Adjusting your hearing aids for daily use and volume

In this video, ADC Audiologist Janet Davila, AuD, CCC-A explains how to put on your hearing aids and adjust volume.

How to put on your hearing aid

  1. Set the hearing aid or instrument on top of the ear
  2. Insert the dome in your ear
  3. Using your index finger, push (gently) the dome into your ear canal
  4. Flip the anchor or spring upwards to stay flush with your outer ear

When you  look in the mirror the wire should be flush with your skin.

Adjusting Volume Control

Dr. Davila offers this helpful tip to adjust the volume on your hearing aids.  She says to remember that your right instrument raises the volume and your left instrument lowers the volume:

  • Right=Raises volume
  • Left=Lowers volume
  1. Find your volume control button on the back of your hearing aid.  With your index finger give the button a quick tap or push.

Switching to a Saved Program

To switch your hearing instruments to a set program, for example a crowded room setting, follow these directions.

  1. To change from one program to another, hold your volume button down for 1.5 to 2 seconds.
  2. You will hear a beep in each ear when the program has changed.
  3. To return to your previous program, hold the volume button down again for 1.5 to 2 seconds.  You will once again hear the two beeps to indicate the program has been changed.

Does it matter which hearing aid you use to switch to adjust volume or switch to another program?

According to Dr. Davila, it depends on how the buttons on the back are programmed and how big the hearing aids are.  The smaller, mini receiver in the ear aids are ear specific. That is, the button on the right aid turns the volume up for both aids. The left aid button turns the volume down for both aids.

If you have a larger standard sized receiver in the ear, there is a “rocker” switch on the back. Tap the top of the switch and both aids go up, no matter which aid you use. Tap the bottom of the switch and both get softer no matter which aid you use.  Press and hold the top (or bottom) of the switch for two seconds and release it, and the program will change.  It is best to change the program with the right aid though, because it cycles through the programs  as follows; 1 -2 -3 -4, while the left will cycle 4 – 3 – 2 – 1.  Using the right to change programs is more intuitive.

For more information about hearing aids and instruments contact the ADC Audiology department at 512-901-4808.

Did you know ADC’s Audiology department offers free hearing aid cleaning?

If you’re not comfortable cleaning your hearing aids, come by the ADC Audiology department at 12221 MoPac Expwy, 2nd Floor, North Entrance, and we can help you out.  It’s easy, just follow the steps below:

  1. Drop off your hearing aids at the front desk.
  2. Our staff will ask you to complete a form.  Remember to check the box marked, “Please clean my hearing aids.”
  3. Receive a call from our team when your hearing aids are clean or, you may call our office to check.

Please allow 1-2 business days for the cleaning to be completed. For more information about ADC Audiology or any of the services we provide call us at  512-901-4808.

Pre-Visit Laboratory and/or Imaging Testing:

  • To improve patient care, we will require that all ordered laboratory or imaging tests be completed before upcoming appointments with Endocrinology. If you are unable to complete the required lab or imaging tests prior to your visit, you may be asked to reschedule your appointment.
  • The reason we ask these to be completed is to provide more meaningful and seamless care by giving you and your provider the opportunity to review all relevant information and to adjust therapies at a face-to-face visit.

Medication Refill Requests:

  • To ensure that prescriptions are filled accurately and efficiently, we have implemented the following prescription policy:
  • Prescription refill requests are not accepted over the phone, with limited exceptions as in the case of a change in dosage or change in pharmacy. If you need a refill between office visits, please have your pharmacy contact us directly.
  • Prior to your scheduled office visit, please look over all your medications, to determine if you need to request refills during your visit.
  • All medications will require regular follow-up visits at intervals to be determined by your provider. You should receive refills of your medications at each visit that will last until you are due to return. If you are overdue for your visit, your provider will provide enough medication to last until your scheduled appointment (maximum 30-day supply). This courtesy refill is at the discretion of the provider and does not apply to all medications.

