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Best Manometry Test in Jabalpur

Manometry

Manometry is a test used to measure the pressure and the movement (peristalsis) inside different parts of the digestive system. It helps doctors understand how well the muscles in the esophagus (food pipe) and rectum are working.

There are two main types:

  1. High-Resolution Esophageal Manometry (HREM)

  2. High-Resolution Anorectal Manometry (HRAM)

1. High-Resolution Esophageal Manometry (HREM)

This test checks the muscle function of the entire esophagus, including:

  • The upper esophageal sphincter (UES)

  • The lower esophageal sphincter (LES)

  • The wave-like muscle movements (peristalsis) that push food to the stomach

When is HREM Needed?

It is commonly advised when a patient has:

  • Difficulty swallowing (Dysphagia)

  • Pain while swallowing

  • Persistent heartburn or acid reflux

  • Food coming back up (regurgitation)

  • Chest pain not caused by heart disease

These symptoms are seen in conditions like:

  • GERD (Acid reflux disease)

  • Achalasia Cardia

  • Diffuse Esophageal Spasm

  • Jackhammer Esophagus

  • Hypertensive LES

It is also done before certain procedures such as fundoplication, pneumatic dilatation, or POEM surgery.

How is HREM Done?

  • The patient should fast for 6 hours before the test.

  • No sedation is required; only a numbing spray is applied in the nose.

  • A thin, flexible tube with multiple pressure sensors is passed through the nose into the stomach.

  • You may feel mild discomfort initially, but most people adjust quickly.

  • You will be asked to swallow water so the device can measure muscle function.

  • The procedure usually takes 15–20 minutes.

2. High-Resolution Anorectal Manometry (HRAM)

This test measures:

  • Strength and relaxation of anal sphincter muscles

  • Sensation in the rectum

  • The reflexes required for normal bowel movement

When is HRAM Needed?

It is helpful in evaluating:

  • Chronic constipation

  • Fecal (stool) incontinence

  • Hirschsprung disease

  • Defecation disorders

How is HRAM Done?

  • The rectum must be empty, so a bowel wash or enema is advised before the procedure.

  • No sedation is used.

  • A small catheter with sensors is inserted gently through the anus into the rectum.

  • The patient is usually positioned lying on the left side.

  • Measurements are taken for:

    • Anal muscle pressure

    • Rectal sensation

    • Balloon expulsion test

  • The test takes around 15–20 minutes.