Your Anorectal Manometry Appointment

What to expect at your Anorectal Manometry appointment

Preparing for your appointment

When you book your appointment we will provide you with details on where you need to go, costs and any preparation if needed. Please arrive 10 mins early for your appointment to check in and complete any relevant paperwork. You are welcome to bring a support person with you to your appointment.

You will need to fast for 2 hours prior to your appointment. You may take prescription medication as normal with small sips of water.

To ensure accurate results, patients might be asked to follow specific preparation guidelines before the test. In addition to fasting, this could also include using an enema to clear the bowels. Following these instructions is important to ensure the rectum is empty and the test goes smoothly.

What happens during the procedure?

Before the procedure, patients might need to follow specific preparation guidelines, such as avoiding food and drink for a few hours or using an enema to ensure accurate results. You will be informed of any preparation needed when you book your procedure.

During the ARM procedure a thin, flexible catheter is gently inserted into the rectum. The catheter has pressure sensors on it, and a small balloon which is inflated once the catheter is in position. This triggers the nerves to activate the sensation of defecation. You will be asked to push, squeeze, relax and cough and the device sensors will measure the muscle activity.

Although some patients may feel slight discomfort, the sensation is usually minimal, described as a gentle pressure.

The entire process is quick, typically lasting about 15 minutes, and is performed in a clinic without the need for sedation.

After the test, patients can resume their normal activities immediately, as there are typically no side effects.

Results

The ARM device will generate a graph of your muscle function. This will be reviewed along with your clinical history and presenting concerns by a Gastroenterologist, who will identify muscle areas which are not functioning as they should be.

Once the areas of concern have been identified a treatment plan can be made. This may involve seeing a Pelvic Floor Physiotherapist or other Specialists, depending on the diagnosis.

Bowel dysfunction can have significant impact on day to day life. ARM can identify the underlying causes of bowel dysfunction, allowing for a treatment plan to be developed, and help patients get improved function and an improved quality of life.

Running on time

We endeavour to run on time, however circumstances occasionally mean that your appointment may be delayed. We will try to inform you in advance if we are not running to time. 

Cancellation Policy

You will get a text message a few days before your appointment. Please reply to confirm or contact us to change it. Not replying may cancel your appointment. Canceling within 24 hours or missing your appointment may lead to a fee or require pre-paying future visits.