2017-18 Pediatric flu shots

Flu shots are recommended for children 6 months and older.   Flu shots will be given beginning September 5, 2017.  All ADC influenza vaccine is preservative free (no thimerosal). Please note, The American Academy of Pediatrics (AAP) and Advisory Committee of Immunization Practices (ACIP) have recommended to NOT use Flumist this year due to its ineffectiveness and failure to provide adequate protection for influenza. Parents should call their pediatrician’s office for specific flu immunization availability for private insurance and Self-Pay/Seton CHIPs/ Superior.

Pediatric flu shots are available during clinic hours by appointment at these locations.   Call 512-901-1111 to schedule shots.

  • ADC Cedar Bend  (see graphic below for after-hours flu shot clinic)
  • ADC Cedar Park (established ADC pediatric patients may walk-in at Cedar Park)
  • ADC Circle C (established ADC pediatric patients may walk-in at Circle C Tuesday – Friday from 8:oo am to 4:30 pm)
  • ADC Steiner Ranch

Walk-in After Hours Shot Clinic for ADC Patients

Pediatric Cedar bend flu shots


General surgery packet for patients of Dr. Thomas Brown, Dr. Francis Buzad and Dr. Louis Corne.

This packet includes:

  • Reminders for what to do and bring the day of surgery
  • Directions to the ADC Ambulatory Center
  • Pre-op instructions
  • Post-op instructions while taking pain medication


General Surgery Patient Packet (PDF)


Congratulations on the upcoming birth of your child!

While you are expecting, you will want to choose a pediatrician to care for your newborn. If your insurance is a plan that ADC accepts, please call one of the offices below to discuss pre-partum visit options.

ADC Cedar Bend

To schedule a pre-partum visit at our North location, ADC Cedar Bend, call 512-901-4016,  the charge for a one-on-one consult is $40.00. Another option, if you prefer, is to request for the chosen doctor’s nurse to call you and provide information about the physician and their practice.

ADC Cedar Park

To schedule a pre-partum visit at our Cedar Park location please call 512-901-4038,  the charge for a one-on-one consult is $40.00. Another option, if you prefer, is to request for Dr. Albert’s nurse to call you and provide information about the physician and their practice.

ADC Circle C

To set up a pre-partum telephone interview at ADC Circle C please call 512-334-2504, choose option #3 and leave a message for the doctor to return your call. Make sure to indicate that you wish to conduct a pre-partum interview by phone.

If you prefer a one on one interview, Dr. Linda Lopez, Dr. Sara Woods and Dr. Vanessa Chiapetta,  will schedule an in-office pre-partum interview. You may schedule the pre-partum interview Tuesday through Thursday at 8:00 am or 1:30 pm. The interview is 30 minutes. The fee is $40.00, most insurances do not cover this cost however, you may want to check with your individual plan.

  • Call 512-334-2504 to request a pre-partum appointment with Dr. Chiapetta or Dr. Woods.

ADC Steiner Ranch

Dr. Chris Saenz welcomes in-office pre-partum interviews. The interviews are scheduled for 30 minutes. There is no charge for this interview and you may schedule an interview by calling 512-901-1111 or 512-681-5963.


Will the pediatrician I choose see my baby at the hospital?

The pediatricians at ADC Circle C cover St. David’s South Austin Medical Center and St. David’s Main hospitals.  Their partners at ADC Cedar Bend cover Seton Main and St. David’s North Austin Medical Center.  Depending on which doctor is on call will determine who will see your newborn in the hospital.  However, since we are all one group your child’s medical record will be updated and available to the ADC pediatrician you chose.

The doctor has removed either a piece of tissue from (LEEP) or frozen (CRYO) your cervix. Results of this test will be available in 1-2 weeks. You can expect a heavy vaginal discharge for 1-2 weeks.

Please avoid intercourse, tampons, douching, and swimming for 2 weeks.

Please call our office if you experience:

  • Fever greater than 101.0 degrees Fahrenheit.
  • Excessive bleeding (greater than one pad per hour).
  • Pain not controlled by over-the-counter medications.

The doctor may want to see you for a post procedure check. Another pap smear will be needed in about 3 months.

