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Generally, most people with heartburn are presumptively diagnosed on the basis of the patient's clinical history and the person's response to OTC medications. However, more severe symptoms may be due to an underlying cause. The doctor then will schedule additional tests that may include an upper GI endoscopy, pH probe study (acid measurement), esophageal manometry (pressure test), upper GI series or other tests, depending on the suspected underlying cause.
Bhupinder Anand, MD
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