When ambulatory monitors are not available, one possible compromise is monitoring pH for 8-12 hours–a shortened version of the test that produces less definitive results. Esophageal manometry performed before the pH test distinguishes between incompetence of the lower esophageal sphincter and hypertensive esophageal contractions as the underlying cause of reflux. The combinced cost for manometry and 24-hour pH monitoring is $ 175-$ 350.
Ranitidine HCl (Zantac), 150 mg bid for 4-6 weeks depending upon response. A single daily 300-mg dose of ranitidine taken at bedtime might be an effective alternative for the patient whose symptoms occur at night.
For a crude evaluation, you might auscultate the stomach as the patient takes a swallow of water to get an idea whether esophageal obstruction is a problem.
Acid reflux means the sphincter muscle separating your stomach and esophagus isn’t closing properly, thus allowing stomach acid to course up into your esophagus. Symptoms include a sour taste in your mouth and heartburn. Your doctor’s advice was designed to reduce the pressure on your abdomen.
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