High-Resolution Manometry in Delhi
Manometry records the pressure and coordination of gut muscles through a thin catheter lined with sensors. Oesophageal HRM diagnoses achalasia, spasm and weak peristalsis; anorectal HRM diagnoses dyssynergic defecation and incontinence. Dr Paliwal pioneered solid-state and 3D high-resolution manometry in Indian private practice and has performed over 3,500 studies.
Oesophageal manometry
For difficulty swallowing, non-cardiac chest pain, suspected achalasia, and before any anti-reflux surgery. A 4 mm catheter is passed through the nose; you take ten sips of water while pressures are recorded. Takes 15–20 minutes, no sedation, immediate Chicago-classification report.
Anorectal manometry
For chronic constipation, incomplete evacuation, faecal incontinence and Hirschsprung's evaluation. A small catheter with a balloon records sphincter pressures, sensation and the push manoeuvre; combined with a balloon expulsion test. Painless, 20–30 minutes.
Why high-resolution and 3D
Closely spaced sensors give a colour pressure map that reveals subtle motility patterns invisible to older systems; 3D anorectal HRM maps the sphincter in three dimensions to locate defects.
What happens next
Results guide targeted treatment — pneumatic dilatation or POEM for achalasia, biofeedback for dyssynergia, medicines for spasm — rather than trial and error.
Conditions this helps diagnose or treat
Difficulty Swallowing (Dysphagia)
Food sticking, achalasia, strictures
Symptoms, tests & treatmentMotility Disorders
Delhi's first motility lab
Symptoms, tests & treatmentGERD (Reflux Disease)
Chronic reflux, confirmed and controlled
Symptoms, tests & treatmentConstipation
Motility lab and biofeedback, not more laxatives
Symptoms, tests & treatmentIncomplete Evacuation
Straining and the sense of blockage
Symptoms, tests & treatmentWhy patients choose Dr Paliwal for high-resolution manometry
- Trained at India's best: MD from Lady Hardinge, DM Gastroenterology & Hepatology from SGPGI Lucknow, SCE Gastroenterology (UK), advanced endoscopy training in Japan.
- 22+ years at Medanta, Artemis and PSRI — the complex cases other doctors refer.
- Delhi's first luminal GI & motility lab — breath tests, manometry, pH studies and biofeedback done in-house, not outsourced.
- No unnecessary tests. The phrase patients use most in 265+ Google reviews.
Questions about high-resolution manometry
Is manometry painful?
Mild discomfort while the catheter passes the nose or rectum, then comfortable. No sedation needed.
Where can I get manometry in Delhi?
Very few centres offer it; PSRI Hospital's motility lab under Dr Paliwal is one of the longest established in the private sector.
How should I prepare?
Fast for 6 hours for oesophageal manometry; an enema before anorectal manometry. Stop motility-altering medicines as advised.
Other procedures
Upper GI Endoscopy
Camera examination of food-pipe, stomach and duodenum — with biopsy and treatment in the same session
How it worksColonoscopy
Full examination of the large intestine with polyp removal in the same sitting
How it worksERCP
Endoscopic treatment of bile-duct stones, jaundice and blockages — no open surgery
How it worksCapsule Endoscopy
Swallow a pill camera to photograph the whole small intestine — no sedation, no tube
How it worksAsk about high-resolution manometry at PSRI or the CR Park clinic.
Send your reports on WhatsApp; the team will tell you whether this test is needed and what to prepare.