A 24-hour esophageal pH measurement is done. The pH change of the lower end of the esophagus is followed with a portable recorder attached to a thin probe inserted through the nose. The relevance of these pH changes with patient complaints is examined.
The patient returns to his normal daily life and daily routine. She continues her standard diet. The degree of reflux is determined objectively by making DeMeester scoring with variables such as the number and duration of reflux during a 24-hour period, and whether it occurs while standing or lying down.
In recent years, the pH values of the esophagus can be measured with a recording device attached to the patient, without being connected to the nasal catheter (wireless) with a donor in the form of a capsule, which is endoscopically attached to the esophagus.