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Barium swallow
In this test you drink some barium liquid. The barium liquid is often fruit-flavoured so it is pleasant to drink. You
stand in front of an X-ray machine whilst X-ray pictures are taken as you swallow. This test aims to look for
problems in the gullet (oesophagus). These include a narrowing (stricture), hiatus hernias, tumours, reflux from
the stomach, disorders of swallowing, etc. You will usually be asked not to eat or drink for a few hours before this
test. A barium swallow test takes about 10 minutes.
Barium meal
This is similar to a barium swallow (above). However, it aims to look for problems in the stomach and the first
part of the gut (small intestine), known as the duodenum. These problems may include ulcers, small fleshy
lumps (polyps), tumours, etc. You drink some barium liquid but you then lie on a couch whilst X-ray pictures are
taken over your tummy (abdomen). It may take a little longer to do than a barium swallow.
So that the barium coats all around the lining of the stomach, the doctor doing the test (radiologist) may do one or
more of the following:
Ask you to swallow some bicarbonate powder and citric acid before swallowing the barium. These 'fizz up' when
they mix in the stomach and make some gas. (You may have to resist the urge to burp.) The gas expands the
stomach and duodenum and also pushes the barium to coat the lining of the stomach and duodenum. This
makes the X-ray pictures much clearer. It is the shape and contours of the lining of the stomach and duodenum
which need to be seen most clearly on the pictures.
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Ask you to turn over on to your stomach on the couch. Various X-ray pictures may be taken whilst you are in
different positions.
You may be given an injection of a drug that makes the muscles in the stomach and gut relax.
You will usually be asked not to eat anything for several hours before this test. (Food particles in the gut can make
it difficult to interpret the X-rays.) However, you may be allowed sips of water up to two hours before the test.
Barium enema
This is a test to take X-ray pictures of the colon. See separate leaflet called Barium Enema for more details.
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Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical
conditions. EMIS has used all reasonable care in compiling the information but make no warranty as to its
accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions.
For details see our conditions.
Original Author:
Dr Tim Kenny
Current Version:
Dr Laurence Knott
Peer Reviewer:
Dr Helen Huins
Document ID:
4735 (v40)
Last Checked:
27/11/2015
Next Review:
26/11/2018