Gastroenterology & Hepatology (GI)

Anorectal Manometry

Anorectal manometry is a test indicated for people with constipation, fecal incontinence, anal pain and as an evaluation for surgery. This test measures pressures of anal sphincter muscles, sensation in the rectum and neural reflexes that are needed for normal bowel movements. While the patient is lying on the left side, a small flexible tube with a balloon is inserted into the rectum. During this test, the balloon is intermittently inflated and deflated in the rectum.

Impedance ph monitoring determines whether there may be acid or nonacid material coming back up into the esophagus. The ph probe will be in place close to 24 hrs. You will return the next day to have it removed. 

Bravo ph monitoring is performed by attaching a wireless device to your esophagus after an EGD (esophagogastroduodenoscopy). The Bravo ph capsule measures ph for 48 hrs. You will return the device and diary after 48 hrs. This test requires sedation, you will be unable to drive, please have a licensed driver accompany you to your procedure.

Preparation for Procedure:
We highly recommend using a Fleets enema 2 hours prior to your test. However, if you are unable or uncomfortable giving yourself an enema, we will still be able to do your test. The enema can be bought at your local drug store without a prescription. It is OK to eat and drink prior to this test.

If you have questions, please contact Amy Peterson, R.N. or Ellen Sherrell, R.N. at (402)559-4582 between the hours of 7:00 a.m. and 3:30 p.m. Monday through Friday.

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