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A Barium Swallow

What is a barium swallow?

  • X-RayA barium swallow is an examination where you drink a barium liquid that shows up on an X-ray
  • The X-rays are taken as this liquid passes from the mouth and throat down the oesophagus (gullet)
  • This allows us to record you swallowing to help us with our diagnosis

Who will I see?

  • A consultant radiologist (a doctor who specialises in X-ray procedures) will carry out the examination
  • A radiographer or technician will also be there

Is it safe?

  • As with any X-ray, there's always a risk but it's considered to be low for this procedure. If you're pregnant or think you may be pregnant you should tell the radiology department before the examination
  • Also, please let the radiology department know if you've had a similar X-ray within the last six months

Do I need an injection?

  • No, you'll not need to have an injection

Before the examination

  • Please make sure you don’t eat or drink anything for six hours before the examination
  • Please let us know about any special needs you have - for example, if you need wheelchair access, you're hard of hearing or you have poor eyesight
  • If you're diabetic, please contact the radiology department for advice

What happens during my appointment?

  • Changing roomWhen you arrive you should go to the reception desk - please bring your appointment letter which may have details of who to ask for
  • The radiographer or another member of staff will meet you and explain the procedure to you
  • We'll ask you to change into a hospital gown
  • We'll put your clothes and any personal items, such as jewellery, in a locker or a tray that you can keep with you
  • Once you're in the X-ray room we'll ask you to drink a liquid known as barium, which is similar to Gaviscon
  • The radiologist may ask you to stand and turn in front of the X-ray machine so that all of your throat and oesophagus (gullet) can be seen
  • The radiographer will be able to see and hear you at all times

Will it be uncomfortable?

  • The examination is painless, but you may feel bloated afterwards and have no appetite due to the barium
  • These feelings will soon pass as the barium works its way through your system

How long will it take?

  • The examination will take around 30 minutes, but you should allow up to two hours for your appointment

After the examination

  • You should drink at least eight glasses of non-alcoholic fluid over the 24-hour period after your examination. This will help to prevent constipation
  • You can eat and drink normally after your examination
  • You can drive home afterwards and return to work if you need to

Are there any side effects?

  • Your faeces (bowel movements) are likely to be white-greyish in colour for a couple of days

When will I get the results?

  • One of our radiologists will speak to your doctor or consultant and decide the best course of treatment
  • We'll keep your details confidential
  • If your doctor, your consultant or our radiologist think you should have extra examinations we'll arrange this for you

Can I bring a relative or friend?

  • Yes, but they'll only be allowed into the examination room in special circumstances - this is for safety reasons
  • Children won't be allowed into the room while you're having the examination, so you should make arrangements for them before your appointment

Learn more

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