How to Diagnosis Dysphagia on an Endoscopy

The gold standard is still monometry to diagnose it, but you can pretty well exclude it with the esophogram if they're not having liquid dysphagia. Diana: If my patients can't belch, I'm going to send them. The ones that we really see it with are the patients that come to me that had anti-reflux surgery. So their stomach cardia is wrapped up tightly and so they have a hard time belching.