Purpose of Barium Swallow Test: When and Why We Use It

Are you experiencing difficulty or pain when swallowing—or the constant sensation that something is stuck in your throat? These symptoms can signal underlying issues with your esophagus or upper digestive tract.

A barium swallow test may be the next essential step in getting the answers you need. This simple, non-invasive imaging procedure plays a key role in helping us make an accurate diagnosis and deliver the timely, effective treatment you deserve.

We’ve found that many of our patients have questions regarding the purpose of a barium swallow test, particularly when it’s appropriate and why we use it. We’re happy to provide greater insight and information in this article.

At RMG Gastroenterology, we’re proud to offer advanced, patient-centered care focused on specialized endoscopy centers. We make it easy to access expert screenings and procedures. Whether you’re referred by a primary provider or seeking support for ongoing digestive concerns, let our board-certified physicians provide the care and treatment you need. Contact us for an appointment.

What Is the Purpose of a Barium Swallow Test?

As we mentioned earlier, its purpose centers around providing the diagnostic information we need to ensure timely, accurate treatment. This imaging test utilizes barium and X-rays to create images of your upper GI system. Barium is barium sulfate (a contrast agent). It’s a chalky, white substance that absorbs X-rays. As a result, your upper digestive system is more visible, because the barium coats your throat, esophagus and stomach.

You swallow the barium mixture, and this enables our board-certified gastroenterologists in Raleigh to clearly see any abnormalities of your organs or GI tract.

You may need a barium swallow test if:

• You believe you may have cancer of the head, neck, pharynx or esophagus
• You may have a hiatal hernia
• It’s suspected you have structural problems or growths
• You have esophageal varices, which are enlarged veins in your throat
• You have difficulty swallowing
• You have throat spasms that make it difficult for food to get to your stomach
• It’s suspected you have GERD or ulcers

What Happens During a Barium Swallow Test?

You’ll have to fast before your barium swallow test. This is vital to ensure your GI tract is empty. You may be asked to sit, stand or even lie on an X-ray table. For your safety, a lead apron will be used to shield your body from any unnecessary radiation.

Then, you’ll swallow the barium sulfate, and the X-ray (or a “moving” X-ray called a fluoroscopy) will track the barium as it moves through your system.

At certain points during the procedure, you may need to change position or hold your breath for a few moments.

What Can a Barium Swallow Test Reveal?

There are several conditions that can be diagnosed. This is one of the key purposes of barium swallow tests. The results can indicate if you have:

• Swallowing disorders
• Ulcers
• Structural abnormalities of the throat
• Hiatal hernia
• Tumors
• GERD
• Muscle or nerve-related problems

Are There Any Side Effects After a Barium Swallow Test?

Although a barium swallow is generally safe, there are some mild side effects. These can include:

• Constipation
• Chalky bowel movements
• Abdominal swelling
• Difficulty passing gas

If you are experiencing any of these symptoms, we urge you to schedule an appointment with us as soon as possible.

Do You Have Swallowing Problems? Concerned You Might Have an Ulcer? Schedule an Appointment With Us to Find Relief

We believe your digestive health care deserves both trusted experienced professionals and easily accessible care. We are proud to serve patients throughout Wake and Johnston counties, where we practice our patient-first philosophy coupled with the latest in diagnostics and treatment.

Your digestive health deserves trusted expertise and accessible care. As an independent, state-certified endoscopy center with decades of experience, we’re proud to serve patients across. Whether you’re managing a chronic condition or in need of a screening, we’re here to provide personalized care every step of the way. Contact us to schedule an appointment or learn more.