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Gastrointestinal Motility Disorders at Atlantic Digestive Health Institute

Gastrointestinal motility disorders can be caused by impaired movement of muscles in the digestive system, impaired or oversensitive nerve signaling between the gut and the brain (also known as “disorders of gut-brain interaction”), intolerance to certain foods, bacterial overgrowth, altered anatomy and more. 

The Gastrointestinal Motility Program at Atlantic Digestive Health Institute provides a comprehensive diagnostic and treatment approach for numerous gastrointestinal motility disorders including:

  • Swallowing disorders (achalasia, distal esophageal spasm, ineffective motility)
  • Gastroesophageal reflux disease (that has not improved with standard treatment)
  • Rumination syndrome
  • Delayed gastric emptying (gastroparesis)
  • Small intestinal bacterial overgrowth (SIBO)
  • Irritable bowel syndrome (IBS) with constipation, diarrhea or both
  • Refractory constipation (that has not improved with standard treatment)
  • Chronic diarrhea
  • Fecal incontinence
  • Pelvic floor disorders

How Gastrointestinal Disorders Can be Diagnosed

We utilize the following cutting-edge technology to diagnose gastrointestinal motility disorders and develop your specific treatment plan:

  • High resolution esophageal manometry to diagnose esophageal disorders
  • Wireless Bravo pH reflux testing for acid reflux
  • Catheter-based pH-impedance testing for both acidic and non-acidic reflux
  • Gastric emptying scan for gastroparesis
  • Breath testing for small intestinal bacterial overgrowth and carbohydrate malabsorption (common causes of chronic bloating)
  • Sitzmarker study for severe constipation
  • Anorectal manometry to diagnose constipation, fecal incontinence, rectal hypersensitivity, or other forms of pelvic floor dysfunction

How Gastrointestinal Disorders Can be Treated

At Atlantic Digestive Health Institute, we have numerous treatment options for gastrointestinal motility disorders including:

  • Dietary counseling
  • Evidence-based pharmacologic therapy
  • Non-pharmacologic therapy such as cognitive behavioral therapy and psychodynamic-interpersonal therapy
  • Endoscopic therapy including EGD, enteroscopy, colonoscopy, esophageal dilation, pneumatic dilation, EGD with botox injection, feeding tubes
  • Pelvic floor physical therapy for individuals with pelvic floor dysfunction
  • We frequently collaborate with our surgical colleagues for patients who may require anti-reflux surgery, hiatal hernia repair, heller myotomy (for achalasia), pelvic floor stimulator (for fecal incontinence), rectocele or rectal prolapse repair.