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Esophageal pH monitoring: A monitor is inserted into your esophagus to help healthcare professionals find out how acid is regulated in your body over a few days.Īfter arriving at a diagnosis, your doctor will speak with you to decide what treatment plan will work best for you.Esophageal manometry: A flexible tube is passed through your nose into your esophagus to measure the strength of your esophageal muscles.Upper endoscopy: A flexible tube with a tiny camera is threaded into your esophagus to examine it and collect a tissue sample ( biopsy) if needed.Esophagram: After you drink a barium solution, healthcare professionals use X-ray imaging to examine your upper digestive tract.

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A pH sensor at the tip of the tube measures how much acid exposure your esophagus is getting and sends the data to a portable computer. Ambulatory 24-hour pH probe: A small tube is inserted through your nose into your esophagus.

If you’re experiencing alarm symptoms, such as chest pain or trouble swallowing, they may refer you to a gastroenterologist or request certain tests, including:

certain liquids, such as coffee, tea, and carbonated drinksĪ doctor will typically take your medical history and perform a physical examination to assess your symptoms.

certain fruits and vegetables, such as pineapple, tomato, and citrus.

high fat foods such as fried and fast foods.

Some foods may trigger GERD symptoms more than others, including: If you’ve received a diagnosis of GERD, limiting or stopping alcohol intake may provide symptom relief. The greater the quantity of alcohol and frequency of consumption, the greater the correlation. Studies suggest that drinking alcohol may increase the risk of GERD. Other health conditions that can worsen the symptoms of GERD include: Health factors such as the following may contribute to GERD:

using an abundance of nonsteroidal anti-inflammatory drugs such as aspirin and ibuprofen.

smoking or being exposed to secondhand smoke.

Lifestyle factors that may contribute to persistent reflux with esophageal inflammation include: Other factors, including those listed below, may also contribute to having heartburn more than twice a week.

Lie down too soon after meals: This might not create enough pressure for the LES to function properly.

This distension sometimes means there isn’t enough pressure on the LES, and it doesn’t close properly.

Frequently eat large meals: This may cause distension of the upper part of your stomach.

If your diaphragm is compromised, it may prevent your LES from functioning properly.

Have a hiatal hernia: This occurs when part of your stomach moves above your diaphragm toward your chest.

Your LES may not function properly if you: This allows digestive juices and other contents of your stomach to rise up into your esophagus. Then, it tightens and closes again.Īcid reflux happens when your LES doesn’t tighten or close properly. When you swallow, it relaxes and opens up to allow food and liquid to travel from your mouth to your stomach. The LES is a circular band of muscle at the end of your esophagus. GERD commonly causes acid reflux, which may result from improper functioning of the lower esophageal sphincter (LES).