Procedure Deep Dive
Pediatric pH-Impedance & Motility Testing
Objective measurements of reflux, swallowing, and gut motility when standard care has not given clear answers.
When reflux, swallowing trouble, or refractory constipation does not improve with standard treatment, motility-focused studies can show what is really happening.
Dr. Mendez coordinates the right study for the question being asked, whether that is 24-hour pH-impedance for reflux, esophageal manometry for swallowing, or anorectal manometry for chronic constipation and stooling problems.
Conditions & concerns we address
Refractory Reflux
Reflux not responding to standard medication and lifestyle changes.
Atypical Reflux Symptoms
Cough, hoarseness, or apparent ENT symptoms suspected to be reflux.
Swallowing Disorders
Esophageal manometry for chest pain or dysphagia.
Severe Constipation
Anorectal manometry for chronic stooling problems and soiling.
Hirschsprung's Workup
When motility evaluation is needed alongside biopsy.
Post-Surgical Evaluation
After fundoplication or other GI surgery.
How Dr. Mendez approaches care
- Clear pre-study explanation so families know what the day looks like.
- Study selected to answer the specific clinical question, not as a fishing expedition.
- Coordination with partnered pediatric centers experienced in motility.
- Results reviewed and explained by Dr. Mendez in a dedicated follow-up.
- A concrete next-step plan, whether that's medication change, therapy, or further evaluation.
Signs it's time for a consultation
- Reflux symptoms not improving on standard treatment.
- Chronic cough or ENT symptoms that may be reflux related.
- Severe, persistent constipation or soiling.
- Unexplained swallowing trouble or chest pain.
Ready to talk it through?
Concierge access means we have the time to listen, evaluate carefully, and stay with your family through every step.