Get Tested: Is Your Chest Pain Esophageal?
Published: Oct 24, 2023
Testing for esophageal causes of chest pain can clarify the condition, ensuring you receive the right treatment and peace of mind.
Contents
The Role of Endoscopy
Endoscopy allows doctors to visually inspect the esophagus for signs of damage or disease. This test is especially important if alarm features are present, as it helps rule out serious conditions like esophagitis or cancer. Biopsies can also be taken during endoscopy to provide a clearer picture of what's happening inside.
Understanding Esophageal pH Monitoring
Esophageal pH monitoring measures acid levels in the esophagus, helping pinpoint if GERD is the cause of chest pain. This test involves placing a small device in the esophagus for a day or more to track acid exposure. It's a key tool for diagnosing GERD when symptoms are unclear.

Esophageal Manometry Explained
Esophageal manometry tests the movement and pressure in the esophagus, revealing motility disorders. This test is crucial for diagnosing issues like spasms or achalasia, which can mimic heart-related chest pain. It provides detailed insights into how the esophagus works during swallowing.
Frequently Asked Questions
Endoscopy detects esophageal damage or diseases.
pH monitoring measures acid levels to diagnose GERD.
It tests esophageal movement and pressure for motility disorders.
Key Takeaways
Accurate testing for esophageal chest pain is essential for effective treatment.
References
- Spechler SJ, Hunter JG, Jones KM, et al. Randomized Trial of Medical versus Surgical Treatment for Refractory Heartburn. N Engl J Med 2019; 381:1513.
- Savarino E, di Pietro M, Bredenoord AJ, et al. Use of the Functional Lumen Imaging Probe in Clinical Esophagology. Am J Gastroenterol 2020; 115:1786.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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