Little care for a circumcised penis is necessary. Rinse the circumcised area at each diaper change by squeezing warm water over the tip of the penis. You may use Vaseline on the tip of the penis with each diaper change for the first few days after the circumcision. This is not necessary, but may prevent the circumcision site from sticking to the diaper. After the circumcision is healed, you can bathe your baby in a tub without fear of harming the circumcision or penis.

There should be no bleeding. The head of the penis may show signs of irritation and appear whitish or yellowish in places as it heals.

If used, the plastibell will fall off in 3-5 days. The rim of the skin in front of the string will turn black and come off with the bell. Do not pull the plastibell off even if it’s barely on — the plastibell will come off by itself. You will probably find it loose in your baby’s diaper.

Call your child’s pediatrician:

  • If the penis becomes red or swollen
  • Your baby does not pass urine for longer than 8 hours
  • Any green drainage
  • Increased temperature

You have a had an abnormal pap smear. It is important to determine what has caused it to be abnormal. Many abnormal pap smears that are not treated may eventually turn into cancer. To determine why your pap smear is abnormal, your doctor has recommended that you have a special examination called a colposcopy.

What is a Colposcopy?

A colposcopy is a way the doctor has of looking at your cervix (the mouth of the womb) to where the abnormal cells are. The examination is done with a machine called a colposcope that magnifies the cervix, like a microscope. After inserting a speculum into your vagina (like for a pap smear), the doctor looks into the colposcope. This allows the doctor to examine your cervix very carefully to see exactly where the abnormal cells are. If the doctor sees abnormal cells through the colposcope, a small sample of those cells are taken (called a biopsy). The sample is sent to the laboratory for examination and diagnosis.

The colposcopy take about 15-20 minutes. You may feel a pinch or some mild cramping when the biopsy is taken.

Instructions following a colposcopy

  • Do not put anything in your vagina for one week. This means no sex, no douching, and no tampons. Putting anything in your vagina may cause bleeding or an infection.
  • You may have a gritty discharge caused by the medicine used to control bleeding from the biopsy site. This is normal and you do not need to do anything for it.
  • Your results should be available in about one week. The nurse will contact you by phone after the doctor has reviewed the report.

Notify the clinic if any of the following occur within two weeks after the biopsy.

  • You have any bleeding and you are not on your period.
  • You have severe abdominal pain.
  • You have a fever greater than 101 degrees.

Has your doctor asked you to take a glucose tolerance test? Here are the steps you need to take.

  1. Finish the entire bottle within five minutes
  2. Note the time you finish the drink.
  3. You’ll have your blood drawn one hour after you finish.
  4. Check in at least 15 minutes before your draw time to make sure they will draw you at 1 hour after you finish your drink.
  5. When you sign in, write the time you are supposed to be drawn next to your name.
  • You may start your drink now, the doctor will be in for your regular visit.
  • You cannot eat or drink anything until after your blood is drawn.
  • Do not leave the building.

*If your blood is not drawn one hour after you finish your drink, you will have to repeat the process another day.

Where is the Main Clinic lab?

  • Walk outside of the OB/GYN office, go right and head toward the atrium café.
  • Take the elevator up to the first floor.
  • When you exit the elevator make/a left and follow it to the South wing.
  • Go past the South elevators.
  • Lab check in is right beside the South Wing entrance/exit.

Your podiatrist has prescribed the cast boot for your health benefit. Remember:

  • Take reasonable care of your cast boot.
  • Familiarize yourself with the cast boot Instructions as provided.
  • Do not drive with your cast boot.

ADC Is not responsible for the replacement or repair of any damage of the cast boot. In order to reduce the possibility of damage to your cast boot you should follow the instructions for care and use of the boot given by the supplier or manufacturer.

