Small Intestinal Bacterial Overgrowth (SIBO) is a condition that can wreak havoc on digestive health, often causing discomfort and distress. In this comprehensive guide, we’ll take a deep dive into what SIBO is, explore its potential causes, common symptoms, and shed light on how it’s diagnosed. What is SIBO? SIBO is characterized by an abnormal […]
What is SIBO – Causes, Symptoms & Diagnosis Read More »
A 23 year old lady presented with stomach pain, heartburn, regurgitation, nausea/vomiting and dysphagia. High resolution manometry and 24-hour pH-impedance investigations were carried out. High Resolution Manometry HRM results showed the following: Based on Chicago classification, the patient was deemed to have ineffective oesophageal motility (IOM). 24-hour pH-Impedance Reflux Monitoring Off PPI The pH-impedance reflux
Case Study 7: Uncovering the Secret Message Hidden in a Normal Reflux Test Result Read More »
The journey from diagnosis to treatment should be straightforward, with as little burden on the patient as possible. Unfortunately, this is not always the case. It can often take around a year for gastroenterology outpatients to get the correct testing, diagnosis and consequently the right treatment for their symptoms – and often at expense to
Breaking the cycle of long waiting times Read More »
A 66-year-old lady presented with epigastric pain, heartburn, regurgitation, belching, high dysphagia and odynophagia. Her OGD showed a hiatus hernia and barium swallows – tertiary contraction and reflux. Initially high resolution manometry was carried out with a further 24-hour pH-impedance test due to HRM results. High Resolution Manometry HRM results showed the following: These results
Case Study 6: High Resolution Manometry Read More »
The patient was a 53-year-old lady presenting with a cough, LUQ pain and occasional dysphagia. She had previously undergone high-resolution manometry which showed ‘normal oesophageal motility’ based on Chicago Classification. Her previous 24-hour pH-impedance showed mainly pathological postprandial reflux. A 24-hour pH-impedance reflux monitoring test on PPIs was carried out. The patient was taking 80
Case study 5: 24-hour pH-Impedance Reflux Monitoring On PPI Read More »
A 16-year-old boy presented with IBS-like symptoms of chronic abdominal pain and diarrhoea. A clinical diagnosis of small intestinal bacterial overgrowth (SIBO) was made. Hydrogen Breath Test A hydrogen breath test was carried out using 75g of glucose, the patient had followed a restricted diet the previous day and fasted overnight. Methane levels in the
Lessons Learned from a Hydrogen and Methane Breath Test – Case Study Read More »
A 61-year-old patient presented with chest pain, heartburn, regurgitation and mid/low dysphagia. AN OGD showed mild gastritis and there was no hiatus hernia visible. High resolution manometry and 24-hour pH/impedance reflux monitoring was carried out. High Resolution Manometry HRM results showed the following: These results based on the Chicago Classification indicated Type II Achalasia (with
Case Study 4: Chest Pain, Heartburn, Regurgitation, Mid/Low Dysphagia and Mild Gastritis Read More »
A 44-year-old lady presented with stomach pain, heartburn, regurgitation, belching and mid/low dysphagia. She had previously undergone a gastric sleeve procedure in 2015 which was followed by a gastric bypass in 2018. High resolution manometry and 24-hour pH/impedance reflux monitoring was carried out. High Resolution Manometry HRM results were as follows: These results based on
Case study 3: Stomach Pain, Heartburn, Regurgitation, Belching and Dysphagia Read More »
This 27-year-old patient presented with postprandial epigastric/stomach pain and a high level of dysphagia. Her OGD was normal with MBI = 14 and Lupus A. Stationary high- resolution manometry with impedance was carried out. High-Resolution Manometry HRM results were as follows: These results based on the Chicago Classification showed that the patient exhibited normal oesophageal
Case study 2: Stationary High-resolution Manometry (HRM) Impedance Read More »
A 20-year-old lady presented with heartburn, belching and persistent hiccups. High resolution manometry and 24-hour pH/impedance reflux monitoring were carried out. High Resolution Manometry HRM results were as follows: These results based on the Chicago Classification showed that the patient exhibited normal oesophageal motility. 24-hour pH-Impedance Reflux Monitoring Off PPI The pH-impedance reflux monitoring gave
Case study 1: Mix of Real Gastric and Supragastric Belching Read More »
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*This type of test is a gut physiology test and has to be performed by licenced gut physiologists. If you identify a provider without such certificate, you can report them to the CQC for investigations to save patients. ** Some providers use a wellbeing and hobby level analysers. All medical grade devices must hold MHRA certificate, which you can check them here. *** If you spot a test provider that you cannot find them in this link at the CQC, report them here to save patients.
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