$Unique_ID{BRK00325}
$Pretitle{Special Procedures and Laboratory Tests}
$Title{Concern About the Barium Swallow}
$Subject{barium swallow dysphagia}
$Volume{P-10}
$Log{}

Copyright (c) 1991   Tribune Media Services, Inc.


Concern About the Barium Swallow


------------------------------------------------------------------------------

QUESTION:  It is a new one on me, but I would like your explanation.  I have
been having stomach troubles and my doctor has scheduled me for something
called a "barium swallow".  I am very concerned.  What is this test like and
what is he looking for?

------------------------------------------------------------------------------

ANSWER:  All the symptoms we think may come from our stomachs, may frequently
be caused by problems from the anatomical structures that are next to, and
connected with the stomach.  The esophagus, the tube-like organ which leads
from the mouth to the stomach, and the small intestine which leads away from
the stomach, may also be the guilty parties, causing digestive upset,
heartburn, burning, or pain in the stomach area.  Dysphagia, or pain during
swallowing can be mistaken for stomach discomfort, but the causes can be
discovered during the procedure called the barium swallow.  Its simple enough.
You will be given a mixture that looks something like a milk shake, complete
with strawberry or vanilla flavoring, to swallow.  Actually this concoction
contains barium sulfate, which may be seen quite easily on fluoroscope or
x-ray studies.  As the mouthful of swallowed barium moves down your esophagus,
the radiologist will be able to detect abnormalities the exist in this part of
your digestive system.  X-ray pictures may be taken for study later.  The
passage of the liquid into the stomach and small intestine is also carefully
followed, which means the procedure may take up to two hours to complete.
During the test they may tilt the table to obtain different views of your
organs, and help spread the barium around.  Following the test it is wise to
drink lots of fluids to help empty your bowels.  Stools will look chalky and
white for up to three days after the examination.  Your physician may be
looking for many things, the way your esophagus moves during swallowing,
whether or not fluid backs up from the stomach to the esophagus, signs of
ulcers, or growths and tumors.  Since this test is painless and yields a great
deal of information to help make a correct diagnosis, it is a sensible test to
use in evaluating your trouble.
ÿ
----------------

The material contained here is "FOR INFORMATION ONLY" and should not replace 
the counsel and advice of your personal physician.  Promptly consulting your 
doctor is the best path to a quick and successful resolution of any medical 
problem.
