Gastro Esophageal Reflux (GERD)

• • Esophageal manometry – This test helps determine the strength of the muscles in the esophagus. It is useful in evaluating gastroesophageal reflux and swallowing abnormalities. A small tube is guided into the nostril, then passed into the throat, and finally into the esophagus. The pressure the esophageal muscles produce at rest is then measured.
  • pH monitoring – Measures the acidity inside of the esophagus. It is helpful in evaluating gastroesophageal reflux disease (GERD). A thin, plastic tube is placed into a nostril, guided down the throat, and then into the esophagus. The tube stops just above the lower esophageal sphincter, which is at the connection between the esophagus and the stomach. At the end of the tube inside the esophagus is a sensor that measures pH, or acidity. The other end of the tube outside the body is connected to a monitor that records the pH levels for a 12 to 24 hour period. Normal activity is encouraged during the study, and a record kept of symptoms experienced, or activity that might be suspicious for reflux, such as gagging or coughing. The pH readings are evaluated and compared to the patient’s activity for that time period.

Then a proper and Specific Treatment will be Determined on the basis of your Age, overall health, extent of condition, tolerance for specific medications, procedures, therapies and Medical History