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Heartburn (Acid Reflux) Diagnosis

Biochemical

Esophageal pH Monitoring: A probe can be placed via the nose into the esophagus to record the level of acidity in the lower esophagus. Because some degree of variation in acidity is normal, and small reflux events are relatively common, esophageal pH Monitoring can be used to document reflux in real-time.

Mechanical

Manometry: In this test, a pressure sensor (manometer) is passed through the mouth into the esophagus and measures the pressure of the lower esophageal sphincter directly.
Endoscopy: The esophageal mucosa can be visualized directly by passing a thin, lighted tube with a tiny camera known as an endoscope attached through the mouth to examine the esophagus and stomach. In this way, evidence of esophageal inflammation can be detected, and biopsies taken if necessary. Since an endoscopy allows a doctor to visually inspect the upper digestive tract the procedure may help identify any additional damage to the tract that may not have been detected otherwise.
Biopsy: A small sample of tissue from the esophagus is removed. It is then studied to check for inflammation, cancer, or other problems.

Further Reading


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