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    Neurogastrointestinal Motility Program Diagnostic Testing

    Motility disorders result when any chronic abnormal muscular activity such as muscular spasms or irregular contractions start causing pain, diarrhea, constipation, indigestion, vomiting or abdominal bloating.

    Since these disorders are functional, not structural, they cannot usually be identified by X-ray, blood tests or endoscopy. Even though many of these disorders are accentuated by stress and emotional upset, they are physical conditions and not psychological.

    Testing Techniques:

    • Anorectal Manometry measures anal pressure and rectal sensations, and assesses the rectoanal inhibitory reflex and excitatory reflex for patients presenting with rectal incontinence or constipation.

    • Antroduodenal Manometrymeasures the pressure waves in the stomach and adjacent small bowel and records the pressure changes in antrum and duodenum.

    • Biliary Manometry — measures pressures of the sphincter of Oddi to diagnose dysfunction.

    • Colon Motility/Transit Studies — measures the degree of abnormal contractions and movement of stool in the colon.

    • Electrogastrogram (EGG) records stomach muscle electrical signals and conduction before and after good ingestion.

    • Esophageal Manometrymeasures pressure within the esophagus, records and evaluates the muscular function of the esophagus.

    • Esophageal pH Impedance Monitoring provides a more complete esophageal function test than esophageal menometry alone, detecting nearly all GERD episodes, acid as well as nonacid.

    • GERD Esophageal pH Study measures the acid reflux flow into the lower esophagus.

    • Gastric Barostat Studies measures gastric motor activity as changes occur in stomach volume and pressure.

    • Gastric Emptying Study — measures the flow of liquids or solids through the stomach.

    • Breath Hydrogren Testingdetects and measures small bowel bacterial overgrowth to evaluate and investigate gastrointestinal disorders.

    • Pyloric Manometry — measures pyloric pressure to diagnose pylorus spasms.

    Motility experts evaluate adults using advanced medical technology for gastrointestinal motility and manometric studies and disorders associated with faulty movement of luminal contents. Once diagnosed, patients are treated with a variety of drug therapies,interventional endoscopy or surgical options that are best suited for their condition.