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Heartburn and Gastroesophageal Reflux Disease
Heartburn Diagnosis After telling your doctor about your heartburn problem, he may ask you about your symptoms and medical history, and perform a physical exam. He or she will usually make an initial diagnosis of Gastroesophageal Reflux Disease (GERD) based on your symptoms. In some cases, other tests will be done to confirm the diagnosis or exclude other disorders. pH Monitoring A probe is placed in the esophagus to keep track of the level of acidity in the lower esophagus. This is done over a 24-hour period. Upper Gastrointestinal (GI) Series A series of x-rays of the upper digestive system are taken after drinking a barium solution. Manometry This test measures muscle pressures in the lower esophagus. Endoscopy A thin, lighted tube with a tiny camera attached is passed down the throat to examine the esophagus and stomach. Biopsy A small sample of tissue from the esophagus is removed. It is then studied to check for inflammation, cancer, or other problems.
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