In order to put your cast boot on:

  1. Place your heel all the way back to the heel of your cast boot
  2. Fold over the liner and Velcro in place
  3. Put the guard over the liner
  4. Tighten the Velcro straps – finger tight across your foot and shin
  5. Pump air into the air bladder on either side of your cast boot
    1. Pump no more than five (5) pumps of air into either side of the air bladders
    2. Pump the air bladders an equal amount on each side of your cast boot  Example: two pumps on the left side and two pumps on the right side
    3. The air bladders are there to stabilize your ankle in the cast boot, they should not be pumped up to the point where the pressure causes your ankle to throb
    4. It is not necessary to pump up the air bladders every time you remove the cast boot
    5. The air bladders will stay pumped up until you deflate them
    6. CAUTION: Overfilling the air bladders can cause them to pop or break
    7. Air bladders are overfilled if you can not place your heel all the way into the back heel of the cast boot and your toes are hanging over the edge
  6. Please do not get your cast boot wet.

Fingers typing on laptop

We know your time is important. That’s why free wireless Internet access is available at our Main Clinic, Outpatient Surgery Center, and many other locations.

Now, you can make the most of your time while visiting our doctors and staff.

Here’s how to access our Wi-fi network.

  1. Connect to the SSID: ADCWiFi
  2. Pick the connection with the strongest signal. Signal strength is shown by the green vertical bars.
  3. Once you are connected, open your browser window.
  4. You will be redirected to the ADC WiFi login page.
  5. Read our “Terms of Use.” It’s available through a link on the login page.
  6. Click the “Login” button. You will be automatically redirected to our website.

Happy browsing!

These instructions are for those patients coming into our office for a pulmonary lab.

  • Current list of medications or the actual medication bottle
  • Insurance Card – if you insurance coverage has changed since your last visit, please contact our patient service representatives to update your information. If you are uninsured, or do not have an insurance plan accepted by The Austin Diagnostic Clinic, you will be expected to pay at the time of your visit. Please call our Business Services main office at 512-901-4600 if you need to discuss payment.
  • Driver’s license or ID card

Appointment Instructions

  • No heavy meals within 4 hours of testing
  • No smoking within 24 hours of testing
  • No Inhaled medications the day of testing
  • You may take any pills that you would normally

Changing your Appointment

If you need to change your appointment, or you are unable to keep this appointment, please notify our office as soon as possible. We will be happy to reschedule.  You may also change or cancel your appointment through MyADC, our secure patient portal.

Pre-Procedure Preparation

  • You may eat and drink as normal prior to your procedure.
  • Please take all medications as normal the morning of the procedure with the exception of bladder control medication.
  • If you are ill the morning of the procedure, please call to reschedule. This procedure is designed to study your bladder in its normal state, and if you are not feeling well we cannot accomplish this goal.
  • No sedation is used during the procedure. It is not required and would alter the test results.

Post Procedure Instructions

  • Immediately after your procedure, you may return to your normal activities. You may notice some burning upon urination for the first day or so. This is due to irritation from the catheterization.
  • Please drink plenty of water for your symptoms to clear up.
  • Please follow up with your urologist or referring physician for further treatment options.

What to Expect After Needle Biopsy

After the procedure, your doctor may prescribe an antibiotic. If you do not receive a prescription prior to leaving the office or clinic, please ask your recovery nurse. Make sure that you take the medication as directed. Complete the prescription. Avoid using aspirin or other blood thinners for one week after biopsy to avoid bleeding.

  • It is normal to have blood in your urine for 3 or 4 days and possibly light rectal bleeding.
  • To clean out the urinary tract, drink four to six 8-ounce glasses of water daily for 3 to 4 days. If you are passing large blood clots, call your doctor.
  • It is normal to experience burning on urination for 24 hours after the biopsy. If you are having trouble urinating, try to urinate in warm baths. This may alleviate your discomfort.
  • After the procedure, some men complain of a clear to brownish discharge from the penis. You may notice blood in your semen (sperm) for up to 1 month afterward.
  • If you have nausea, vomiting, shaking chills, a fever greater than 101.4° F, within the first 24 hours following the biopsy, call the doctor immediately (day or night).
  • You should not do any heavy lifting for 24 hours. Do not strain during a bowel movement for 48 hours.
  • Call for a follow-up appointment.

When should you call your doctor?

