24-hour Esophageal pH Monitoring for Acid Reflux

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ninjakiller1
Regular Member


Date Joined Jul 2014
Total Posts : 208
   Posted 10/17/2014 1:51 PM (GMT -6)   
Hi Everyone!

I am going to have 24-hour Esophageal pH Monitoring soon!

I spoke to my GI, I asked him do I need to eat anything of the period time will I am on 24-hour Esophageal pH Monitoring to see if my acid reflux is getting worse or reach as to switch it on, he said eve you don't eat, you would have acid reflux as it could be turn on. But here I am confused, does it mean that my Lower esopageal Sphincter is open as I have acid reflux?

I do know that my Lower esopageal Sphincter has to be closed when food goes in the stomach but I as have acid reflux, would that mean my Lower esopageal Sphincter is open. I had Endoscopy and it everything came as normal, so I don't have Hernia at all but I am confused about Lower esopageal Sphincter. I tried to call in Hospital to speak to GI Doctor as Endoscopy who did the precedures but I can only speak to a nurse, but even nurse came only advise me what is written in the report, so I have no choice but to contact my GI doctor to ask him to contact them!

I do still have a little burping going on and I still have excessive Saliva still that could be the cause of the acid reflux that my Lower esopageal Sphincter is open.

Any help please to understand this of Lower esopageal Sphincter

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 10/18/2014 7:30 PM (GMT -6)   
ninjakiller1

I'm confused as well. I have always been told to eat as normal as possible during this in order to see what is truly going on. If you don't the test won't be valid.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

ninjakiller1
Regular Member


Date Joined Jul 2014
Total Posts : 208
   Posted 10/19/2014 2:31 AM (GMT -6)   
Hi Bill,

Thanks for the advise, I have to speak to my GI again of this issue, I have to eat to show the activities of acid reflux. I also asked him to book a barium swallow as well to see if I have a small hernia by any chance but he refused it to book it and he told me it won't show up in barium swallow, but I can see people here who did endoscopy as just like me, tha did not show up but in barium swallow it did, so I hope he would allow me do a barium swallow. I have to speak to my GI as to book it for me, because my life is more important than his theory not doing it.

ninjakiller1
Regular Member


Date Joined Jul 2014
Total Posts : 208
   Posted 10/19/2014 2:35 AM (GMT -6)   
Sorry Bill,

can I ask you what did you eat in your normal time when you had 24hr monitor and how much did you eat on day, as well does it stucks anything or its a just a normal way to swallow it. I also heard that I must take it out myself before I go to hospital.

Trotters
Regular Member


Date Joined Jun 2014
Total Posts : 329
   Posted 10/19/2014 3:55 AM (GMT -6)   
Sorry to hijack the thread but just wanted to give a little tip I was told whilst having the ph probe in. Sometimes when eating it can feel like the tube pulls. If you press on your nose whilst swallowing it stops the uncomfortable tug.

Hope your test goes ok.

ninjakiller1
Regular Member


Date Joined Jul 2014
Total Posts : 208
   Posted 10/19/2014 4:00 AM (GMT -6)   
Hi Trotters,

Well that's interesting, do I have press both nose as while as swallow food!

One of the major problem for me is that my nose sometimes blocks on one of them, its like one of them is fine and the other is blocked, it will change in other as later on in the other one, I hope that won't effect it.

mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1604
   Posted 10/19/2014 5:45 AM (GMT -6)   
I was told to stay off my usual medication and eat as normal, keeping a record of whenever I lay down. I was off medication, ate all my trigger foods, drank loads of coffee and was pretty symptomatic. Results were totally normal!


MMM

ninjakiller1
Regular Member


Date Joined Jul 2014
Total Posts : 208
   Posted 10/19/2014 6:06 AM (GMT -6)   
Hi mudmagnetmum,

do you mean you did not had any issues like a low stomach acid by any chance!

how is your acid is now?

