Heartburn: Difference between revisions

	Heartburn Microchapters
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Diagnostic Study of Choice
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Revision as of 20:16, 17 April 2013

For patient information on heartburn, click here.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Pathophysiology

Diagnosis

History and Symptoms

Differentiating Heartburn from other Diseases

Causes

Medical Therapy

References

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 == Diagnosis ==
-===Biochemical===
+[[Heartburn history and symptoms|History and Symptoms]]
-;Ambulatory pH Monitoring : A probe can be placed via the nose into the esophagus to record the level of [[acidity]] in the lower esophagus.  Because some degree of variation in acidity is normal, and small reflux events are relatively common, such monitors must be left in place for at least a 24-hour period to confirm the diagnosis of [[Gastroesophageal_reflux_disease|GERD]].  The test is particularly useful when the patient's symptoms can be correlated to episodes of increased esophageal acidity.
-; Upper Gastrointestinal (GI) Series : A series of x-rays of the upper digestive system are taken after drinking a [[barium]] solution.  These can demonstrate reflux of barium into the esophagus, which suggests the possibility of gastroesophageal reflux disease.  More accurately, [[fluoroscopy]] can be used to document reflux in real-time.
-===Mechanical===
-; [[Manometry]] : In this test, a pressure sensor ([[manometer]]) is passed through the mouth into the esophagus and measures the pressure of the lower esophageal sphincter directly.
-; [[Endoscopy]] : The esophageal mucosa can be visualized directly by passing a thin, lighted tube with a tiny camera attached (an endoscope) through the mouth to examine the esophagus and stomach.  In this way, evidence of esophageal inflammation can be detected, and biopsies taken if necessary. Since an endoscopy allows a doctor to visually inspect the upper digestive track the procedure may help identify any additional damage to the tract that may not have been detected otherwise.
-; [[Biopsy]] : A small sample of tissue from the esophagus is removed. It is then studied to check for inflammation, cancer, or other problems.
 ==[[Heartburn differential diagnosis|Differentiating Heartburn from other Diseases]]==

v t e Symptoms and signs: circulatory (R00–R03, 785)
Cardiovascular	Template:Navbox subgroup
Myeloid/blood	Template:Navbox subgroup

v t e Symptoms and signs: respiratory system (R04–R07, 786)
Hemorrhage	Epistaxis Hemoptysis
Abnormalities of breathing	Respiratory sounds Stridor Wheeze Crackles Rhonchi Hamman's sign Apnea Dyspnea Hyperventilation/Hypoventilation Hyperpnea/Tachypnea/Hypopnea/Bradypnea Orthopnea/Platypnea Trepopnea Biot's respiration Cheyne-Stokes respiration Kussmaul breathing Hiccup Mouth breathing/Snoring Breath-holding
Other	Asphyxia Cough Pleurisy Sputum Respiratory arrest Hypercapnia/Hypocapnia Pectoriloquy: Whispered pectoriloquy Egophony Bronchophony Pleural friction rub Fremitus Silhouette sign
Chest, general	Chest pain Precordial catch syndrome

v t e Symptoms and signs: digestive system and abdomen (R10–R19, 787,789)
GI tract	Template:Navbox subgroup
Accessory	Hepatosplenomegaly/Hepatomegaly Jaundice
Abdominopelvic	Ascites
Abdominal – general	Abdominal pain (Acute abdomen, Colic, Baby colic) Splenomegaly Abdominal guarding · Abdominal mass · Rebound tenderness Shifting dullness · Bulging flanks · Puddle sign · Fluid wave test

v t e Symptoms and signs: Symptoms concerning nutrition, metabolism and development (R62–R64, 783)
Ingestion/Weight	decrease: Anorexia • Weight loss/Cachexia/Underweight increase: Polyphagia • Polydipsia • Orexigenia • Weight gain
Growth	Delayed milestone • Failure to thrive • Short stature (e.g., Idiopathic)

Heartburn: Difference between revisions

Revision as of 20:16, 17 April 2013

Overview

Pathophysiology

Diagnosis

Differentiating Heartburn from other Diseases

Causes

Medical Therapy

See also

References

Navigation menu

Heartburn: Difference between revisions

Revision as of 20:16, 17 April 2013

Overview

Pathophysiology

Diagnosis

Differentiating Heartburn from other Diseases

Causes

Medical Therapy

See also

References

Navigation menu

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