Do you have patients with recurrent belching that cannot be explained by physiological changes?  If so, the patient may be suffering from supragastric belching, a behavioural condition which may benefit from oesophageal biofeedback therapy. So, firstly let’s look at this condition and how it manifests itself. As we are all aware, belching is normal!  It […]

The diagnosis of patients with dysphagia can be challenging and often results in their symptoms being attributed to functional dysphagia which is a psychological condition. With testing, typically high-resolution manometry and impedance=pH, careful analysis can prove that the dysphagia is not psychological and therefore treatment options for the patient need to be changed. Initially, the