Diagnosis of Acid Reflux Disease

If you are suffering from frequent heartburn and other typical signs and symptoms of acid reflux disease or GERD, your doctor may be able to diagnose your problem with signs and symptoms alone. Your doctor may also ask for certain tests before reaching a diagnosis of acid reflux disease such as endoscopy (known as esophagogastroduodenoscopy), X-ray of upper GIT (gastrointestinal tract) or barium X-ray of whole GIT, test to monitor pH of your esophagus, biopsy of esophagus etc.


It directly visualize the esophagus lumen and its condition (if inflamed or ulcerated or any other problem) and also take sample for biopsy. A thin flexible tube with camera (endoscope) is inserted in the esophagus (may be passed down till duodenum if required) and visualized as well as pictures taken. Endoscopy allows your doctor to examine esophagus and stomach (and duodenum if required) and diagnose GERD and other conditions of esophagus.

Barium X-ray:

Before X-ray is taken, patient is made to drink barium liquid (which coats the inner side of esophagus). Several X-rays may be taken in a series, which help your doctor diagnose several disorders of esophagus including acid reflux disease and Barrett’s esophagus.

Esophageal pH monitoring:

A thin threaded flexible tube (acid measuring device) is inserted into esophagus through nose which identify when, and for how long, stomach acid regurgitates into esophagus of the patient. During the test, the thin flexible tube that is inserted into stomach is connected to a small computer, which is fitted to shoulder or waist and records the readings (measurement of acidity). Alternately a small device or a clip is fitted during endoscopy and kept for two days, which transmit signals of acidity to the computer fitted in your waist for two days. This test can help identify when, how long and how much gastric acid regurgitates into esophagus.


The sample for biopsy is usually collected during endoscopic examination of esophagus from a suitable site and examined for any malignancy, pre-malignant condition or other morphological changes of esophageal anatomy.


Related Posts

Leave a Comment

This site uses Akismet to reduce spam. Learn how your comment data is processed.