What Are the Diagnostic Methods for Reflux Esophagitis?

Reflux esophagitis is a common gastrointestinal condition that becomes more prevalent with age, and it tends to affect men more frequently than women. This condition typically develops due to a decline in the esophagus' ability to resist reflux, reduced clearance of stomach contents, and a weakened protective barrier within the esophageal lining. To accurately diagnose this condition, several medical evaluations are commonly used:

Gastroscopy is one of the most effective diagnostic tools. It allows doctors to visually assess the presence and severity of inflammation in the esophagus. Additionally, it can reveal whether the lower esophageal sphincter is abnormally relaxed, if there is a hiatal hernia, or if any precancerous or cancerous changes have occurred.

Upper gastrointestinal series (barium swallow) provides structural insights. During this imaging test, patients drink a barium solution that coats the inside of the esophagus and stomach, making abnormalities such as narrowing, strictures, or motility disorders visible on X-rays. This method also helps detect conditions like achalasia or esophageal diverticula.

Esophageal pH monitoring offers detailed acid exposure data. This test measures the frequency and duration of acid reflux episodes in the esophagus. It plays a crucial role in evaluating symptoms like heartburn and acid regurgitation. The results help guide treatment decisions. For accurate readings, patients are usually advised to stop taking acid-suppressing medications and prokinetic agents before the test.

Esophageal manometry evaluates muscle function. This diagnostic method checks for motility disorders such as ineffective esophageal contractions, achalasia, or abnormal relaxation of the lower esophageal sphincter. It provides pressure readings that indicate how well the esophagus functions during swallowing.

If you experience persistent acid reflux or heartburn that doesn't respond well to medication, it's important to visit a reputable healthcare facility for a comprehensive evaluation. Early diagnosis significantly improves treatment outcomes and reduces health risks. Delaying medical assessment may lead to complications and make management more challenging.