The esophageal pH test is a diagnostic test which is used to diagnose the diseases affecting the esophagus and the human gut. Esophageal pH test is primarily advised to check the pH of the esophagus in individuals who constantly complain of heartburn or acidity. The test is a invasive test and is performed as an outpatient procedure.
What is the principle of an esophageal pH test ?
The lower esophageal sphincter controls the movement of food from esophagus to the stomach. In case this sphincter does not close properly it can lead to flux of the acidic contents into the esophagus. This pH probe measures that acid content which refluxes in the lower esophagus.
When is an esophageal pH test advised ?
An Esophageal pH test is advised in individuals who complain of constant acidity and heartburn, individuals who are symptomatic of GERD (Gastro esophageal reflux disease) and also have symptoms like chronic cough and nausea.
When is an esophageal pH test not advised ?
An Esophageal pH test is a rather safe procedure but it is important that you inform your treating doctor or the gastroenterologist if you are pregnant or have any history of any chronic diseases. As this is an invasive procedure unnecessary complications may arise.
How do you prepare for an esophageal pH test ?
You will be advised to get an Esophageal pH test only after a complete physical and clinical examination by your gastroenterologist. It is important that you give a detailed medical history and medication history to your doctor as certain medication like proton pump inhibitors (pantaprazole, omeprazole), antacids, medicines for blood pressure (calcium channel blockers) and medicines for angina as they may interfere with the outcome of the test. You will be asked to stop eating anything at least 6-8hours before the procedure.
What happens during the esophageal pH test ?
The test is performed as an outpatient procedure. A small probe will be passed through your nostril to your lower esophagus. The probe is attached to a monitor outside which can be worn by you on your shoulder or your belt. You will be asked to keep this probe in place for 24hours. You must monitor every time you eat, experience any symptom or every time you eat or drink anything and also if when you lie down and when you get up. Your nurse or assistant at the hospital can record the same for you. You should be careful as the monitor should not come in contact with any water during the time when the test is carried out.
When are the results of the esophageal pH test given ?
The test results are given by your gastroenterologist usually on your next visit to the doctor. If the test results are abnormal the further treatment plan is decided accordingly.
What are the risks associated with an esophageal pH test ?
Esophageal pH test is an invasive test and one might feel slightly nauseas when the test is done. You might also feel slightly uncomfortable when the probe is inserted down your nostrils. It is important that you ask your gastroenterologist, the procedural details before going ahead with the test.
Disclaimer: The content provided here is meant for general informational purposes only and hence SHOULD NOT be relied upon as a substitute for sound professional medical advice, care or evaluation by a qualified doctor/physician or other relevantly qualified healthcare provider.
