Guest guest Posted July 29, 2006 Report Share Posted July 29, 2006 The wall of the esophagus contains muscle that rhythmically contracts whenever a person swallows. This contraction occurs as a sweeping wave (peristalsis) carrying food down the esophagus. With achalasia we lose some or all peristalsis. The lower esophageal sphincter (LES) at the end of the esophagus that goes into the stomach is suppose to relax to let the food go into the stomach. With achalasia it remains tight. The manometry measures both of these. You are not sedated because they can't get a true reading that way. You will remain awake. Maggie Alabama Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 29, 2006 Report Share Posted July 29, 2006 is a procedure that takes graduated measurements of pressure at various points of your e. Accomplished by insertion of a pressure sensor(s) on a tube through a nasal passage and down the e to the LES. You are required to swallow at every interval and the test is used to determine the presence or absence of parastaltic motion and pressure inside the e. As you may guess...the gag reflex invoked from the tube insertion and subseqent pressure readings can be uncomfortable. The whole deal takes about 20 min. Not usually sedated since that that could affect smooth muscle contraction readings taken while you are swallowing. D Mac > > Its Pippa again asking yet more questions Can someone help me with a > query I have just had an endoscoy and now due for a barium swallow in > two weeks, what is a manometry and is it done under sedation or are > you awake? > Pippa > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 29, 2006 Report Share Posted July 29, 2006 Thanks for that Maggie appreciate you help doese'nt sound like a very nice procedure to have to go through. Pippa > > The wall of the esophagus contains muscle that rhythmically contracts > whenever a person swallows. This contraction occurs > as a sweeping wave (peristalsis) carrying food down the > esophagus. With achalasia we lose some or all peristalsis. > > > The lower esophageal sphincter (LES) at the end of the > esophagus that goes into the stomach is suppose to relax > to let the food go into the stomach. With achalasia it > remains tight. The manometry measures both of these. > > You are not sedated because they can't get a true reading > that way. You will remain awake. > > Maggie > Alabama > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 31, 2006 Report Share Posted July 31, 2006 Oh, forgot. As for the manometry. I had no problems with this at all. I did heave a little but essentially this is OK. You don't really need any sedation for it. Don't get me wrong it is a little uncomfortable, but nothing too distressing. STEVE Manometry? Its Pippa again asking yet more questions Can someone help me with a query I have just had an endoscoy and now due for a barium swallow in two weeks, what is a manometry and is it done under sedation or are you awake?Pippa Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 31, 2006 Report Share Posted July 31, 2006 Pippa, My manometry is fresh in my mind (since it just happended last Wednesday). You are awake, but they did apply some topical anesthetic to the inside of my nose (where the tube goes in) and a spray anesthetic to the back of my throat. They give you little sips of water to swallow and then ask you not to swallow in between the sips. For or me that was hard, I had to really think about not swallowing. I did have a sore throat afterwards, but that might have been because it took them a bit longer for me (it was an hour and a half). It was very uncomfortable but not painful. It was during my manometry that I realized how rare this was because the nurse doing she called in all these other nurses to see what was going on because it was so unusal. Apparently I kept having all these mini-spasms and they didn't know what to do. Finally they pulled in some doctor I've never met who looked at the readings and said 'yeah that's achalasia' and left. On Friday my doctor called to confirm the diagnosis. Good luck Pippa. I hope it goes well for youl. > > Its Pippa again asking yet more questions Can someone help me with a > query I have just had an endoscoy and now due for a barium swallow in > two weeks, what is a manometry and is it done under sedation or are > you awake? > Pippa > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 31, 2006 Report Share Posted July 31, 2006 I didn't think Manometry Is a sign of "A" I thought Ba Swallow was THEY test for diagnoses "A" -- Re: Manometry? Pippa,My manometry is fresh in my mind (since it just happended last Wednesday). You are awake, but they did apply some topical anesthetic to the inside of my nose (where the tube goes in) and a spray anesthetic to the back of my throat. They give you little sips of water to swallow and then ask you not to swallow in between the sips. For or me that was hard, I had to really think about not swallowing. I did have a sore throat afterwards, but that might have been because it took them a bit longer for me (it was an hour and a half). It was very uncomfortable but not painful.It was during my manometry that I realized how rare this was because the nurse doing she called in all these other nurses to see what was going on because it was so unusal. Apparently I kept having all these mini-spasms and they didn't know what to do. Finally they pulled in some doctor I've never met who looked at the readings and said 'yeah that's achalasia' and left. On Friday my doctor called to confirm the diagnosis.Good luck Pippa. I hope it goes well for youl.>> Its Pippa again asking yet more questions Can someone help me with a > query I have just had an endoscoy and now due for a barium swallow in > two weeks, what is a manometry and is it done under sedation or are > you awake?