In general, the diagnosis of gastroesophageal reflux disease includes the following methods:

1. measurement of pH: That is a measure of change in the esophageal pH. Its approach is to put a very sensitive electrodes into the esophagus, where the pH changes recorded by microcomputer are being compared with the symptoms.

2. Titration test: perfusing certain concentration and certain volume of acid into the stomach or esophagus, and then measure the changes within the esophagus. If the lower esophageal sphincter function is normal, the pH value should be within the esophagus will revert back to five or six pH or more. If there is acid reflux phenomenon, esophageal pH will be sustained or prolonged decline.

e. Examination with X-ray on the esophagus and with endoscopic photography can be used. Basically, esophageal ulcers or complications has been formed, or patients already have narrowing esophagi, high diagnosis rate can be achieved, while patients with early disease, this diagnostics is just mildly useful.

The purpose of treatment is to stop the occurring of the reflux. The main treatment are mainly as follows:

Conservative treatment: including lifestyle changes, try not to eat before going to bed, do not eat too much, to avoid exercise after eating or sleeping, within one or two hours after eating do not lie down, use higher pillows when going to bed, using gravity principle to reduce food and digestive juices in the stomach to flow back to the esophagus. Try to avoid some of the diet that can cause lower esophageal sphincter to relax, such as high-fat food, wine, coffee, chocolate etc. Smoking will also aggravate symptoms. Obesity also cause stomach to rise and relaxes the lower esophageal sphincter. So quit smoking, lose weight are required. Relaxing the mood and reducing anxiety is important. If there are diseases in taking some medication, minimize the doses. Medication such as theophylline used in asthma can also relax the lower esophageal sphincter and increase the chance of acid reflux.

If these methods are ineffective, consider taking drugs. There are basically two major categories：

1. One is to reduce the acid, the use of antacids to neutralize the acidity of the stomach and esophagus, these include general stomach tablets (Aluminum Hydroxide you use or Magnesium Hydroxide) with a direct role in the parietal cells, reducing gastric acid produced knot histamine antagonist, and proton pump inhibitors (that is Omeprazole, Cimetidine, Famotidine and the like). As for sterilization therapy (eradication therapy for Helibacter pylori), although it was in use, but in the in treatment of acid reflux in esophageal diseases,  it does not have an important role.

2. Another class of drugs is the stomach and intestines accelerator, which can strengthen the lower esophageal sphincter contractility, accelerate gastric emptying to prevent reflux. Typically the drugs will have some effect, but some patients may require treatment for some time.

But if you just like to take medication, while ignoring the adjustment of lifestyle and food choices and then withdrawal symptoms often come back soon. To be thorough and effective  all parties should be aware that it is important to have regular exercises.

If users have not been able to use drugs to improve the symptoms or complications and have been generated lower esophageal stenosis, then surgery should be considered. Currently in the bottom of the gastric folds forming technique works best, which is to use the lower part of the stomach and the esophagus fenced so as to form a barrier to further prevent backflow avoid. But this is the last resort. It is better not to use often.