up to my throat
GERD - Hiatus Hernia, Anxiety and Depression

stkitt
Elite Member


Date Joined Apr 2007
Total Posts : 32602
   Posted 3/9/2013 5:42 PM (GMT -6)   
Hello to all the Gerdies and wow, I am so impressed with how much you help each other. 
 
Andy, great to see so many respond to you :),  may I suggest that you call your Dr. and make an appointment to see him so he can explain that very spendy test you had or to send you a copy in layman's terms to how he is interpreting the results of your tests.
 
It really bothers me to know people go in for medical tests but nobody provides the results to the patient so they have to come to a forum to ask what their tests mean.  It is negligent that your Dr. did not talk with you.
 
Good Luck my friend,
Kitt
 
 
 
 
~~Kitt~~
Moderator: Anxiety, Osteoarthritis,
GERD/Heartburn and Heart/Cardiovascular Disease.



"The wind blows, the sun rises, the snow falls and the ocean relentlessly pounds the shore. Life rolls on with fresh new possibilities at every turn."

Andy1986
Veteran Member


Date Joined Dec 2012
Total Posts : 1178
   Posted 3/9/2013 6:42 PM (GMT -6)   
Hes already discharged me and i still have my barium swallow next week. I wont be able to get an appointment with him now, just the surgeon hes referred me to (nhs beaurocracy reasons). Hopefully the surgeon can explain it to me
GERD - Hiatus Hernia, Anxiety and Depression

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted 3/9/2013 8:55 PM (GMT -6)   
andy,
I just recommend more testing and more research before you rush into surgery(it's kinda last resort). What do you consider large hernia? Mine is sliding 2cm and is considered small. Just because you take more and more meds doesn't mean you'll feel better, in fact the more I increased them the worst I felt.
 
 

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted 3/9/2013 9:03 PM (GMT -6)   
andy,
To help with the pain when you eat, take a digestive enzyme at the begining of your meals.
 
kitt,
Impressive that you still find time and strength to help others with what you're going though. Best wishes for you!

Andy1986
Veteran Member


Date Joined Dec 2012
Total Posts : 1178
   Posted 3/10/2013 7:08 AM (GMT -6)   
I plan on waiting a while before going through with a surgery anyway, to let things settle down a bit. Ill have a look into digestive enzymes, ive been takin probiotics for quite a while now, are they the same sort of thing.

Ive got no idea how large my hernia is, all i remember was hearing the guy doing my endoscopy say 'ooh thats a big one' and on the report he wrote large hiatus hernia but no measurement.

Ive just completely lost faith in our healthcare system through all this, the only person that ever seemed to care about really finding out the cause of my issues was a GI i paid to see privately, but i cant afford to pay for all the tests out of my pocket so have to rely on the nhs, who just care about gettin you diagnosed (even if its not correct) and discharged as fast as possible.

I just cant go on living my life like this, my esophagus is constantly in pain, probably because its just inflamed from constant reflux, im on max acid supression and pain killers, as well as anti depressents for the depression ists caused. Surgery seems to be the only possible fix but after reading some of the horror stories about post surgery i wish the drs would make sure that it will definitely help.

Gastricman
Regular Member


Date Joined Jan 2013
Total Posts : 294
   Posted 3/10/2013 9:55 AM (GMT -6)   
Hi Andy1986,
 
Please look at this link reagrding Manometry. It is more complex than you think.
It is important to compare apples to apples for each pert of the measurement.
 
 
FWIW,
 
Gastricman
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