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Diagnosing Silent Reflux

It is important to see a trained reflux specialist who knows exactly what to look for and has the right diagnostic equipment to make an accurate diagnosis of silent GERD. Time can be wasted and lasting damage can be done if you are misdiagnosed and treated for an illness you don’t have.

Tests Done at the Heartburn Solutions Center

At Emory Decatur Hospital and Emory Hillandale, our physicians have the appropriate diagnostic equipment available to confirm a diagnosis of silent reflux and determine which treatment options are best. These tests may include:

  • Barium swallow—A barium swallow is an X-ray examination of the esophagus, stomach and upper part of the small intestine. Sometimes called a GI series, this procedure requires you to drink a contrast medium called barium, which coats the intestinal tract and makes it possible to see the anatomy on X-rays. A barium swallow helps the medical team identify hiatal hernias, tumors or areas of inflammation of the esophagus and stomach.
  • pH monitoring (called a Bravo or “Ambulatory wireless pH monitoring”)— Bravo pH monitoring is a capsule-based, patient-friendly test for identifying the presence of acid reflux. Information is collected over multiple days, which allows your doctor to evaluate reflux symptoms by determining the frequency and duration of acid flowing back up into the esophagus.
  • Proton pump inhibitor test—Your doctor may try to diagnose your problem by treating you with a trial of proton pump inhibitors, which reduce the amount of acid produced by your stomach. If your symptoms improve or disappear with medication then this would most likely confirm a diagnosis of LPR.
  • 24-hour impedance test for LPR and GERD—A tiny tube is placed through the nose and into the esophagus (food tube) above the lower esophageal sphincter. The test runs for 24 hours and measures the number of times acid enters the esophagus.
Call one of our specialists today at 404.501.RFLX to determine if you have silent GERD.

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Emory Decatur Hospital
Heartburn Solutions Center

2701 North Decatur Road
Decatur, GA 30033


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