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In gastroenterology, esophageal pH monitoring is the current gold standard for diagnosis of gastroesophageal reflux disease (GERD). It provides direct physiologic measurement of acid in the esophagus and is the most objective method to document reflux disease, assess the severity of the disease and monitor the response of the disease to medical or surgical treatment.
The primary medications used for GERD are proton-pump inhibitors, H 2 receptor blockers and antacids with or without alginic acid. [9] The use of acid suppression therapy is a common response to GERD symptoms and many people get more of this kind of treatment than their case merits.
Proton-pump inhibitors are named using the suffix "-prazole". There is a purported correlation (but no proven causal link) between the use of PPIs and the risk of dementia. [ 6 ] However, this remain controversial as chronic and co-morbid pathology, and resultant polypharmacy (including increased consumption of PPIs), will probably itself also ...
Impedance–pH monitoring is a technique used in the diagnosis of gastroesophageal reflux disease (GERD), by monitoring both impedance and pH. [1] [2] Patients with ongoing symptoms while on proton-pump inhibitor (PPI) therapy are commonly diagnosed with impedance–pH monitoring while continuing their medications. The impedance–pH monitoring ...
In general, proton pump inhibitors are well tolerated, and the incidence of short-term adverse effects is relatively low. The range and occurrence of adverse effects are similar for all of the PPIs, though they have been reported more frequently with omeprazole. This may be due to its longer availability and, hence, clinical experience.
Acid perfusion test, also called the Bernstein test, is a test done to reproduce the pain when the lower esophagus is irrigated with an acid solution in people with GERD (gastroesophageal reflux disease). [1] There will be a negative result in normal people, but a false positive reading may be seen in up to 15% of people. [2]
A test strip is a band/piece/strip of paper or other material used for biological testing. Specifically, test strip may refer to: Food testing strips; Glucose meter test strip; Lipolysis test strip; Urine test strip; Universal indicator pH test strips; It may also refer to: Teststrip, an art gallery in Auckland, New Zealand
The Heidelberg test is a medical diagnostic test used in the diagnosis of hypochlorhydria, i.e. insufficient hydrochloric acid in the stomach, hyperchlorhydria, achlorhydria, and for suspected bile reflux. When performing the Heidelberg test, the patient swallows a small electronic device about the size of a vitamin capsule.
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