Dr Shamsher Singh Chauhan

Esophageal Manometry

An esophageal manometry test is a study of your esophageal motility (motor function). Your esophagus is the muscular swallowing tube that connects your mouth to your stomach. Muscles in your esophagus move food down to your stomach when you swallow and keep it from coming back up. But certain esophageal disorders can interfere with this process, causing swallowing problems and reflux.

Why would you need an esophageal manometry test?

A healthcare provider might want to check your esophageal motility if you’ve been having issues related to swallowing or keeping food and other substances down in your stomach. If you’re having a manometry test, it’s likely you’ve already had an imaging test to look for structural problems in your esophagus. If imaging can’t explain your symptoms, motility testing might be the next step.

Possible symptoms of esophageal motility disorders include:

  • Difficult or painful swallowing.
  • Food coming back up (regurgitation).
  • Chronic acid reflux that doesn’t respond to medication.
  • Heartburn or noncardiac chest pain.

What can esophageal manometry detect?

Manometry is a measurement of pressure, using a pressure-sensing device called a manometer. It detects the pressure that different muscles produce when they activate. An esophageal manometry test measures two types of muscle activity in your esophagus. It measures the movements that carry food downward (peristalsis) and how the valves at the top and bottom of your esophagus open and close.

Abnormal pressure in these muscles might help explain your symptoms and diagnose certain conditions, including:

  • Achalasia.
  • Scleroderma.
  • Esophageal spasms.
  • Rumination syndrome.
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