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How can acid reflux or hypersensitive esophagus be diagnosed through one's symptoms?

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Posted on Fri, 8 Feb 2019
Question: Hi Dr. XXXXXXX

You have been answering my questions over the past couple of months. Briefly, I had Nissen Fundoplication surgery on Oct. 30th. I still am having identical acid reflux symptoms. I am taking 80 mg Pantoprezole now and at least 400 mg of Famotodine daily. I am aware of the medications you have suggested to me thus far (Rabeprazole, Levosulpiride, Itopiride, etc.). My doctor did not think those were necessary at this point.

Currently, I am scheduled for an esophageal manometry early May at the Univ. of Utah by a specialist. Do you think this is a good test that can gather some valid information? She wants to see post surgery if I'm still actually having acid reflux OR if I have a hypersensitive esophagus instead. Any thoughts/suggestions?
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Answered by Dr. Ramesh Kumar (52 minutes later)
Brief Answer:
Explained

Detailed Answer:

Hello,

Esophageal manometry is used to measure pressures across various parts of the esophagus. Pressure difference could lead to reflux of acid from stomach into the esophagus.

Secondly, 90% of patients who don't respond to proton pump inhibitors are having hypersensitivity. Therefore, yes, you could go for the test.

Hope I have answered your query. Thanks!

Regards,
Dr. Ramesh Kumar
Gastroenterologist
Above answer was peer-reviewed by : Dr. Yogesh D
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Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2711 Questions

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How can acid reflux or hypersensitive esophagus be diagnosed through one's symptoms?

Brief Answer: Explained Detailed Answer: Hello, Esophageal manometry is used to measure pressures across various parts of the esophagus. Pressure difference could lead to reflux of acid from stomach into the esophagus. Secondly, 90% of patients who don't respond to proton pump inhibitors are having hypersensitivity. Therefore, yes, you could go for the test. Hope I have answered your query. Thanks! Regards, Dr. Ramesh Kumar Gastroenterologist