Evaluating GERD
Tip! Surgery for acid reflux is very uncommon since the advent of effective acid suppressant medical treatment.
There are a number of ways in which the symptoms of GERD and the patients' specific complaint can be monitored and evaluated. This is beneficial as a means of getting to the route of the actual cause of the GERD after diagnosis, and can be helpful in learning more about the condition and identifying particular abnormalities.
A commonly used method for evaluating the condition and its causes is known as oesophageal motility testing. The is used to help measure the effectiveness of the oesophageal muscles, and measure how well they are functioning. A narrow tube is passed through the nose into the oesophagus which detects pressure within the oesophagus as the muscles contract around it. The patient is required to swallow water to allow the relaxation and contraction of the relevant muscles which can the be measured. This has two main points of importance in terms of evaluation, which are that it is useful in evaluating symptoms which are non-responsive to the conventional GERD treatment methods. Secondly, it is a good way to detect abnormalities within the muscular contractions which could be causing the reflux and leading to the patients' problems.
Tip! Chest pain that begins or increases with exercise is more likely due to a heart problem. Acid reflux symptoms don't change with physical exertion.
Another effective method of GERD evaluation is by way of a gastric emptying study. This test is used to determine how effective the stomach is at emptying its contents, which may be the cause of GERD for some patients. The test is done by the patients consuming
a meal which contains radioactive matter, which is then detected by a Geiger machine and timed before leaving the stomach. If the slow speed of emptying appears to be a problem, patients can be prescribed with medication to speed up the process. Related complaints of vomiting and regurgitation may be to do with problems of stomach emptying, and thus it is beneficial to use this testing method to uncover the root of the problem.
Tip! Raising the head of the bed is an effective acid reflux treatment. It is useful for nocturnal acid reflux symptoms and reduces sensitisation that results in problems during the day.
The acid perfusion test is another method of evaluation, primarily used to determine if pains in the chest are as a result of acid reflux. A tube is again passed into the oesophagus via the nostril. A mixture of an acidic and salty solution are passed alternatively down the tube to see if the patient responds to the acidic solutions. If the patient does feel the onset of the pains at this time, it is likely the pain is caused by acid reflux. This method of testing is very rarely used, and the more common oesophageal ph study is more effective for evaluating the nature of a patient's complaint.
The monitoring and evaluation of GERD, like any medical condition is an important aspect of the medical process. It is important for the reasons of monitoring patients' progress, and understanding fully the causes of their complaints. With so many tests available, the medical profession are in a very good position to treat GERD and related symptoms and monitor the progress of their treatment, more than ever before. It is therefore imperative to report any obvious signs of the condition to your doctor immediately to take full advantage of the available options.
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Acid reflux news on the Web
Treatment of silent acid reflux does not improve asthma in children, NIH study finds ( NIH/National Heart, Lung and Blood Institute ) Adding the acid reflux drug lansoprazole to a standard inhaled steroid treatment for asthma does not improve asthma control in children who have no symptom of acid reflux, according to a new study funded in part by the National Heart, Lung, and Blood Institute, part of the National Institutes of Health. Lansoprazole therapy slightly increased the ... |
Acid reflux drug does not improve asthma symptoms in kids Washington, Jan 25 : Addition of acid reflux drug lansoprazole does not alleviate asthma symptoms or the control of the respiratory illness in children and may even increase upper respiratory infections risk and other adverse events, a new study has revealed. |
Acid reflux drug does not improve asthma in children ( Johns Hopkins University Bloomberg School of Public Health ) A randomized clinic trial conducted by the American Lung Association's Asthma Clinical Group found that the addition of lansoprazole does not improve asthma symptoms or the control of asthma in children and may increase the risk for upper respiratory infections and other adverse events. |
Study: Heartburn drugs don't aid children's asthma CHICAGO (AP) - An acid reflux drug often used for hard-to-treat asthma doesn't help children with the breathing disease and may cause side effects, a study in 300 children found. The results echo recent research showing that a similar heartburn drug didn't work in adults with asthma. Use of these heavily promoted ... |
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