Consultation and examination for gastroesophageal reflux disease should be done with a gastroenterologist to inquire and examine the symptoms to ensure they are caused by reflux. The doctor will advise on the appropriate testing methods for the symptoms. Tests can examine issues of the esophagus, stomach, and small intestine. Doctors might prescribe medication without testing if the symptoms clearly indicate reflux.
Symptoms of Gastroesophageal Reflux Disease
Almost every adult and child experiences a minor amount of gastroesophageal reflux without ever feeling it, as the reflux material can flow back into the stomach without harming the esophagus. However, in some children, the refluxed material stays in the esophagus causing inflammation. In some cases, when reflux reaches up to the mouth and throat, reflux material can flow through the back area of the mouth, connecting to the respiratory tract, causing hoarseness or coughing, along with various symptoms such as:- Frequent pneumonia or lung infection
- Dry hoarseness
- Difficulty and pain swallowing
- Vomiting
- Sore throat
- Weight loss
- Chest pain known as Heartburn
Testing for Gastroesophageal Reflux Disease
Common testing methods for reflux disease include:
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Upper Gastrointestinal (GI) Series X-Ray. X-rays are used to inspect internal system damage such as to the esophagus, stomach, and intestines. However, X-rays alone cannot determine reflux disease but can help diagnose if symptoms are caused by other conditions not related to reflux.
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Endoscopy. Sedation is required before endoscopy since it involves using a long, flexible tube with a camera, inserted through the mouth to reach the esophagus and gastroesophageal junction. The camera allows doctors to view inside the esophagus, stomach, and intestines for diagnosis. It also allows for biopsy and microscope examination to identify the severity of the problem.
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Esophageal pH Probe. A probe resembling a wire is inserted through the nose into the lower part of the esophagus. The probe measures the acid amount refluxed into the esophagus, indicating the presence of reflux condition.
Notify the Doctor if You Have These Symptoms
It’s important to inform the doctor if you experience these symptoms:
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Severe vomiting
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Vomit that is green, yellow, resembles coffee grounds, or looks like blood
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Difficulty breathing after vomiting
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Pain from eating
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Lack of appetite and weight loss
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Difficulty and pain swallowing