  • Your temperature rises above 101.4° F
  • You have nausea, vomiting, or shaking chills
  • You are experiencing burning on urination or are passing blood clots
  • You are unable to urinate when you feel that your bladder is full
  • You develop a reaction to your medication such as skin rash, nausea, or vomiting

grandfather and grandson


  1. Your urinary catheter must be secured to your leg with the Velcro strap to maintain it in the correct position. Discomfort can be alleviated by applying Vaseline jelly on the catheter at the tip of your penis.
  2. Change the regular catheter bag to a leg bag while you go about your daytime activities. At night, we suggest using the regular bag because it has a larger capacity.


We recommend a well-balanced diet, high in fiber and protein, to promote quick post-operative healing. High-protein foods include egg whites, meat, chicken , beans, and fish. Drink 8 to 10 glasses of fluid a day.


While we encourage as much movement as possible, you should not lift heavy objects, or engage in strenuous exercise. Avoid sitting in a straight-backed chair for six weeks (except for meals). Sit in a recliner with your legs extended. Continue the breathing and coughing exercises you were shown during your hospital stay. Do not drive until the Foley catheter has been removed.


You will be given prescriptions for pain medications and antibiotics prior to discharge. You can resume all your regular medications with the exception of any blood thinners. Check with your  urologist about this.

When should you call our office?

Call us if your temperature rises above 101° F or if your incision should open, starts to drain, or becomes more painful or reddened. Call if your urine turns grossly bloody or does not drain into a gravity bag. Call if you have calf pain. Seek immediate help in the ER or call 911 if you have chest pain and /or shortness of breath.

male and female foley catheters

Urinary Catheter Care

An indwelling urinary catheter is a flexible plastic tube that is inserted through the opening that carries urine from the bladder to outside of the body (urethra), into the bladder, to drain urine. The tube is kept in place by a small balloon that is inflated once the tube is securely in the bladder. Urine drains into a bag that is attached to the thigh.

A urinary catheter is used when you cannot urinate by yourself. This may occur because of medical conditions, such as prostate enlargement and incontinence, or after surgery for prostate cancer. Urinary catheters are also used when the lower part of the body is paralyzed. Your health professional will decide how long you need to have the catheter.

To care for your urinary catheter at home:

  • Make sure that urine is flowing out of the catheter into the drainage bag
  • Check the area around the urethra for inflammation or signs of infection, such as irritated, swollen, red or tender skin at the insertion site or drainage around the catheter.
  • Keep the urinary drainage bag below the level of the bladder.
  • Make sure that the urinary drainage bag does not drag and pull on the catheter.

Caring for your catheter

If your doctor or nurse has given you specific instructions on caring for your urinary catheter, be sure to follow them. Always wash your hands before and after caring for your catheter.

  • Clean the area around the drainage tube twice each day.
  • Use soap and water to carefully wash around the drainage tube.
  • Rinse well and dry with a clean towel.
  • Do not tug or pull on the drainage tube
  • Unless you pull or tug on your catheter.

Draining the urine collection bag

The bag that collects urine may be strapped to your thigh and you will be provided with a larger bedside bag for night time. You will need to empty the bag at regular intervals, whenever it is half-full, and at bedtime. Be sure to wash your hands before and after emptying urine from your collection bag.

  • Wash your hands with soap and water. If you are emptying another person’s collection bag you may wish to wear disposable gloves. Wash your hands before you put on the gloves and after you remove them.
  • Unfasten the tube from the drainage bag.
  • Fasten the tubing clamp and remove the drainage cap.
  • Drain the urine into the toilet. You may also drain the urine into another container and then empty it into the toilet. Avoid touching the tubing or drainage cap on the toilet, the collection container, or the floor.
  • Replace the drainage cap, close the clamp, and refasten the collection tube to the drainage bag.
  • Refasten the collection tube to the drainage bag.
  • Wash your hands with soap and water.

When should you call our office?

