Colorado Center for Digestive Disorders is now offering comprehensive motility and reflux testing. These new procedures include esophageal impedance-manometry testing, acid and non-acid reflux monitoring, anorectal manometry, and pelvic floor muscle re-training.

Esophageal Impedance-Manometry Testing: Patients who can benefit from esophageal impedance-manometry testing include patients with complaints of dysphagia , non-cardiac chestpain, and pre-fundoplication evaluation. This procedure includes measuring the muscle function of the esophagus and sphincters as well as bolus transit evaluation.

Ambulatory Impedance-pH Testing: Those patients who continue to experience symptoms such as heartburn, cough, throat clearing, regurgitation, etc despite PPI therapy are candidates for ambulatory impedance-pH testing. This procedure can identify reflux independent of pH data and can also evaluate height of reflux.

Anorectal Manometry and EMG: Patients suffering from constipation or incontinence or being evaluated for Hirschprung’s disease can benefit from anorectal manometry testing. These procedures measure pressures and electrical activity of the anal sphincter muscles and the sensation in the rectum.

Pelvic Floor Muscle Retraining: This service helps can treat patients with fecal incontinence by strengthening the voluntary pelvic floor muscles and improve rectal sensation. For patients with constipation, pelvic floor retraining can help modify bowel habits by restoring normal defecation maneuvers, which normally entails retraining the propulsive forces coordinated with relaxation.