1. Acupuncture
  2. Advanced Gastroenterology and Nutrition
  3. Audiology
  4. Autism
  5. Bariatric Surgery
  6. Behavioral Health
  7. Billing
  8. Blood Donation
  9. Breast Care Program
  10. Bright Tomorrows Preschool and Child Care Center
  11. Briteside Adult Day Center
  12. Cancer Care
  13. Cardiac Catheterization Laboratory
  14. Cardiopulmonary Rehabilitation
  15. Careers
  16. Center for Advanced Weight Loss
  17. Center for Bone and Joint Health
  18. Center for Endocrine Health
  19. Center for Healthy Aging
  20. Center for Nutrition and Diabetes Management
  21. Central Jersey Regional Memory Center
  22. Child Development Center
  23. Concussion
  24. CPR Training Center
  25. DaVinci Robotic Surgery
  26. Daycare
  27. Developmental Pediatric Associates
  28. Diabetes
  29. Diabetes / Center for Nutrition and Diabetes Management
  30. Diabetes and Endocrine Associates of Hunterdon
  31. Donate Blood
  32. Donate to Hunterdon Healthcare
  33. Early Intervention Program
  34. Emergency Department
  35. Employment
  36. Family Medicine
  37. Family Medicine Residency Program
  38. Geriatrics
  39. Hearing
  40. Hearing Aids
  41. Heart & Vascular Care
  42. Hip Replacement
  43. Home Health
  44. Hospice
  45. How to Make an Appointment
  46. Hunterdon Behavioral Health
  47. Hunterdon Center for Dermatology
  48. Hunterdon County Medication Access Program
  49. Hunterdon County Special Child Health Services Case Management Unit
  50. Hunterdon Family & Sports Medicine at Hopewell Valley
  51. Hunterdon Family Medicine
  52. Hunterdon Family Medicine at Branchburg
  53. Hunterdon Family Medicine at Cornerstone
  54. Hunterdon Family Medicine at County Line
  55. Hunterdon Family Medicine at Delaware Valley
  56. Hunterdon Family Medicine at Highlands
  57. Hunterdon Family Medicine at Phillips-Barber
  58. Hunterdon Family Medicine at Riverfield
  59. Hunterdon Health and Wellness Centers
  60. Hunterdon Healthy Connections
  61. Hunterdon Infectious Disease Specialists
  62. Hunterdon Internal Medicine Associates
  63. Hunterdon Lifeline
  64. Hunterdon Medical Center Foundation
  65. Hunterdon Pediatric Associates
  66. Hunterdon Pulmonary and Critical Care
  67. Hunterdon Reflux and Motility Center
  68. Hunterdon Regional Breast Care Program
  69. Hunterdon Regional Cancer Center
  70. Hunterdon Regional Community Health
  71. Hunterdon Regional Pharmacy
  72. Hunterdon Urological Associates
  73. Hunterdon Women’s Imaging Center
  74. Hunterdon Wound Healing Center
  75. Infusion Services
  76. Integrative Medicine Program
  77. Internships
  78. Knee Replacement
  79. Laboratory Services
  80. Lifeline
  81. Mammography
  82. Maternity
  83. Medical Imaging
  84. Medication Program
  85. Memory Center
  86. Neurodevelopmental Pediatricians
  87. Nursing Services
  88. Nutrition
  89. Pain Management
  90. Palliative Care
  91. Partnership for Health
  92. Pediatric Rehabilitation
  93. Pediatric Speech and Hearing Services
  94. Physical & Occupational Therapy
  95. Physicians
  96. Primary Care
  97. Psychiatric Associates of Hunterdon
  98. Pulmonary Care
  99. Reflux
  100. Sleep Disorders Centers
  101. Speech & Hearing
  102. The Child Development Center
  103. The Early Intervention Program
  104. Thrift Shop
  105. Visiting Health and Supportive Services
  106. Volunteer Resources
  107. Weight Loss
  108. Wellness Centers
  109. Wound Healing
  110. X-ray
  111. Yesterday's Treasures