If we have given you instructions about when to notify us, be sure to follow those instructions. Call your doctor’s office if:

  • No urine or very little urine is flowing into the collection bag for 4 or more hours.
  • No urine or very little urine is flowing into the collection bag and you feel like your bladder is full.
  • You have new pain in your abdomen, pelvis, legs, or back.
  • Your urine has changed color, is very cloudy, looks bloody, or has large blood clots in it.
  • The insertion site becomes very irritated, swollen, red, or tender, or you have pus draining from the catheter insertion site.
  • Your urine has a foul odor.
  • Urine is leaking from the insertion site.
  • You have a fever of 101°F (37.8°C) or higher or back or flank pain.
  • You develop nausea, vomiting, or shaking chills.

If you have further questions or concerns, please do not hesitate to call our office.

Provider communication

In some cases you may want to allow your doctor to talk to someone else about your personal health information.

In order to do this, you need to complete our medical records release of information form. Here’s how to do it.

On the form under “Description of information to be released,” check the box for Two-Way Verbal Communication.

This will allow the authorized individual to discuss your health information with our staff.

Medical Records

In some cases, you may want another person to gain copies of your personal medical records.

In order to do this, you need to complete a separate authorization.

Immunization records for children under 17

If your child is 17 years old or younger, contact your pediatrician’s office directly.

You will need to complete and sign an Immunization Record Request Release Form.

There may be a charge associated with the request. Allow five to seven business days to process your request.

Immunization records for adults

Patients aged 18 and up require the patient’s written authorization.

Follow the link to download and complete our authorization form and follow the instructions.

If you would like to transfer your records from a non-ADC physician to your ADC doctor, you’ll need to complete an authorization form.

Here’s how to do it.

  1. In the box that says “I hereby authorize ( name of facility/provider releasing information) to disclose the above-named individuals health information,” write in the name and address of your non-ADC physician.
  2. Fill in the rest of the form
  3. Sign and date
  4. Mail or FAX the form to your non-ADC physician

Your non-ADC physician may also have a form for you to complete. You may want to check with that doctor’s office.

We are not responsible for any fees that may be charged by your non-ADC provider.

Your doctor may need a copy of your digital medical images to properly diagnose and care for you.  Follow these steps to get a copy on CD or film.

Complete the form

How much does it cost?

  • No cost for CDs
  • First set of films are free.  Additional copies are $5 a sheet.

How long does it take?

  • Allow 24 hours for CD and 48 hours for film

What do I need to bring?

  • Photo ID to pick up your CD/films.
  • If you are sending someone to pick up your CD/films, please send a letter stating that you have given this person permission to pick up your CD/films.

Questions about getting copies of your digital images?

Questions on how to complete each section of our Medical Records Release of Information form?

Follow these instructions

Instrucciones a cómo solicitar una copia de sus registros médicos.

  1. Patient Name
    Print the name, address and daytime telephone number of the patient whose records are being disclosed. Only one patient per form.
  2. Date of Birth
    Enter month, day and year of patient’s birth.
  3. I hereby authorize _____________
    This can be a name of any health care provider or facility who has the records to be released ( i.e. Dr. Jones or ADC. If only one Doctor name is listed then only that provider’s information will be released.) If information is being requested from another health care provider outside of ADC and you would like this information to be sent to ADC, then include complete mailing address and mail request to that provider. ADC does not mail the form.
  4. Date of Services
    Time frame of selected information to be released. Can be one day or a range of dates or years. If no time frame is given, then the most recent two years of information will be released.
  5. Description of Information to be released
    This is to guide us to select the proper documents to fulfill the request.
  6. Select types of information to be released
    Select all that apply. If your ADC record contains information from another provider, please check the other box and write “outside records” and the name of the facility. Please understand that we will only have copies and they may not be complete.
  7. This information may be disclosed to and used by the following organization (the destination of the records)
    Enter the complete name of person/physician/facility/company, along with the mailing address to receive the information, a telephone number is helpful. If records are needed by more than one person/facility, a separate request is required. If records are for yourself, please write your complete name and address. Include a contact telephone number.
  8. Description of the purpose of the use and/or disclosure
    Reason for the request. Check all that apply.
  9. Expiration Date
    Please enter an expiration date or event. If left blank, the authorization will automatically expire in 180 days. Do not use “indefinite”.
  10. Signature of Patient or Patient Representative
    The patient or representative must sign the form.
  11. Date
    Enter in date authorization is signed.
  12. Printed Name of Patient or Patient Representative
    This is for verification purposes.
  13. Relationship to Patient
    If you are a patient representative, please indicate your relationship to the patient. Except in the case of parents, we require a copy of the documentation appointing you as person with authorized access.
  14. Legal Authority
    Legal guardian etc. We require a copy of the documentation appointing you as person with authorized access.

