Diagnosing Reflux: What Is Esophageal pH Monitoring

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If you or your doctor suspect that you may be struggling with consistent acid reflux or GERD, there are several kinds of tests you may need to undergo for a formal diagnosis. You and your GERD specialist will discuss your symptoms, ask how often you have issues, and schedule any procedure that may be necessary to get you a GERD diagnosis. One of the most common procedures that can identify acid reflux is esophageal pH monitoring.

What Is Esophageal pH Monitoring?

This innovative test uses a probe inserted into the lower esophagus to detect the frequency of acid backflow from the stomach. This monitoring procedure is also able to detect how long stomach acid stays in the esophagus, creating a detailed description of your lower esophageal sphincter's (LES) function. The majority of GERD patients have a weakened LES; this can be caused by any number of factors, and no two patients' experiences are identical.

How Does Esophageal pH Monitoring Work?

During your office visit for the procedure, your reflux specialist will insert a thin tube into your esophagus. This tube will have a sensor affixed to the end. The technician will place the sensor all the way into your stomach and then pull it slightly out so that it sits right above the LES in your esophagus. The device will stay intact for up to 24 hours. Some pH monitors are wireless and will pass through your digestive system naturally.

How Do I Prepare For My Procedure?

Always follow your own doctor's specific instructions for this procedure. Usually, patients should avoid eating anything or drinking anything other than water for four to six hours before the catheter and sensor are placed. Once you leave the office, you can resume normal activities, making sure to note what you eat and drink while the device is monitoring your symptoms.

What Will My Esophageal pH Monitoring Results Look Like?

The device will record pH numbers, which should stay close to neutral or slightly lower due to the proximity to the stomach. If your results indicate big drops in pH (increases in acidity), it is highly likely that your LES is allowing stomach contents to flow back into your esophagus - this shouldn't be happening!

Where Can I Find a GERD Specialist in Tampa Bay?

Are you worried that you might have severe, recurring reflux that could cause damage to your esophagus? Stop taking over-the-counter medication— it's not a good long-term solution! Get in touch with a GERD specialist today to get the diagnosis and treatment you need.