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    Bernstein test

    Acid perfusion test

    The Bernstein test is a method to reproduce symptoms of heartburn. It is usually done with other tests to measure esophageal function.

    How the Test is Performed

    The test is done in a gastroenterology laboratory. A nasogastric (NG) tubeis through one side of your nose and into your esophagus. Mild hydrochloric acid will be sent down the tube, followed by salt water (saline) solution. This process may be repeated several times.

    You will be asked to tell the health care team about any pain or discomfort you have during the test.

    How to Prepare for the Test

    You should not eat or drink anything for 8 hours before the test.

    How the Test Will Feel

    You may have a gagging feeling and some discomfort when the tube is put into place. The acid may cause symptoms of heartburn. Your throat may be sore after the test.

    Why the Test is Performed

    The test tries toreproduce symptoms of gastroesophageal reflux (stomach acids coming back up into the esophagus). It is doneto see if you have the condition.

    Normal Results

    The test results will be negative.

    What Abnormal Results Mean

    A positive testshows that tyour symptomsare caused byesophageal reflux of acid from the stomach.

    Risks

    There is a risk of gagging or vomiting.

    References

    Fass R. Evaluation and diagnosis of noncardiac chest pain. Dis Mon. 2008;54:627-641.

    Kahrilas PJ, Pandolfino JE. Esophageal neuromuscular function and motility disorders. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 42.

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          Tests for Bernstein test

          Review Date: 10/8/2012

          Reviewed By: George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, and Stephanie Slon.

          The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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          St. Luke's Hospital - 232 South Woods Mill Road - Chesterfield, MO 63017 Main Number: 314-434-1500 Emergency Dept: 314-205-6990 Patient Billing: 888-924-9200
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