Motility Diagnostic Procedures
Call 415-600-3676 to register by phone within five (5) days of your appointment.
Please Check in 15 minutes before your appointment at:
California Pacific Medical Center
2333 Buchanan St. 5th floor GI Lab
San Francisco, CA 94115
Please bring your insurance card(s).
- Up to 4 Hours Prior to procedure: You may have something light to eat (toast, crackers, juice, or coffee). NO Food thereafter.
- Two Hours Prior to procedure: You should use one (1) to two (2) FLEET’S ENEMA (purchase at the drugstore) as needed to clean any solid stool from your rectum.
Your procedure will take approximately one (1) hour. No sedation will be given and you will not need a driver to take you home. You may return to regular diet and lifestyle as soon as you leave the lab.
If you have any questions, please call 415-600-1138.
Anorectal Manometry Description:
Anorectal Manometry is a diagnostic procedure designed to examine the muscle function of the anorectal area. The procedure consists of placing a (pencil thick) flexible tube into the rectum that holds multiple sensors to detect and record pressure activity in the rectum and anal canal.
During the testing a neurogastrointestinal motility nurse will ask patients to perform the following exercises:
- Squeezes - like holding a bowel movement or gas.
- Bear down or push out like you are trying to have a bowel movement.
- A deflated balloon is attached to the tube. The nurse will inflate the balloon in the rectum with different amounts of air to mimic stool in the rectum. The nurse will ask when you feel a sensation in your rectum or when you feel the urge to have a bowel movement. Inflating a balloon tests for rectal sensation, rectal compliance and anorectal reflexes.
- The nurse will take out the tube and a different tube will be inserted into your rectum that has a balloon attached to it. The balloon will be inflated with water and you will be asked to sit on a bedside commode to test if you can expel the balloon within one minute. If you are unable to expel the balloon, the nurse will take out the tube.
- If you are having fecal incontinence or fecal leakage, a stress-incontinence test will also be performed.
Center for Neurogastroenterology and Motility
California Pacific Medical Center.
Center for Neurogastroenterology and Motility in San Francisco features some of the top-rated gastrointestinal (GI) disease doctors in the San Francisco Bay Area, Marin county and Northern California. Providing personalized patient care using the most successful motility diagnosis and treatment available is what we do best.