The hiatus is an opening in the diaphragm (a muscle separating the abdomen and chest) that the esophagus, or swallowing tube, passes through to reach the stomach. If the hiatus weakens and stretches, part of the stomach and/or the esophagus can squeeze into the chest cavity, producing a hiatal hernia.
There are two main types of hiatal hernias: sliding and paraesophageal (next to the esophagus).
In a sliding hiatal hernia, the stomach and the esophagus slide up into the chest through the...
Heartburn, primarily in patients who have failed medical treatment and are candidates for surgery
Uncommon symptoms of GERD (gastroesophageal reflux disease), such as chest pain, chronic cough, asthma, and other throat symptoms
The test may also be performed to evaluate the effectiveness of current treatments for heartburn or reflux. This test is often recommended for those whose symptoms aren't helped by medications.
How Is the Esophageal pH Test Performed?
The equipment used in the esophageal pH test consists of a small probe that is inserted through your nostril and positioned near the lower esophagus. The probe is plugged into a small unit (or monitor) worn on your belt or over your shoulder. A newer, wireless device may make monitoring the pH level easier: Instead of having to have a tube placed down your nose for 24 hours, your doctor will place a disposable capsule into the esophagus using an endoscope. The capsule then wirelessly transmits information to a receiver worn around the waist.
With the touch of a button on your monitor, it will record the following information:
The occurrence of symptoms
The times when you eat and lie down
A nurse will review the monitoring instructions with you.
Be careful with the monitor and keep it dry at all times.
What Happens Before the Esophageal pH Test?
Do not eat or drink for four to six hours before your esophageal pH test.
Tell your doctor if you are pregnant, have a lung or heart condition or any other diseases, or are allergic to any medications.
Can I Continue to Take Medication Before the Esophageal pH Test?
There are several medications that may affect the results of an esophageal pH test. These include:
There are other drugs that may affect the test results. Talk to your doctor about all medications you are taking before undergoing the procedure.
Do not discontinue any medication without first consulting with your primary or referring doctor. If proton pump inhibitors need to be discontinued, you will take a week off these drugs before doing the test.
Please note: Occasionally your doctor may ask you to continue a certain medication during the monitoring period to see if it is effective.