Oropharyngeal motility (swallowing test)
Purpose
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To diagnose hiatal hernia, diverticula, and varices
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To detect strictures, ulcers, tumors, polyps, and motility disorders
Patient preparation
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Make sure that the consent form is signed by the child’s parents or legal guardians.
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Explain that the test evaluates the function of the pharynx and esophagus.
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Maintain the child on a nothing-by-mouth status beginning at midnight before the test. (For an infant, delay feeding to ensure complete digestion of the barium.)
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The child may be given a restricted diet for 2 to 3 days before the test.
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Describe the test, who will perform it, and where it will take place.
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Describe the milk shake consistency and chalky taste of the barium preparation. Although flavored, it may be unpleasant to swallow.
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Explain to the child that he’ll first receive a thick mixture, then a thin one; he must drink 12 to 14 oz (355 to 414 ml) during the examination.
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Inform the child that he’ll be placed in various positions on a tilting X-ray table and that X-rays will be taken.
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Emphasize the importance of remaining still during the X-rays.
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Reassure the child about safety precautions.
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Withhold antacids, histamine-2 receptor antagonists, and proton pump inhibitors, if gastric reflux is suspected.
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