Evaluation of GERD

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.

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.

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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