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Gastroenterology

Esophageal Manometry & pH Testing

Manometry and 24-hour pH testing measure esophageal muscle function and acid exposure — the gold standard for diagnosing GERD, achalasia, and motility disorders.

Esophageal Manometry & pH Testing illustration
Success rate
95%
Avg cost (US)
$500–$2,000
Recovery
0 days
US volume / yr
~150,000
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Who it helps

Patients with persistent reflux despite PPI therapy, unexplained chest pain, difficulty swallowing, or being evaluated for anti-reflux surgery.

What to expect

Thin catheter placed through the nose into the esophagus. pH probe worn for 24 hours during normal activities.

Recovery

Mild throat discomfort. Return to normal activities immediately after catheter removal.

Cost range

$1,500–$3,500; typically covered when medically indicated.

Questions to ask your doctor

  • Do I need to stop my PPI before the test?
  • How will results change my treatment plan?
  • Am I a candidate for anti-reflux surgery?

Frequently asked

Is the test uncomfortable?

Placement is briefly uncomfortable; most patients tolerate the 24-hour probe well.

What are results used for?

Confirming true acid reflux, characterizing motility disorders, and planning surgical treatment.

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Related procedures

General information only — not medical advice. Always consult a qualified clinician for your specific situation.