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In gastroenterology, esophageal pH monitoring is the current gold standard for diagnosis of gastroesophageal reflux disease (GERD). It provides direct physiologic measurement of acid in the esophagus and is the most objective method to document reflux disease, assess the severity of the disease and monitor the response of the disease to medical or surgical treatment.
Heartburn, also known as pyrosis, cardialgia or acid indigestion, [2] is a burning sensation in the central chest or upper central abdomen. [3] [4] [5] Heartburn is usually due to regurgitation of gastric acid (gastric reflux) into the esophagus. It is the major symptom of gastroesophageal reflux disease (GERD). [6]
Other causes of chest pain such as heart disease should be ruled out before making the diagnosis. [42] Another kind of acid reflux, which causes respiratory and laryngeal signs and symptoms, is called laryngopharyngeal reflux (LPR) or extraesophageal reflux disease (EERD).
If more severe, it may be diagnosed as gastroesophageal reflux disease (GERD). Constipation – Constipation occurs in 11–38% of pregnant women. [30] Constipation during pregnancy is thought to be due to decreased smooth muscle motility in the bowel caused by normal increases in progesterone. [31]
This is complemented by gastro-coronary reflexes [12] whereby the coronary arteries constrict with "functional cardiovascular symptoms" similar to chest-pain on the left side and radiation to the left shoulder, dyspnea, sweating, up to angina pectoris-like attacks with extrasystoles, drop of blood pressure, and tachycardia (high heart rate) or ...
The increased occurrence of gallstones during pregnancy is due to inhibition of gallbladder contraction (as result of increased smooth muscle relaxation mediated by progesterone) and reduced biliary transportation of bile (mediated by estrogen) which results in cholestasis of pregnancy. [36] Nausea and vomiting of pregnancy, commonly known as ...
Symptoms may include upper abdominal fullness, heartburn, nausea, belching, or upper abdominal pain. [3] People may also experience feeling full earlier than expected when eating. [4] Indigestion is relatively common, affecting 20% of people at some point during their life, and is frequently caused by gastroesophageal reflux disease (GERD) or ...
Diagnosis should only occur after other possible causes have been ruled out. [3] Abdominal pain, fever, or headaches are typically not present in morning sickness. [1] Nausea and vomiting may also occur with molar pregnancy. [10] Morning sickness is related to diets low in cereals and high in sugars, oilcrops, alcohol and meat. [11]
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