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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 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.
One practice for diagnosis of GERD is a short-term treatment with proton-pump inhibitors, with improvement in symptoms suggesting a positive diagnosis. Short-term treatment with proton-pump inhibitors may help predict abnormal 24-hour pH monitoring results among patients with symptoms suggestive of GERD. [44]
If the problem is related to acid reflux, Dr. Yoon says doctors may recommend diet or lifestyle modifications to avoid foods or drinks that trigger the symptoms, like spicy or acidic items ...
Bernstein test is simple and cheap but mostly obsolete nowadays. Esophageal pH monitoring is the gold standard for GERD. However, the initial management is with proton pump inhibitors. If the patient does not respond to it, and continues to have symptoms of GERD, i.e. heartburn, hoarseness, chronic cough, then 24 hr pH monitoring should be ...
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 ...
The drugs, known as proton pump inhibitors (PPIs), include lansoprazole (Prevacid), manufactured by Novartis, as well as esomeprazole (Nexium) and omeprazole (Prilosec), both manufactured by ...
Specialty professional organizations recommend that people take the lowest effective PPI dose to achieve the desired therapeutic result when used to treat gastroesophageal reflux disease long-term. [ 20 ] [ 21 ] [ 22 ] In the United States, the Food and Drug Administration (FDA) has advised that over-the-counter PPIs, such as Prilosec OTC ...
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