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How is Gastroesophageal Reflux Disease diagnosed?

See how Gastroesophageal Reflux Disease is diagnosed. Which specialists are essential to meet, what tests are needed and other useful information for the diagnosis of Gastroesophageal Reflux Disease

Gastroesophageal Reflux Disease diagnosis

Gastroesophageal Reflux Disease (GERD) is a chronic condition that occurs when stomach acid flows back into the esophagus, causing irritation and discomfort. It is important to diagnose GERD accurately to provide appropriate treatment and manage the symptoms effectively. Diagnosis of GERD involves a combination of medical history evaluation, physical examination, and diagnostic tests.



Medical History Evaluation


The first step in diagnosing GERD is a thorough medical history evaluation. The healthcare provider will ask about the patient's symptoms, their frequency and severity, and any factors that may trigger or worsen the symptoms. Common symptoms of GERD include:



  • Heartburn: A burning sensation in the chest, often after eating or lying down.

  • Regurgitation: The feeling of acid or food coming back up into the throat or mouth.

  • Dysphagia: Difficulty swallowing or a sensation of food getting stuck in the throat.

  • Chronic cough: A persistent cough that may be worse at night or after meals.

  • Hoarseness or sore throat: Irritation of the vocal cords due to acid reflux.



Physical Examination


After the medical history evaluation, a physical examination will be conducted to assess any signs or symptoms related to GERD. The healthcare provider may examine the throat, mouth, and esophagus using a specialized instrument called an endoscope. This allows them to visually inspect the lining of the esophagus for any signs of inflammation or damage caused by acid reflux.



Diagnostic Tests


If the medical history evaluation and physical examination suggest GERD, the healthcare provider may recommend further diagnostic tests to confirm the diagnosis and assess the extent of the condition. Some common diagnostic tests for GERD include:



1. Upper Endoscopy:


This procedure involves inserting a flexible tube with a light and camera (endoscope) through the mouth and into the esophagus and stomach. It allows the healthcare provider to examine the esophageal lining for any abnormalities, such as inflammation, ulcers, or strictures. During the procedure, small tissue samples (biopsies) may be taken for further analysis.



2. Esophageal pH Monitoring:


This test measures the amount of acid in the esophagus over a 24-hour period. A thin tube is inserted through the nose and into the esophagus, and the other end is connected to a portable device that records pH levels. The patient is required to keep a diary of symptoms and activities during the monitoring period to correlate symptoms with acid reflux episodes.



3. Esophageal Manometry:


This test measures the strength and coordination of the muscles in the esophagus. A thin tube is passed through the nose and into the esophagus, and the patient is asked to swallow small amounts of water. The pressure sensors in the tube measure the muscle contractions and the function of the lower esophageal sphincter (LES), which prevents acid reflux.



4. Barium Swallow:


This imaging test involves drinking a liquid containing barium, which coats the esophagus and stomach. X-rays are then taken to visualize the movement of the barium as the patient swallows. This test can help identify any structural abnormalities or motility issues in the esophagus.



5. Ambulatory Acid (pH) Probe Test:


Similar to esophageal pH monitoring, this test measures the amount of acid in the esophagus. However, instead of a 24-hour monitoring period, a small pH probe is placed in the esophagus during an outpatient procedure. The probe is left in place for 1-2 days, and the patient is required to keep a diary of symptoms and activities during that time.



Conclusion


Diagnosing GERD involves a comprehensive evaluation of medical history, physical examination, and diagnostic tests. It is essential to accurately diagnose GERD to provide appropriate treatment and manage the symptoms effectively. If you suspect you may have GERD, it is important to consult with a healthcare professional for a proper evaluation and diagnosis.


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Translated from spanish Improve translation
Reflux is detected by studies such as endoscopy or x-rays through a study q is called a series esofagogastrica duodenal

Posted May 20, 2017 by Citlali 1550

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hace aproximadamente 7 años me diagnosticaron ERGE estuve bien con medicamento, pero en los ultimos 3 años se agravo dolor de garganta y a ala altura del pecho y acidez a nivel boca, el medico me comento de la cirugia la cual no he querido hacerme ...

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