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Frequent
Heart Burn? You May
Have GERD.Take Our GERD Questionnaire
Treatment for GERD
Specific treatment for GERD will be determined by a physician based on age, overall health, and medical history, extent of the condition, tolerance for specific medications, procedures, or therapies, and expectations for the course of the condition.
We offer transoral incisionless fundoplication (TIF). The TIF procedure tightens the connection between the esophagus and stomach and prevents stomach acid from going into the esophagus. It is done using an endoscope from inside the body - there is no cutting. After TIF, most patients experience immediate relief and many no longer need anti-reflux medications.
Not all GERD patients may be candidates for the TIF procedure. Thorough evaluation by a gastroenterology specialist is necessary.
How is GERD diagnosed?
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Upper GI (gastrointestinal) series
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EGD or upper endoscopy
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Bernstein test
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Esophageal manometry
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pH monitoring
Conditions We Treat
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Upper GI (gastrointestinal) series
A diagnostic test that examines the organs of the upper part of the digestive system: the esophagus, stomach, and duodenum (the first section of the small intestine). A fluid called barium (a metallic, chemical, chalky, liquid used to coat the inside of organs so that they will show up on an x-ray) is swallowed. X-rays are then taken to evaluate the digestive organs.
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EGD or upper endoscopy
A procedure that allows the physician to examine the inside of the esophagus, stomach, and duodenum. A thin, flexible, lighted tube, called an endoscope, is guided into the mouth and throat, then into the esophagus, stomach, and duodenum. The endoscope allows the physician to view the inside of this area of the body, as well as to insert instruments through a scope for the removal of a sample of tissue for biopsy (if necessary).
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Bernstein test
A test that helps to confirm that the symptoms are a result of acid in the esophagus. The test is performed by dripping a mild acid through a tube placed in the esophagus.
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Esophageal manometry
A test that helps determine the strength of the muscles in the esophagus. It is useful in evaluating gastroesophageal reflux and swallowing abnormalities. A small tube is guided into the nostril, then passed into the throat, and finally into the esophagus. The pressure the esophageal muscles produce at rest is then measured.
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pH monitoring
This measures the acidity inside of the esophagus. It is helpful in evaluating gastroesophageal reflux disease (GERD). A thin, plastic tube is placed into a nostril, guided down the throat, and then into the esophagus. The tube stops just above the lower esophageal sphincter, which is at the connection between the esophagus and the stomach. At the end of the tube inside the esophagus is a sensor that measures pH, or acidity. The other end of the tube outside the body is connected to a monitor that records the pH levels for a 24 to 48?hour period. Normal activity is encouraged during the study, and a diary is kept of symptoms experienced, or activity that might be suspicious for reflux, such as gagging or coughing. It is also recommended to keep a record of the time, type, and amount of food eaten. The pH readings are evaluated and compared to the patient's activity for that time period.
Our Location
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Dallas
1441 N Beckley Ave.Map & Directions
Dallas, TX 75203 -
Charlton
3500 W. Wheatland RoadMap & Directions
Dallas, TX 75237 -
Mansfield
2700 E. Broad StreetMap & Directions
Mansfield, TX 76063 -
Richardson
2831 E. President George Bush HighwayMap & Directions
Richardson, TX 75082