
Get the free 24-Hour Ambulatory pH Study Referral Form
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MotilityUniversity Health Network
Toronto General Hospital10th Floor/Castro clinic/Motility Lab
200 Elizabeth St. Toronto, ON
Tel: 416 3403234 or 3901
Fax: 416 3403681Referral Form for Esophageal
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How to fill out 24-hour ambulatory ph study

How to fill out 24-hour ambulatory ph study
01
Gather all the necessary materials for the 24-hour ambulatory ph study.
02
Prepare the monitoring device by attaching it to your body according to the instructions provided.
03
Follow the specific guidelines given by your healthcare professional regarding eating and drinking before and during the study.
04
Keep a diary to record your activities, symptoms, and meals throughout the study period.
05
Ensure the monitoring device stays in place and is not disconnected or removed during the study.
06
Avoid any activities that could interfere with the accuracy of the results, such as taking a bath or participating in strenuous exercise.
07
Continue with your normal daily routine while the study is ongoing.
08
After the study period, return the monitoring device to your healthcare professional as instructed.
09
Discuss the results of the 24-hour ambulatory ph study with your healthcare professional to understand the findings and any recommended treatment or management plans.
Who needs 24-hour ambulatory ph study?
01
Individuals experiencing symptoms of acid reflux or related digestive disorders.
02
Patients with suspected gastroesophageal reflux disease (GERD) or other esophageal abnormalities.
03
Those who have not responded well to previous treatment for acid-related conditions.
04
Individuals considering surgical intervention for acid reflux or evaluating its severity.
05
Patients with chronic cough, hoarseness, or chest pain that could be related to acid reflux.
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What is 24-hour ambulatory ph study?
The 24-hour ambulatory pH study is a diagnostic test that measures the pH levels in the esophagus over a 24-hour period to assess acid reflux.
Who is required to file 24-hour ambulatory ph study?
Patients experiencing symptoms of gastroesophageal reflux disease (GERD) or other related conditions may be required to undergo a 24-hour ambulatory pH study.
How to fill out 24-hour ambulatory ph study?
To fill out the 24-hour ambulatory pH study, follow the instructions provided by your healthcare provider, which may involve recording symptoms and activities during the monitoring period.
What is the purpose of 24-hour ambulatory ph study?
The purpose of the 24-hour ambulatory pH study is to determine the frequency and duration of acid exposure in the esophagus, helping to diagnose conditions like GERD.
What information must be reported on 24-hour ambulatory ph study?
The report should include pH levels recorded over 24 hours, symptom correlation, and any relevant activities or medications taken during the study.
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