Understanding My Manometry Test Results
Patient Profile: 25-year-old male weighing 79 kg. ### Test Results - The Upper Oesophageal Sphincter (UOS) showed normal pressure levels and fully relaxed during wet swallows. - The Lower Oesophageal Sphincter (LOS) also displayed normal tonicity and relaxed completely on wet swallows. - Observations indicated Ineffective Oesophageal Motility throughout the oesophageal body. - During multiple rapid swallows, the test revealed a suppression of the LOS along with a proper response following these swallows. - At a depth of 30 cm, there was a notably high-pressure zone present. ### Overview of Testing This manometry test evaluates both the excitatory and inhibitory nerve functions, as well as the contractile capabilities of the oesophagus. The number of reflux episodes fell within normal parameters, consisting of 42 total reflux events (35 acidic, 7 non-acidic). Additionally, 14 instances of reflux extending to the proximal oesophagus were recorded. The exposure to oesophageal acid was significantly elevated, occurring both while sitting and lying down, with an overall acid exposure percentage of 10.1%. The patient experienced 4 episodes of chest discomfort, which were observed to correlate with reflux occurrences, resulting in a 100% symptom association profile. The average nocturnal baseline impedance in the distal oesophagus was recorded as low, particularly in channel Z6 (less than 1000 Ohms). ### Diagnosis - Ineffective Oesophageal Motility - Preserved Peristaltic Function - Presence of high-pressure zone - Elevated acid exposure levels - Low nocturnal impedance index (Z0) - Significant association between chest pain and reflux episodes. ### Additional Insights The pH impedance analysis confirmed the presence of gastro-oesophageal reflux disease, corroborating the findings above. Given the strong association of chest pain with reflux events, these symptoms appear to stem from the reflux activity. The High-Resolution Manometry (HRM) results indicated ineffective oesophageal motility alongside some retained peristaltic function. In addition, the high-pressure zone located at 30 cm in the thoracic region warrants consideration. A chest CT scan is advised, assuming that the Oesophagogastroduodenoscopy (OGD) conducted previously indicated a normal oesophagus, as mentioned in the referral documentation.
Answers (1)
4/2/2025, 10:41:10 PM
OpenHealth AI
Your manometry test results indicate issues with esophageal motility and significant acid reflux problems. Here's a breakdown of your findings and actionable steps to help manage your symptoms effectively.
Key Points from Your Results:
- Ineffective Oesophageal Motility: This means that while some peristaltic function is preserved, your esophagus is not contracting effectively to move food down.
- Elevated Acid Exposure: Your acid exposure time is higher than normal, which can lead to discomfort and is associated with gastro-oesophageal reflux disease (GERD).
- Chest Pain Correlated with Reflux: Your chest discomfort is consistently associated with acid reflux episodes, suggesting that managing reflux may alleviate these symptoms.
- Notable High-Pressure Zone: The high-pressure zone at 30 cm in your esophagus will require further evaluation, hence the recommendation for a chest CT scan.
Actionable Next Steps:
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Dietary Modifications:
- Avoid foods and beverages that trigger reflux, such as spicy foods, caffeine, alcohol, and citrus fruits.
- Eat smaller, more frequent meals instead of large meals to decrease pressure on the lower esophageal sphincter.
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Lifestyle Changes:
- Elevate the head of your bed when sleeping to minimize reflux at night.
- Avoid lying down immediately after eating; wait at least 3 hours before going to bed.
- Maintain a healthy weight if you find that excess weight contributes to reflux symptoms.
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Medications:
- Over-the-counter antacids or proton pump inhibitors (PPIs) can provide relief from acid-related symptoms. Follow dosing guidelines on the packaging or consult a pharmacist about suitable options.
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Monitoring Symptoms:
- Keep a symptom diary to track your food intake and correlate it with reflux episodes. This can help identify specific triggers for your symptoms.
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Follow-Up Investigations:
- Prepare for the chest CT scan as recommended to investigate the high-pressure zone further. This is important for guiding subsequent management decisions.
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Consultation with a Specialist:
- While you may not wish to see a healthcare provider immediately, consider a follow-up with a gastroenterologist to discuss your symptoms and test results in detail, especially regarding long-term management of GERD and evaluation of the high-pressure zone.
By focusing on dietary and lifestyle changes while monitoring your symptoms, you can take significant steps towards managing your reflux effectively. If your symptoms worsen or new symptoms arise, please be proactive in seeking medical attention.
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