Hunterdon Reflux and Motility Center Testing

The Hunterdon Reflux and Motility Center is directed by Anubha Sinha, M.D. Dr. Sinha is specially trained to diagnose and treat patients with esophageal motility disorders. The Center offers testing that includes:

Esophageal Manometry
Wireless Bravo pH Monitoring to test for GERD
pH and Impedance Testing
Ambulatory 24-Hour pH Probe

Esophageal Manometry
Esophageal Manometry is a test used to assess pressure and motor function of the esophagus (food pipe). In addition, it aids in the evaluation of how well the muscles in the esophagus work to transport liquids or food from your mouth into your stomach. Esophageal manometry may be performed to evaluate the causes of gastric reflux, heartburn, difficulty swallowing and functional chest pain. In addition, this test may be used in pre-operative evaluation if you are being considered for anti-reflux surgery.

This is a catheter based procedure. The study will take about 30 minutes in the Hunterdon Medical Center endoscopy suite by our trained motility lab nurses. Your nose or throat will be numbed with a spray or gel. This will minimize the discomfort associated with the placement of the small catheter through your nose and into your stomach. During this time, you will be able to breathe, swallow and talk with ease. You will be asked to take deep breaths or swallows a number of times during the study. The pressures resulting from these actions will be detected and recorded by sensors located on the catheter. The catheter is removed after completing the manometry testing. Patients are asked to have nothing to drink or eat approximately eight hours prior to the esophageal manometry testing.

All manometry studies are analyzed by our gastroenterologist, Dr. Sinha. The data collected will be analyzed and sent to your referring physicians who will discuss the results with you.

All daily activities, diet and medications can be resumed following the study. There is no sedation during this test, so you may drive yourself home.

Wireless Bravo pH Monitoring to test for GERD
Bravo pH testing is used to diagnosis the causes of heartburn and to provide more specific information regarding gastroesophageal reflux disease. Bravo pH monitoring is a minimally invasive procedure. The Bravo pH monitoring procedure is catheter-free so you are free to move about as long as you stay within three feet of the recorder. You can bathe and get a restful night sleep because you can place the recorder outside the shower or on your nightstand, and the test will not be interrupted. You can eat normally while on this test because the capsule is so small it does not interfere with your daily routine. The PH capsule measure the pH in the esophagus and transmits the information to a receiver worn by the patients for 48 hours after the pH capsule has been placed.

After the test is complete, the disposable capsule falls off the wall of the esophagus and passes naturally with your bowel movement through your digestive tract. The data captured on the recorder will be downloaded to a computer and Dr. Sinha will review the test results and share with your referring physician.

pH and Impedance Testing
pH and impedance testing is frequently used to determine if a patient has gastro esophageal reflux disease, laryngopharyngeal reflux disease or NON-acid reflux disease. The pH and impedance testing also can determine if a patient’s anti-reflux medication is adequately working. The PH study allows for the amount of acidic and alkaline material that refluxes into the esophagus and throat from the stomach within a 24 hour period. The impedance part of the test evaluates for non-acid reflux. Patients are required to not eat or drink anything four to eight hours prior to the test. This is a catheter based procedure which is placed through the nose and into the esophagus. During the 24 hour monitoring period, the patient will have a monitor to record their symptoms as they occur. Upon completion of the 24 hour monitoring, the catheter is removed. The data is collected through the monitor. It usually takes about three to four weeks for the data to be analyzed by Dr. Sinha. Dr. Sinha will send the results to your referring physician.

Ambulatory 24-Hour pH Probe
We use an ambulatory 24-hour pH proble that consists of a small tube passed through the nose into the esophagus. A pH sensor at the tip of the tube allows measurements of acid exposure in the esophagus to be collected on a portable computer. You go home with the probe, eat three meals and will record your symptoms on the computer over the next 24 hours. The pH probe is only worn for 24 hours and the tube is removed. The results are compared to what we know is the normal acid exposure in the esophagus. Dr. Sinha will share the results with your referring physician.