Do not email forms.

Patient forms may be faxed or mailed to the HIM department. Requests by third parties/insurance/attorneys may be mailed or faxed. Click here for where to FAX or mail forms.

PH/Impedance monitoring is an ambulatory 24-hour test that measures reflux of gastric (stomach) contents into the esophagus.

Before the procedure

  • You may have you regular meals on the day before the test.
  • Do not eat or drink anything after midnight. This also includes chewing gum, mints and hard candies. If you are scheduled for an afternoon appointment, you may have clear liquids 6 hours before appointment.
  • No smoking.
  • Wear a shirt or blouse that buttons in the front on the day of the pH/Impedance test.
  • You may wish to shower or take a tub bath before your appointment since you will be unable to do so for 24 hours during the test.
  • You will be asked to sign an informed consent and provide information regarding allergies, medicines you are now taking, existing medical conditions and previous surgeries.

(Medications will be discussed on an individual basis.)

During the procedure

An esophageal manometry test will be performed before the placement of the pH/Impedance catheter.

  • Your nostrils will be numbed with an anesthetic gel to allow for easier placement of the catheter.
  • The pH/Impedance catheter will be inserted through your nostrils into your esophagus, secured in place with tape and connected to a recording device.
  • The test lasts for 24 hours.
  • During the 24 hours, you will be asked to keep a diary to write down when you eat, lay down, take medications and when you have symptoms such as heartburn, chest pain, cough, etc. It is important to keep an accurate diary!
  • Eat the foods you normally consume during the test.
  • You may drink any beverage with meals, but drink only water between meals.
  • Do not chew gum or eat hard candies or mints during the test.
  • Do not take a tub bath or shower during the test.
  • After the 24 hours, please return to The Austin Diagnostic Clinic, Gastroenterology section, located on the first floor in the North entrance (map).
  • Remember to bring your diary!
  • A nurse will remove the catheter and review the diary with you.

If you experience any difficulties during the test, please let us know.

After the procedure

  • You may resume your normal daily activities.
  • Your nostril or throat may be slightly sore for 1 or 2 days.
  • Please schedule a follow-up visit with your physician to discuss the results of the test.

If you experience any problems after the test, contact your doctor.

Esophageal manometry is a test that measures pressures in your esophagus to see if it is functioning properly.

Before the procedure

You may have your regular meals on the day before the test.
Do not eat or drink anything after midnight. This also includes chewing gum, mints and hard candies.
No smoking.
You will be asked to sign an informed consent and provide information regarding allergies, medicines you are now taking, existing medical conditions and previous surgeries.

During the procedure

Your nostrils will be numbed with an anesthetic gel to allow for easier placement of the catheter. A cotton-tipped applicator (Q-tip like) will be inserted and removed, followed by introduction of the catheter.
No sedatives will be given for this test.
The test lasts 15 to 20 minutes.
You will be asked to lie quietly during the test and swallow small amounts of water several times until the data collection is complete.

After the procedure

You may resume your normal daily activities, diet and medications after the test. If your throat was sprayed to numb your throat, you must wait at least one hour to eat or drink. Since no sedatives are given you will be able to drive yourself home.
Your nostril or throat may be slightly sore for 1-2 days.
Please schedule a follow-up visit with your physician to discuss the results of the test.
If you experience any problems after the test, please contact your physician.

Questions or concerns?

