Had my manometry yesterday - and boy do I hope I never have to do that again!
It was not horrible, but I'm very glad to have it behind me. I'm generally pretty tolerant to pain and discomfort so I was not expecting it to be too bad. I watched a video of the procedure in advance, and it seemed uncomfortable, but not unreasonably so. I was prepared for what would happen, and thankful it would be over quickly.
I think what made it rough for me is that the numbing agent did not seem to work very well, and the first attempt on one side did not work. We tried one side about 4-5 times before giving up and trying the other nostril. It took a few tries there, too, before the tube would emerge out into my throat.
I've used a neti pot before and did not expect to be too weirded out by something in my sinuses, but I don't think anything can really prepare you for the kind of violation you'll experience. The worst part for me was getting it down past my throat/larynx area. I gagged and coughed every time it moved, but things were fine as long as the tube was not moving up or down.
The swallowing itself was not too bad (just really, really weird), and once the stress of getting the tube in place was over the test itself was pretty uneventful. Getting it out again was pretty stressful, though brief.
My sinuses feel so raw and torn up, and I'm keeping my fingers crossed that I don't get a sinus infection. I had blood and mucus and lube pouring out of my nose for quite awhile afterwards.
For those of you facing a manometry, don't freak out too much in advance, but do be aware that it's not pleasant. I think some things that would have helped me a little more:
- I wasn't told until after several uncomfortable attempts that keeping my chin down would help. It made insertion a lot smoother.
- I don't think the numbing gel that was used in my case was very helpful. They applied it with a cotton swab, and I don't think this method of application allows the gel to get everywhere it needs to go. The videos I've watched show a topical anesthetic being applied by spraying it up into the nose forcefully, and it will drain back into the throat. I didn't have any drainage of the numbing agent into my throat and felt almost everything :(
- If I had to do this again, I would ask if I could take an ibuprofen and a decongestant prior to the procedure, to help get ahead of the sinus issues from having everything irritated afterward.