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24-hour pH impedance monitoring

Also called pH study, Reflux monitoring

24-hour pH impedance monitoring measures how often acid and non-acid fluid flows back into the food pipe over a full day. A thin catheter records reflux while you eat and move normally. It confirms GERD when symptoms are unclear or medicines have not worked, and guides further treatment.

At a glance

Duration
24 hours, at home
Medicines
Some acid medicines are stopped beforehand, as advised

What it involves

The test is especially useful for atypical reflux symptoms such as chronic cough, throat clearing or hoarseness, and before any anti-reflux procedure.

When it is recommended

  • Reflux symptoms not responding to medicine
  • Chronic cough or throat symptoms suspected to be reflux
  • Assessment before anti-reflux surgery or procedures

Questions patients ask

Can I eat normally during the test?

Yes. You are asked to eat, work and sleep as usual, and to note meals and symptoms, so the test reflects a normal day.

Related care

Ask about 24-hour pH impedance monitoring

Book a consultation to find out whether this procedure is right for you.