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Barium Esophagram

 

What is a Barium Esophagram?

A barium esophagram is a diagnostic imaging test which uses barium sulfate liquid and x-rays to better examine the esophagus. Also known as a “barium swallow test,” during this test, the patient is asked to swallow the barium liquid, which then coats the lining of the esophagus, making it visible on x-ray images. This test is used to detect abnormalities in the esophagus. A barium esophagram is a safe and effective way to evaluate the function and anatomy of the esophagus.

Reasons for a Barium Esophagram:

Your doctor may suggest a barium esophagram if you are experiencing any of the following symptoms:

  • Trouble swallowing
  • Abdominal pain
  • Vomiting
  • Bloating

What happens during a barium Esophagram procedure:

During a barium esophagram, a radiologist or radiology technician will guide you through the following steps.

  1. You may be asked to remove your clothing. If this is the case for you, your care team will provide you with a hospital gown.
  2. You will be given a lead shield or apron to wear over your pelvic area, which further protects the area from radiation.
  3. While standing, sitting, or lying down on an x-ray table, you may be asked to switch positions a few times throughout the course of the test for accurate imaging.
  4. You will be asked to swallow a barium drink. This drink can often be described as thick and rather chalky, however it’s usually flavored to make it easier to stomach.
  5. As you begin to swallow the drink, your radiologist will capture and watch images of the barium traveling down the esophagus and to the stomach. 
  6. There may be times where you’re also asked to hold your breath.

Following this test, your images will be recorded to be reviewed by your doctor later.

Possible Findings of a Barium Esophagram:

Once your doctor receives and interprets your barium esophgaram results, they’ll discuss the findings with you and concoct a treatment plan best suited for your condition. Barium esophogram tests are helpful in diagnosing strictures, ulcers, polyps, tumors and/or other structural issues within the esophagus. It can further help doctors diagnose conditions like gastroesophageal reflux disease (GERD), hiatal hernias, diverticula and/or other swallowing disorders.