• twitter
  • facebook
  • linkedin
  • google plus
  • youtube
Laparoscopic, G.I. & colorectal surgery, Navi Mumbai, India

  Click to call +919833290590


Anal & esophageal Manometry

Manometry Test Services in Mumbai

We are first to offer Anal & Oesophageal Manometry test in Navi Mumbai.

Manometry machine Laparo Scopic Surgeon

Manometry is measuring the pressure inside different parts of gastrointestinal tract, by entering a catheter with transducers. These transducers will travel through the mouth or anus into the lumen of the particular organ which needs to be investigated.

This procedure is usually carried out to diagnose various GI motility disorders and can be used in sites including esophagus, stomach, duodenum, sphincter of Oddi, and rectum.

What is esophageal manometry?

This is a procedure, mainly indicated in patients who have symptoms like dysphagia, chest pain, heartburn or regurgitation.

The individual pressures in the upper and lower esophageal sphincters will be measured separately and this will help to reveal the efficient coordination of peristaltic movements, to diagnose any abnormal contractions.

Various esophageal motility disorders including Achalasia cardia, Systemic sclerosis and diffuse spasms can be diagnosed this way. It can also be used to assess the functioning of esophagus and structural abnormalities like ‘hiatus hernia’ prior to certain therapeutic methods like anti-reflux surgery.

Additionally, a newly introduced method of high-resolution manometry is used nowadays in combination with impedance testing in order to find out the efficiency of bolus transition through the esophagus simultaneously during the swallowing test.


Patient is seated and a topical anesthetic cream is applied in the inner aspect of the nose to numb the area.

Thereafter a tiny, flexible tube (catheter) is entered through the nose which will pass down the esophagus into the stomach.

Then, the patient is asked to lie on to his left side and the proximal end of the tube is connected to an instrument which measures the pressure in the lower esophageal sphincter and esophageal muscles.

The patient is then asked to swallow at various levels in order to measure the strength and peristaltic movements of the muscles.

The whole procedure takes around 10 -15 minutes.

What is Anorectal manometry?

It is a procedure, used to measure the pressures in the anal sphincter muscles, which are responsible for initiating the sensation of bowel emptying in the rectum along with reflexes, needed to maintain normal bowel movements and mainly indicated in patients who present with constipation and fecal incontinence.

In some people who have weaknesses of the anal sphincter muscles, the normal mechanisms of tightening and relaxation on bowel movements will not take place properly, leading to a bowel incontinence which may result in leaking of bowel in an untimely manner and constipation respectively.


A complete history will be taken from the patient followed by a thorough explanation about the procedure and there after an informed written consent will be obtained.

Then, the patient will be asked to lie on the bed to his left side and a tiny flexible tube (like a thermometer) with a balloon attached to its end (catheter) will be inserted into the rectum.

Meanwhile, the machine which is connected to this catheter will measure the pressure in anal sphincter muscles. Also, by inflating the small balloon attached to the catheter, normal anal reflex pathways can be assessed in patients indicated.

More importantly, after the procedure, patient will be released and he will be able to engage in his normal lifestyle without any obstacle.

Enquire cost of the Manometry test in Mumbai and Visit our Gastroenterologist or Laparoscopic & colorectal surgeon at Fortis Hiranandani Hospital Vashi , Navi Mumbai for a manometry test


What patient says about Dr. Nitish Jhawar

  • Person Image

    I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at M.... hospital, he .... asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Fortis staff was also very caring and good. I would mention fortis Vashi in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

  • I had surgery of my left hydrocele on 27th May 2017 by Dr Nitish Jhawar. An excellent experience of service I got particularly from Dr Jhawar. He is not only a qualified experienced doctor but also a splendid human being. Thanks a lot.

  • It was a Laparoscopic operation for the removal of Gall Bladder (stones). I had developed on and off pain in abdomen before the operation, after the operation feeling good, totally pain free. Thanks and respect for handling my case very well.

  • Person Image

    I met doctor Nitish for piles problem and wanted to undergo LASER procedure only, my operation is successful and I thank doctor for being a good human being and great surgeon.

  • Person Image

    I was suffering from piles since long time. For bleeding heavily I met Dr Nitish Jhawar and after meeting him decided to go for Stapler surgery for piles. I found him a doctor who listens to our problem and explains properly.

  • Person Image

    I got diagnosed about a year back but was avoiding operation for Hernia repair, Dr Nitish Jhawar explained me why surgery should be done and I chose surgery by laparoscopy method. I am happy with the doctor and the hospital.

  • Person Image

    I visited for Gall Bladder removal by Laparoscopy after searching for best laparoscopic surgeon. After meeting dr my fear for surgery was vanished and my surgery went well and recovery was smooth.

  • Person Image

    Honest doctor, expert in his field....can trust his words

  • Person Image

    Very good he describe everything in very pleasant manner about the problem which was very helpful to me to understand my disease.

  • Person Image

    Very nice. Doctor is very patient and gives you correct advice.

  • Person Image

    He is very erudite and smart at getting to the bottleneck of the problem. And before realized he had pinched away d growth bothering me near my anal area.

  • Person Image

    Dr. Jhawar is few of the best doctors in town. Extremely pleasant and comfortable experience