Gut Investigations

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Wireless “Bravo” pH study

This is a new device which is very helpful because it is a small clip that is placed at the bottom of the oesophagus at endoscopy that will leave this area automatically by being sloughed off after 5-7 days. Its advantage is that it sends our wireless signals to a box that is held within 6 feet of your child during the following 24-48 hours and gives information about acid reflux. This avoids the requirement for a tube coming out of the nostril, which can be irritating, and is very helpful for younger children who are unable to understand the need for a plastic tube to come out of the nose and also children with learning difficulties especially.

Sometimes the application of the clip at the lower oesophagus causes the oesophagus to go into spasm, causing temporary discomfortThis usually settles with paracetamol for the next 24 hoursIf this does not work then if Professor Thomson has advised this would be all right then non-steroidal anti-inflammatory drugs such as Nurofen or Brufen can help. If there is still discomfort 36 hours later then please contact Professor Thomson’s office and we will either see you, arrange for you to be seen or discuss things on the telephone with a view to further medications and reassurance.