Bernstein

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Definition

Is that Bernstein?

The esophagus or esophagus extends from the lower throat to the stomach. At the end of the esophagus there is a muscular or sphincter valve called the lower esophageal sphincter. The lower esophageal sphincter opens so that food and saliva can lead to the stomach. The sphincter only opens for a few seconds and then closes again, to keep the contents of the stomach from rising into the esophagus.

Heartburn occurs if the valve is not closed properly. Malfunction of the valve muscle or lower esophageal sphincter can be caused by weak muscle abnormalities or relaxation abnormalities in the valve muscle or sphincter. Abnormalities can cause acid in the stomach to rise to the esophagus, causing a heat sensation in the chest.

The Bernstein test is used to simulate heartburn symptoms or a heat sensation in the chest. The test is intended to reproduce the symptoms experienced when acid rises from the stomach to the esophagus. This test is also known as an acid perfusion test.

When do I have to undergo bernstein?

The Bernstein test is usually used to diagnose gastroesophageal reflux disease (GERD). This test is carried out together with other tests to find out the cause of heartburn. This test can also eliminate heartburn as a cause of other symptoms of the disease.

Prevention & warning

What do I need to know before going through the service?

Today, the Bernstein test is rarely used. Doctors use other tests more often for symptoms of acid reflux, such as a 24-hour esophageal pH test.

Process

What do I have to do before I carry out my term?

To prepare for an esophageal test:

  • avoid taking antacids (such as Tums or Rolaids) for 24 hours before the test
  • follow the doctor's instructions by consuming acid-lowering, such as famotidine (Pepcid) oromeprazole (Prilosec) before the test
  • Avoid drinking alcohol or smoking 24 hours before the test
  • inform your doctor if you experience other problems such as widening of the esophageal blood vessels (esophageal varices), heart failure or other heart conditions

What is the process of Bernstein?

First, a thin, lubricated hose is inserted into your nostrils, then down the back of the throat to the esophagus. The nasogastric tube is guided by the nasal passages to the stomach. After that, a hydrochrolic acid solution is inserted into the hose, followed by a salt solution. This procedure will be carried out several times.

You will be asked if you feel a heat sensation or discomfort during the test. You are not told what solution is being tested. The purpose of this test is to find out the cause of the pain.

Salt solutions usually do not cause pain. Acid solutions can cause pain if the esophagus is injured due to stomach acid. Bernstein's test can cause choking or vomiting, but does not cause further effects. The solution of hydrochloric acid used is very light.

What do I have to do after undergoing bernstein?

After the test, the doctor will explain the test results. If pain is caused by hydrochloric acid, you may have GERD disease. Other tests are needed for a more accurate diagnosis. These tests include:

  • monitor esophageal pH for 24 hours (gastric acidity test)
  • barium swallow (to find radiological evidence of esophageal damage)
  • endoscopy of the esophagus, stomach, small intestine (visualization directly from the upper digestive tract)
  • esophageal manometry (see total abnormality in the esophagus).

Explanation of Test Results

What do the test results mean?

Normal results:

Negative test results.

Abnormal results:

Positive test results show symptoms caused by acid reflux from the stomach to the esophagus.
Hello Health Group does not provide medical advice, diagnosis or treatment.

Bernstein
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