> Pippa> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 31, 2006 Report Share Posted July 31, 2006 Hi For me, the Ba Swallow was the first test they did. It showed a stricture, but I was told that the stricture could be a result of several things (actually they told me it was probably GERD). It wasn't until I did the manometry (4 months later) when they were able to see the problems with the LES that they could call it A. But that's just my experience. -Kathleen Bartolino <jfbartolino@...> wrote: I didn't think Manometry Is a sign of "A" I thought Ba Swallow was THEY test for diagnoses "A" -- Re: Manometry? Pippa,My manometry is fresh in my mind (since it just happended last Wednesday). You are awake, but they did apply some topical anesthetic to the inside of my nose (where the tube goes in) and a spray anesthetic to the back of my throat. They give you little sips of water to swallow and then ask you not to swallow in between the sips. For or me that was hard, I had to really think about not swallowing. I did have a sore throat afterwards, but that might have been because it took them a bit longer for me (it was an hour and a half). It was very uncomfortable but not painful.It was during my manometry that I realized how rare this was because the nurse doing she called in all these other nurses to see what was going on because it was so unusal. Apparently I kept having all these mini-spasms and they didn't know what to do. Finally they pulled in some doctor I've never met who looked at the readings and said 'yeah that's achalasia' and left. On Friday my doctor called to confirm the diagnosis.Good luck Pippa. I hope it goes well for youl.>> Its Pippa again asking yet more questions Can someone help me with a > query I have just had an endoscoy and now due for a barium swallow in > two weeks, what is a manometry and is it done under sedation or are > you awake?> Pippa> Groups are talking. We´re listening. Check out the handy changes to . Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 31, 2006 Report Share Posted July 31, 2006 Bartolino wrote: > I didn't think Manometry Is a sign of " A " I thought Ba Swallow was > THEY test for diagnoses " A " Manometry is the " gold standard " for diagnosing achalasia. That is not a term we made up in this group. It is the label given to it by experts in the field. That does not mean you have to have it. You can get a diagnoses without it, but it gives useful information at times when other tests are not conclusive or are misleading. This is not to say it is perfect, but it is very good at what it does when done right by a skilled operator. notan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 31, 2006 Report Share Posted July 31, 2006 But Notan If U know I have "A" And the Dr knows I have"A" Why am i having it done tomorrow ? I am doing it cause Dr Richter wants it I haven't had done in years -- Re: Re: Manometry? Bartolino wrote:> I didn't think Manometry Is a sign of "A" I thought Ba Swallow was > THEY test for diagnoses "A" Manometry is the "gold standard" for diagnosing achalasia. That is not a term we made up in this group. It is the label given to it by experts in the field. That does not mean you have to have it. You can get a diagnoses without it, but it gives useful information at times when other tests are not conclusive or are misleading. This is not to say it is perfect, but it is very good at what it does when done right by a skilled operator.notan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 31, 2006 Report Share Posted July 31, 2006 Nope, barium can signal it, but manometry confirms it. Few surgeons will proceed without one. > > > > Its Pippa again asking yet more questions Can someone help me with a > > query I have just had an endoscoy and now due for a barium swallow > in > > two weeks, what is a manometry and is it done under sedation or are > > you awake? > > Pippa > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 31, 2006 Report Share Posted July 31, 2006 For me, the use of anesthetic spray in my throat was very helpful in improving my comfort. Once the (thin) tube was set in place, I was comfortable enough to become interested in the graph of the pressure wave that was generated as I swallowed. Mine was pretty flat. The technician showed me a graph of " normal " swallowing - regular peaks and valleys. What a difference! You are taking important steps toward feeling better & improving the quality of your life. Rich in Chicago > > Pippa, > > My manometry is fresh in my mind (since it just happended last > Wednesday). You are awake, but they did apply some topical anesthetic > to the inside of my nose (where the tube goes in) and a spray > anesthetic to the back of my throat. They give you little sips of > water to swallow and then ask you not to swallow in between the sips. > For or me that was hard, I had to really think about not swallowing. > I did have a sore throat afterwards, but that might have been because > it took them a bit longer for me (it was an hour and a half). It was > very uncomfortable but not painful. > > It was during my manometry that I realized how rare this was because > the nurse doing she called in all these other nurses to see what was > going on because it was so unusal. Apparently I kept having all these > mini-spasms and they didn't know what to do. Finally they pulled in > some doctor I've never met who looked at the readings and said 'yeah > that's achalasia' and left. On Friday my doctor called to confirm the > diagnosis. > > Good luck Pippa. I hope it goes well for youl. Quote Link to comment Share on other sites More sharing options...
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