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Esophageal Manometry (Motility) Study Patient Education & Preparation
***Please arrive 30 minutes prior to your procedure time***
What Is This Test?
This study measures how well the muscles in your esophagus are working and helps evaluate trouble swallowing, chest pain, reflux, or heartburn. The test takes about 45–60 minutes.
What to Expect
Your nose and throat will be numbed with a topical anesthetic. A thin, soft tube is gently placed through your nose into your esophagus while you swallow small sips of water. You will lie on your back and follow simple instructions. Mild pressure or brief gagging may occur and usually pass quickly.
***IMPORTANT PREPARATION INSTRUCTIONS***
PLEASE NOTE: Not following these instructions can prevent us from safely or accurately completing your test. Please follow all preparation steps carefully to avoid delays or rescheduling.
Day Before Your Exam
If approved by your provider, hold calcium channel blockers for 24 hours including Adalat, Calan, Cardizem, Covera HS, Dilacor XR, Isoptin, Nimotop, Norvasc, Plendil, Procardia, Sular, Tiazac, Vascor, or Verelan
**Do NOT eat or drink anything after midnight**
Morning of Your Exam
REMINDER: Nothing to eat or drink. You may take essential medications with a small sip of water unless instructed otherwise.
If You Have Diabetes
Do NOT take insulin or oral diabetic medications the morning of your exam. Bring your medications with you. After the test, eat, check blood sugar if needed, and resume normal dosing.
After the Procedure
You may eat and drink normally and resume medications unless told otherwise.
Questions?
Contact our office if you have questions before your appointment.
***Please arrive 30 minutes prior to your procedure time***
What Is This Test?
This study measures how well the muscles in your esophagus are working and helps evaluate trouble swallowing, chest pain, reflux, or heartburn. The test takes about 45–60 minutes.
What to Expect
Your nose and throat will be numbed with a topical anesthetic. A thin, soft tube is gently placed through your nose into your esophagus while you swallow small sips of water. You will lie on your back and follow simple instructions. Mild pressure or brief gagging may occur and usually pass quickly. The manometry tube will then be replaced with a smaller tube that will remain in place for 24 hours. This tube is attached to a recording monitor. In case of technical difficulties, you will be given a diary to document meals, sleep times, and symptoms. You can continue your normal daily activities during study. You will return the following day to have the tube removed and to return the diary.
***IMPORTANT PREPARATION INSTRUCTIONS***
PLEASE NOTE: Not following these instructions can prevent us from safely or accurately completing your test. Please follow all preparation steps carefully to avoid delays or rescheduling. You should continue all your current GI Medications for this exam.
Day Before Your Exam
If approved by your provider, hold calcium channel blockers for 24 hours including Adalat, Calan, Cardizem, Covera HS, Dilacor XR, Isoptin, Nimotop, Norvasc, Plendil, Procardia, Sular, Tiazac, Vascor, or Verelan
**Do NOT eat or drink anything after midnight**
Morning of Your Exam
REMINDER: Nothing to eat or drink. You may take essential medications with a small sip of water unless instructed otherwise.
If You Have Diabetes
Do NOT take insulin or oral diabetic medications the morning of your exam. Bring your medications with you. After the test, eat, check blood sugar if needed, and resume normal dosing.
After the Procedure
You may eat and drink normally and resume medications unless told otherwise.
Questions?
Contact our office if you have questions before your appointment.
***Please arrive 30 minutes prior to your procedure time***
What Is This Test?
This study measures how well the muscles in your esophagus are working and helps evaluate trouble swallowing, chest pain, reflux, or heartburn. The test takes about 45–60 minutes.
What to Expect
Your nose and throat will be numbed with a topical anesthetic. A thin, soft tube is gently placed through your nose into your esophagus while you swallow small sips of water. You will lie on your back and follow simple instructions. Mild pressure or brief gagging may occur and usually pass quickly. The manometry tube will then be replaced with a smaller tube that will remain in place for 24 hours. This tube is attached to a recording monitor. In case of technical difficulties, you will be given a diary to document meals, sleep times, and symptoms. You can continue your normal daily activities during study. You will return the following day to have the tube removed and to return the diary.
***IMPORTANT PREPARATION INSTRUCTIONS***
PLEASE NOTE: Not following these instructions can prevent us from safely or accurately completing your test. Please follow all preparation steps carefully to avoid delays or rescheduling.
Five (5) Days Before your Exam, *STOP* taking the following medications: Prevacid (Lansoprazole), Prilosec (Omeprazole), Aciphex (Rabeprazole), Protonix (Pantoprazole sodium), Nexium (Esomeprazole), Zegrid (Omeprazole, sodium bicarbonate), Dexilant (destansoprazole)
Two (2) Days Before your Exam, *STOP* taking the following medications: Tagamet (Cimetidine), Zantac (Ranitidine), Pepcid (Famotidine), Axid (Nizatidine), Reglan (metoclopramide)
Day Before Your Exam
If approved by your provider, hold calcium channel blockers for 24 hours including Adalat, Calan, Cardizem, Covera HS, Dilacor XR, Isoptin, Nimotop, Norvasc, Plendil, Procardia, Sular, Tiasa, Vascor, or Verelan
**Do NOT eat or drink anything after midnight**
Morning of Your Exam
REMINDER: Nothing to eat or drink. You may take essential medications with a small sip of water unless instructed otherwise.