Trotters
Regular Member


Date Joined Jun 2014
Total Posts : 329
   Posted 10/19/2014 6:20 AM (GMT -6)   
No just as you swallow the nostril the tube is in it just stops it pulling on the food as it goes down.

ninjakiller1
Regular Member


Date Joined Jul 2014
Total Posts : 208
   Posted 10/19/2014 12:22 PM (GMT -6)   
Cool! afterwards,do I have to take it out myself before going to hospital

Trotters
Regular Member


Date Joined Jun 2014
Total Posts : 329
   Posted 10/19/2014 12:44 PM (GMT -6)   
I didn't have to, they took it out for me at hospital. Good luck :-)

mudmagnetmum
Veteran Member


Date Joined Apr 2011
Total Posts : 1604
   Posted 10/19/2014 2:40 PM (GMT -6)   
They take the tube out at the hospital for you.

I meant mine showed no acid leaking up into the oesophagus - I can't remember what it said about any acid level in the stomach! I was just told it was all normal, despite all the symptoms I felt.

MMM
GERD (3 years and counting)
Lifelong stuff: Food allergies/intolerance, eczema, asthma

Trotters
Regular Member


Date Joined Jun 2014
Total Posts : 329
   Posted 10/19/2014 2:49 PM (GMT -6)   
Hi mudmagnetmum isn't it frustrating, my second ph test showed a "normal" result despite me having symptoms the whole 24 hr. Have you ever thought about requesting an impedance test to see if it's weak acid that's bothering you? I'm going to request one at my next appt.

ninjakiller1
Regular Member


Date Joined Jul 2014
Total Posts : 208
   Posted 10/19/2014 5:08 PM (GMT -6)   
I mean mine was clear as normal in endoscopy and now I am going to wait for the appointment for the 24hr monitoring, I might have a low stomach Acid, because of h.pylori that I had it for 2 years and it was untreated not well, but this year its gone completely, I had twice negative, but now I am thinking that h.pylori causes to create a low stomach acid. Can 24hr monitor to measure as I would have a low stomach acid by any chance!

opnwhl4
Forum Moderator


Date Joined Dec 2008
Total Posts : 4961
   Posted 10/20/2014 2:02 PM (GMT -6)   
As far as I know the probe only goes into the esophagus, not the stomach.

The manometry probe does go through the LES temporarily to read the LES pressure though.

I don't remember any specific foods I ate or drank. I just ate what ever sounded good.

Sticky foods definitely pull more on the probe and holding it does help a lot. They took mine out at the clinic every time I had one done.

Take care,
Bill
opnwhl4
Moderator: GERD/Heartburn, Kidney disease

Nissen 6/06 and 5/09
#3 8/24/11

ninjakiller1
Regular Member


Date Joined Jul 2014
Total Posts : 208
   Posted 10/29/2014 5:35 PM (GMT -6)   
I got appointment on 17/11/2014 for Esophageal Manometry and 24-hour Esophageal pH Monitoring.

I also got a call of my GI today and we both spoke for while, he explained to me what will happen on that day you are going to have the procedure, also I asked him of regarding Schatzki Ring and Esophageal Spasm, he told me that Manometry will have the precisely results of those readings and ofcourse other stuff as well, so it would be a good thing for me to check up. I also asked him if I have Gerd, what would be my options, he said we can try ppi, if not than there is a good way doing a surgery, but he also said that we will not jump on that conclusion until we see the test results.

So I have decided myself, if I have Gerd, I am going to loose my weight, even I am not overweight but I still got a belly to loose as its fat a lot, but doing more as loosing it completely as slim, I hope that would reduce the symptoms of acid reflux and than I will think about doing surgery than.

Hope everything goes smooth

electracat
Regular Member


Date Joined Sep 2009
Total Posts : 89
   Posted 10/29/2014 9:39 PM (GMT -6)   
I hope it all goes well, ninjakiller.

I'm thinking I should have the tests at some point, but...wondering what the results lead to.

If it shows you're refluxing, what, if anything, different would you do? And if manometry shows weak LES, would surgery be only option to fix that? I'm scared of the tests (I'm a big baby ;), don't want to do them if they're not going to change my treatment.

