Medical Presentation of Acid reflux by Dr. Bharat Pothuri.
The step-by-step approach is applied by Dr. Pothuri:
Medical History and Physical Exam.
He examines your symptom pattern (heartburn, regurgitation, epigastric pain), diet, lifestyle, medications and carries out a specific abdominal and chest examination.
Upper Endoscopy (EGD)
A flexible scope examines your esophagus, stomach, duodenum, and looks for problems in the form of inflammation, ulcers, hiatal hernia or changes in Barrett.
Impedance and Esophageal pH.
- 24-hour pH test measures supersurgery in the lower esophagus.
- Impedance testing identifies the events of acid and non-acid reflux and associates them with your pain occurrences.
Barium Swallow X-Ray
Assesses structural problems, e.g. strictures, motility problems or hiatal hernia, which may be a cause of reflux and epigastric pain.
Esophageal Manometry (where necessary)
Esmoeas and esophageal sphincter pressure, particularly in the case where surgical endeavour is under consideration.
Frequently Asked Questions
What causes acid reflux?
Refluxing of the acid to the esophagus is known as Acid reflux. Such common triggers as large meals, fatty or spicy foods, caffeine, alcohol, smoking, obesity, hiatal hernia and stress exist.
What lifestyle and food modifications can be used to treat reflux?
Eating smaller meals at an increased rate, being aware of any triggers (citrus, tomatoes, chocolate, coffee, alcohol), stopping smoking, eliminating excess weight, and raising the head of your bed should be customized based on your routine by Dr. Pothuri.
How much time will I have to wait until I take medicine by changing my diet?
Allow diet and lifestyle change between two to four weeks. In case you continue to experience heartburn, regurgitation, then you need to speak with your physician about medications.
What do you think is the required time of prescription medications?
Unless lifestyle modifications are able to manage symptoms, Dr. Pothuri can prescribe H2 blockers or the proton pump inhibitors (PPIs) to reduce the volume of acid and encourage the healing of the esophagus.
Are PPIs considered safe to use in the long run?
Yes, medical supervision. Dr. Pothuri will keep a watch on any side effect and modify treatment as effective and safe.
What are the indications of when surgery is to be considered?
Very often surgery or endoscopic treatment is undertaken when the desire to control the symptoms fails and in case of complications. Less invasive procedures such as fundoplication may offer lifetime relief.