Esophageal manometry is an important diagnostic test. If you have any questions or concerns, call our office.

Your test will be performed at our office. Please check-in at the front desk.

So, your doctor has recommended skin testing for allergies.

Download a printable version of these instructions.

Your allergist has recommended that you have allergy skin testing to identify what might be causing your symptoms.  The following information will help you plan for this:

  • We will begin with percutaneous skin testing using a sterile plastic device (Multitest). This part of the test will be done on your back.
  • If the test is positive, there will be a reaction similar to a mosquito bite at the test site.
  • For any of these tests that are negative, an intradermal test may be done. This will consist of placing a small amount of antigen under the skin in the upper arm with a very small needle.
  • Each test will be checked after fifteen to twenty minutes.
  • Positive tests will usually go away (on their own) in about an hour, however they may reoccur in 4-6 hours and last for several days. Over the counter antihistamines and hydrocortisone cream may be used.
  • You should eat breakfast and/or lunch prior to your testing appointment.
  • If you have symptoms of an upper respiratory infection or significant allergies, allergy skin testing may not be advisable on that day as there is an increased risk of having a systemic reaction.

Testing for inhalant or food allergy may take an hour or more.  Testing for allergy to stinging insects or medicines may take several hours.  You will also have a follow-up appointment with your doctor after the test.   Please allow yourself enough time.

There is a small risk of having an allergic reaction to the skin test, symptoms may include sudden onset of diffuse itching, hives, coughing, wheezing and profound drop in blood pressure.  If we suspect you are having an allergic reaction, an anaphylaxis treatment protocol will be followed.  This may involve the use of an adrenaline shot, oral antihistamines and systemic steroids.  In the highly unlikely event that you have a severe allergic reaction, emergency services may be necessary.  Patients who experience an allergic reaction will typically have to be monitored for up to 2 hours.

If either you or your child is to be tested, please do not bring children or siblings to this testing visit.

Please let us know if there is a possibility that you might be pregnant.

Medication Concerns

Antihistamines and certain other medicines should not be taken for an interval before testing. However, you should not stop any medicines other than antihistamines without first checking with your doctor.

You should continue to take your other usual prescription medicines. Asthma medications, steroid nasal sprays, blood pressure and heart medications (except beta-blockers), and hormones will not interfere with allergy skin testing. Please see the next page for a list of medications to be stopped prior to testing.

Your insurance plan may require authorization before skin testing ma y be done. Please check your plan to ensure appropriate authorization is in place. We do not preauthorize allergy skin tests. You are responsible for charges not covered by your insurance.

CPT codes for skin testing 95004 (per each skin prick, typically 64) 95024 (intradermals, max 20)

Since a significant amount of time is planned for you , if you must cancel your skin test appointment, please give us at least 24 hours notice. If you have any questions, please call us at 901-4002

*** NOTE: Please be sure to review the “medications to avoid list”, the testing that we do will not work if you are on these medications and we will have to reschedule your appointment.

 Medications to Avoid Prior to Testing

Medications to Avoid for skin testing

Since a significant amount of time is planned for you , if you must cancel your skin test appointment, please give us at least 24 hours notice. If you have any questions, please call us at 901-4002

*** NOTE: Please be sure to review the “medications to avoid list”, the testing that we do will not work if you are on these medications and we will have to reschedule your appointment.

MANY OVER-THE-COUNTER MEDICINES CONTAIN AN ANTIHISTAMINE. If you are uncertain whether a medicine you are taking contains an antihistamine, please feel free to call the office 901-4924.

MEDICATIONS THAT DO NOT NEED TO BE STOPPED INCLUDE: all asthma controlling and rescue inhalers, steroid nasal sprays (Flonase, Nasonex, Omnaris, Veramyst, Nasacort, Rhinocort, Qnasl, Zetonna), Singulair, Sudafed, Mucinex.


  • All patients will be required to remove their shirt and upper torso undergarments, unless there is an adequate testing area without doing so. We suggest you wear appropriate attire.
  • All patients who have longer than shoulder length hair will need to plan to put their hair up during the testing procedure.