Don't mean to be dismissive of them; genuinely curious about the results! Thanks. :)

ninjakiller1
Regular Member


Date Joined Jul 2014
Total Posts : 208
   Posted 10/30/2014 1:12 PM (GMT -6)   
Hi electracat

You need to be brave, its always a good thing to do those procedures as I am. You see manometry it can detect many different thing inside our esophagus, its best thing to do and determ of problem. We all learned our lesson and we need to change our lifestyle to improve completely. Everyone scarred, even me but do I have options? no I don't, I have to go through with it and see what I can do to improve it, if I have Schatzki Ring and Esophageal Spasm as doing Manometry, it would give me a chance to take medication to heal it or do a surgery to improve of those two symtoms, we must never be scarred of a little thing. Your life is in your hands, you know your body and you need to research how to improve it, for example as everyone says even you are not overweight but have fat belly, its best to loose the weight and slim it completely, because it can reduce a significant of your Gerd, its true stories what people say and mine as well, I was 115kg and now I am 78Kg, I lost 38kg it really improved my all over body of fats but I still need to improve my belly to slim it.

Do all tests and speak to your GI afterwords, you can ask many other way to improve your health, even cure it!

Exercise is every beneficial in our body and can improve everything! Don't give up in your life and don't wait like that, you need to move forwards and look after your body well and do all test.

electracat
Regular Member


Date Joined Sep 2009
Total Posts : 89
   Posted 10/30/2014 3:58 PM (GMT -6)   
Thanks, Ninjakiller.

What are your treatment options, based on the manometry test? And what exactly does 24 hour pH test tell you, and what are treatments for that?

Are you trying to find out if Nissen surgery is for you?

Let us know how they go!! :)

ninjakiller1
Regular Member


Date Joined Jul 2014
Total Posts : 208
   Posted 10/30/2014 5:13 PM (GMT -6)   
Hi electracat

Well Manometry will be used to assess my lower oesophageal sphincter that how is is working, that will measure pressure levels inside the sphincter muscle. That would be a big step of an answer. As well to see Schatzki Ring and Esophageal Spasm, etc.

24-hour pH monitoring as measure pH levels around my oesophagus to see if I have GERD.

Its true I am thinking about doing Nissen surgery but I don't want jump in that conclusion as yet until I get those tests results, as well to see my GI to see what is my next step, I do know that PPI is not helping me at all, when I got off PPI, I can eat well.

There is a lot of people who done Nissen surgery, it really brought their life back as normal, as switching GERD completely in your system, but as you know that as surgeon needs to be a masterpiece to handle it well with a 100% successfully of Nissen surgery.

You see I can't live with GERD, so I am looking in my options is to loose weight completely and see how much improvement can bring me and than to see if I am up to doing Nissen surgery.

You see I might have a GERD or from stress, but I did had h.pylori that really messed me up but I finally removed from my stomach as done course of antibiotics.

options as like!

1. Loose weight completely!

2. Move to nutrition foods, ofcourse chicken, fish.

3. I stopped sugar as sweets, chocolates, fizzy drinks and fry foods as well.

Many people was able to switch off their gerd by Loose weight and moving to nutrition foods!

Many people struggles to believe that loosing weight will it really help? ofcourse it will, not only that but it will maintain your body a very healthy!

I will do what I can do get my normal life back and you also!

ninjakiller1
Regular Member


Date Joined Jul 2014
Total Posts : 208
   Posted 10/30/2014 5:23 PM (GMT -6)   
Hi electracat

I forgot to say as fizzy drinks in Coca Cola, we know that how much people love those to drink and how obsessive they are with it. One thing for sure we know that it has high surgar in it, like when you buy a large coke from Mcdonald, it contains 22 sugars as packs in it, thats how much sugar there, it was killing our body all this time, ofcourse it has a strong gas as acid and caffein as well. All this is bad stuff for our body but we never realised until we got this major problem in our body.

electracat
Regular Member


Date Joined Sep 2009
Total Posts : 89
   Posted 10/30/2014 5:29 PM (GMT -6)   
Thanks, Ninja. So true about all the acid and sugar in foods these days!

Just wondering that if LES is weak, what treatments are there besides surgery? Do you think diet can help?

And what, exactly, does pH test tell you--you know you have GERD, right? Not trying to be a pain. Just curious how the results will influence your treatment.

The only treatments I know are surgery, ppi's, and diet. I guess there are a few different surgical solutions besides Nissen.
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