48 Hour Bravo pH Monitoring

Gastroesophageal Reflux Disease (GERD), is a chronic condition where stomach acid returns up into the esophagus. This causes burning, pain, burping, and coughing. Your doctor may order additional testing to determine the severity of your GERD. One test that may be requested is the 48 hour Bravo monitor. This test will determine how often the acid comes into the esophagus and also the quantity of acid in each bout of reflux.

Before the test, it is important to follow your doctor’s instructions regarding medications and diet. During the procedure, a small capsule size device is temporarily attached to the inner wall of your esophagus. This capsule measures the pH levels in your esophagus throughout your day and transmits the measurements to a small device worn on your belt.

After the capsule is attached, go about your day as usual. Continue to follow your doctor’s advice about medications, but you can eat and drink as usual. It is important to recreate the situations that cause the reflux in order to diagnose the severity of the condition. When you have a symptom, you will press a button on the receiver. You will also record every time you start and stop eating and when you lie down and get back up. If you have any questions, discuss it with your doctor or a staff member at your doctor’s office. Report any medications you take at home including over the counter and herbal remedies.

After the testing timeframe has completed, the readings from the capsule and the journal will be studied to determine the best course of treatment. Over time, GERD can cause serious damage to the esophagus. That’s why chronic heartburn symptoms should never be ignored.

If you are reaching for heartburn medications more than twice per week, make an appointment with Dr. Islam to address your symptoms. There are many treatments that can ease your pain and help to prevent further damage.