Heidelberg pH Test Preparation

What You Can Expect at a Heidelberg pH Test

Requirements Before Testing…

During the initial consultation, the Physician will request that you stop taking any medications that could possibly affect the test results. Contact your personal physician and ask if you can safely stop taking your medication for a short time. Certain medication like Proton Pump inhibitors (PPIs or acid reducing medications), antibiotics, antihistamines have a repository affect (retained in the cell structure of the body) if taken for a long time. The quantity and length of time you have taken these medications will determine how long you must stop taking them. This includes over the counter medications like Tums, Rolaids, Pepto-Bismol, etc. A list of medications and supplements you take will also be required by the Physician. A complete examination and medical history will be required before you can be tested.
The Physician will instruct you to fast the night prior to your test day. After eating your evening meal, the night before the test, do not eat any snacks, or consume alcohol. If you are scheduled for testing in the morning do not drink coffee, soda, tea, citric juices, alcohol (wine or whiskey), or milk. Do not brush your teeth with tooth paste that contains sodium bicarbonate and do not drink large quantities of water before the test. If you are scheduled for testing in the afternoon, you may eat a very light breakfast that does not contain any fats or fatty acids. You must not drink coffee, tea, soda, alcohol (wine or whiskey), citric juices, or milk. You may drink water, but not in large quantities. Whether your test is in the morning or afternoon, you must not drink water 1 hour before the test.
The Day of the Test…

On the day of the test you have a Pre-test consultation, to insure that you have followed the fasting requirements and not taken any medications that could affect the test results. If you have not met the fasting requirements, or if you have taken medications, the doctor will reschedule you for another test date.
A very important requirement that must be adhered to is, the use of all wireless electronic devices during testing. You will be instructed to turn off any wireless electronic device, like an iPad, or Telephone. These devices can affect the very sensitive electronic test equipment and make the test results invalid.

During the Test…

Due to the time required to make an accurate diagnosis of your condition, we recommend that you bring some reading material to pass the time. During this time you will be relaxed and comfortable. Please Remember: turn off all wireless electronic devices before coming into the doctors office.
The nurse or trained technician will escort you into one of the exam rooms and ask that you have as seat. The nurse will activate and calibrate a Heidelberg capsule to insure that its accuracy. After activation and calibration, the nurse will place a wireless transceiver over your stomach. The nurse will then hand you the micro-electronic capsule to swallow with a small cup of water. When swallowed, the activated capsule will enter your stomach in 3 to 4 seconds and transmit the pH information found in the gastric juices of the stomach. Depending on the information received from the Heidelberg capsule, the doctor may elect to give you several small amounts of an alkaline fluid, to challenge the acid producing cells in your stomach. The amount of time required for your stomach to produce acid will determine if you have Hypochlorhydria, Hyperchlorhydria, or Achlorhydria. During testing the Physician will also be able to determine if you have Heavy Mucus (from infection or ulceration), reflux, Pyloric Insufficiency, Gastritis, Gastric ulcers, dumping syndrome or delay emptying of the stomach (Gastroparesis).
After the Test…

Unlike other procedures that require delays for laboratory reports, the Heidelberg test results are available as soon as the test is complete. Depending on the doctor’s evaluation and report of your condition, he may immediately establish a treatment protocol for you. If the test results indicate possible bacterial infection, or Gastritis, the doctor may schedule you for additional testing.
Patient options…

Un-tethered Heidelberg pH Capsule…

The patient has the option of swallowing a pH Capsule that will migrate through the whole alimentary canal and be expelled in the patient’s normal stool. Use of and un-tethered capsule will require a complete examination, patient medical history and a release signed by the patient.

Tethered Heidelberg pH Capsule…

The tethered capsule option indicates that a fine medical grade thread is attached to the pH Capsule. The capsule and some of the tether is swallowed by the patient. When the capsule enters the gastric juices of the stomach, the remaining tether is attached to the patient’s cheek with a small piece of medical tape. Tethering the pH Capsule prevents the capsule from migrating out of the stomach during testing. This procedure allows the pH Capsule to be removed from the patient when the intragastric (in the stomach) test is complete. Removal of the capsule is accomplished by gently pulling the capsule of the stomach by means of the tether. There is little or no discomfort to the patient when swallowing or removal of the capsule. Before testing with a tethered capsule a complete patient history and examination is required.
Don’t settle for a procedure that can be traumatic, with questionable test results. Get a patient friendly Heidelberg pH Diagnostic test and relax, with the knowledge that the doctor will know exactly what is going on in your digestive process.