If You Have Diabetes
Do *NOT* take insulin or oral diabetic medications the morning of your exam. Bring your medications with you. After the test, eat, check blood sugar if needed, and resume normal dosing.
After the Procedure
You may eat and drink normally and resume medications unless told otherwise.
Questions?
Contact our office if you have questions before your appointment.
***Please arrive 30 minutes prior to your procedure time***
What Is This Test?
This study measures how well the muscles and nerves of your anus and rectum are working and helps evaluate constipation, fecal incontinence, or pelvic floor dysfunction. The test takes about 45 minutes.
What to Expect
You will lie comfortably on an exam table. A small soft catheter about the size of a rectal thermometer, with a tiny balloon on the end, will be gently inserted into the anus and rectum. A device connected to the catheter that allows the technician to change the pressure in the balloon by inflating and deflating it. You will be given simple commands such as squeezing, relaxing, pushing, or coughing for brief intervals while the computer software records data from the balloon. Mild pressure or fullness may occur, but the procedure is generally well tolerated.
***IMPORTANT PREPARATION INSTRUCTIONS***
PLEASE NOTE: Not following these instructions can prevent us from safely or accurately completing your test. Please follow all preparation steps carefully to avoid delays or rescheduling.
Several Days Prior to Exam
Purchase two (2) Fleet Enemas at your local drug store
Day Prior to Exam
Use one (1) Fleet Enema at 7:00 pm
Day of Exam
After Procedure
You may resume normal daily activities
Questions?
Contact our office if you have questions before your appointment.
***Please arrive 30 minutes prior to your procedure time***
What Is This Test?
An ultrasound is a safe, painless imaging test that uses sound waves to create pictures of structures inside your body. It helps your provider evaluate organs and tissues and diagnose a variety of medical conditions. Ultrasound does not use radiation and typically takes about 15–30 minutes, depending on the type of exam. There is no recovery time required.
What to Expect
You will lie comfortably on an exam table. A technologist will apply a small amount of gel to the area being examined and gently move a handheld probe over your skin. The gel may feel cool, and you may feel light pressure from the probe, but the test is not painful. There are no needles and no sedation required
***IMPORTANT PREPARATION INSTRUCTIONS***
PLEASE NOTE: Not following these instructions can prevent us from safely or accurately completing your test. Please follow all preparation steps carefully to avoid delays or rescheduling.
Day of Your Exam
***DO NOT EAT FOR EIGHT (8) HOURS BEFORE YOUR TEST***
After the Procedure
You may resume normal diet, activities, and medications immediately.
Questions?
Contact our office if you have questions before your appointment.
***Please arrive 30 minutes prior to your procedure time***
What Is This Test?
Fibroscan is a quick, painless imaging test that helps assess your liver health. It works similar to an ultrasound, using sound waves to measure the stiffness and fat content of your liver. This test helps your provider evaluate conditions such as fatty liver disease, liver scarring (fibrosis), or chronic liver conditions. The exam takes about 15 minutes and does not require recovery time.
What to Expect
You will lie comfortably on an exam table with your right arm raised above your head. A technician will place a small amount of gel on your skin and position a probe on the right upper part of your abdomen. The probe sends painless sound waves into the liver to measure stiffness and fat. You may feel light tapping on the skin, but there is no pain, no needles, and no sedation.
***IMPORTANT PREPARATION INSTRUCTIONS***
PLEASE NOTE: Not following these instructions can prevent us from safely or accurately completing your test. Please follow all preparation steps carefully to avoid delays or rescheduling.
Day of Your Exam
After the Procedure
You may resume normal diet, activities, and medications immediately.
Questions?
Contact our office if you have questions before your appointment.
Your test will be performed at: 191 Biltmore Ave, Asheville, NC 28801
Four (4) weeks prior to test: You must be off of all antibiotics until after your test. You must also stop all Bismuth products such,as Pepto Bismol.
Two (2) weeks prior to test, stop the following medications:
NOTE: You may continue to take H2 blockers such as Tagamet, Zantac, Axid, Pepcid and antacids such as Maalox, Rolaids, Tums and Mylanta.
Day of test:
***Do not eat or drink anything six (6) hours prior to test. ***
It is critical that you follow ALL of the above instructions or your appointment will have to be rescheduled.
ONE DAY BEFORE PROCEDURE: Normal diet until midnight. After midnight, clear liquids only such as broth or bouillon, Jell-O, popsicles and Gatorade (NO red or purple), tea, coffee, clear soft drinks and water.
NO SOLID FOOD OR MILK PRODUCTS.
DAY OF PROCEDURE:
*IF YOU TAKE BLOOD PRESSURE MEDICATIONS, YOU MAY TAKE THEM 3 HOURS PRIOR TO YOUR PROCEDURE TIME.
*IF YOU ARE A DIABETIC, DO NOT TAKE YOUR MEDICATIONS BUT PLEASE BRING THEM WITH YOU.
*DO NOT TAKE HEPARIN OR LOVENOX ON THE DAY OF PROCEDURE.
DAY OF PROCEDURE:
For Office or Procedure Appointments
New Patients
Step 1: Ask your primary care provider to send us a referral.
Step 2: Once we receive it, our scheduling team will contact you and send you a secure patient portal link
Current Patients
Log in to your Patient Portal to schedule online using your username and password.
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