Manometry and 24 hour pH study
Manometry is the study where a pressure sensing thin probe is passed from the nose or anus to study the pressure of esophagus, lower esophageal sphincter, rectum and anal canal
Esophageal Manometry is performed by nasal route, to study the pressure in esophagus and lower esophageal sphincter
Indication of Esophageal Manometry are
- Dysphagia – in patients with normal UGI Endoscopy, motor disorders are common cause in this setting, which can be diagnosed by manometry
- Gastroesophageal reflux- Low esophgaeal sphincter pressure predisposes to acid reflux symtopms
- Anorectal manometry is done by the anal route.
Indications of Anorectal Manometry are
- Anal incontinence
- Chronic constipation because of neuronal diseases
24 hour pH study
24 hour pH study is indicated in patients with suspected gatroesophageal reflux disease. 24 hour pH study is an ambulatory study, where pH probe is passes through the nose to lower esophagus, probe has to be kept in situ for 24 hours. All the reflux episodes from stomach to esophagus leads to change in esophageal pH, which are sensed by pH probe, and are recorded in data recorder, which is later studied
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The best doctor i ever met. A very cordial person in nature and very talented doctor. He is a good person to talk and have advice. I was suffering from gastritis for last 2 years. I had consulted 2 to 3 doctors but did not see any sign of improvement. I almost lost my hope to get relief from this disorder. I thought this is something I will have to endure with. But doctor Singhla treated it very well with patience and now i am feeling much much better. Thanks DR. Vikas for treating my disorder.
I am at loss for words in describing Dr Singla’s dedication towards his patients. Last month my father was treated by him for gastric polyps. His forte lies in listening to the patients and putting across the problem in a comprehensive manner. He was also very prompt in diagnosing the problem and comping up with the solution which speaks for his experience and expertise in his field. By God’s grace and through his treatment my dad is recovering. I value his professional opinion and will forever remain grateful to him. He surely is the best Gastroenterology in North India.
Best and thorough The one who is incredible in doing hard and difficult procedures With smiling face and human touch Proud of U dear teacher.