Timing and pattern
We review timing, meals, sleep position, alcohol, weight change and response to previous treatment.
Upper digestive symptom
Heartburn or acid regurgitation
We review when the symptom occurs, its relationship to meals and sleep, and whether swallowing or weight has changed.
Overview
Heartburn is more than one pattern
Acid regurgitation, chest burning, throat symptoms and nighttime cough may occur with gastroesophageal reflux.
Treatment can include lifestyle changes and medicines. Gastroscopy is considered when symptoms persist, warning signs are present or the diagnosis is uncertain.
Urgent signs
Arrange prompt medical assessment if these changes occur
These findings do not identify one diagnosis, but they can change how quickly you should be assessed.
- Progressive difficulty or pain when swallowing
- Vomiting blood, black stool or anemia
- Repeated vomiting or unintentional weight loss
What we check
What we review during the consultation
We combine the course of the symptom or result with the medical background rather than judging from one finding alone.
Symptoms that occur together
Swallowing difficulty, chest discomfort, chronic cough, nausea, stomach pain, black stool and weight loss are checked.
Medical history and medicines
We review current conditions, operations, family history, alcohol and smoking, prescribed medicines, over-the-counter products and supplements.
Consultation flow
From consultation to the next step
The order may change according to the symptom or result. We first review urgency and then select the appropriate evaluation.
- 01
Organize the symptom
We review when it started, how it changes and its relationship to meals or bowel movements.
- 02
Check urgency
Bleeding, severe pain, fever, dehydration and other findings that affect timing are reviewed.
- 03
Review the background
Medical conditions, medicines, operations, screening results and previous tests are checked.
- 04
Select appropriate tests
Blood, stool, imaging or endoscopy is considered according to the clinical findings.
- 05
Decide the next step
Treatment, observation, additional testing or hospital referral is discussed from the results.
Assessment
How we decide the next step
Clinical review
The consultation begins by organizing the course of the symptom or screening result and checking whether prompt evaluation is needed.
Tests selected for the situation
Treatment may begin from the clinical pattern. Gastroscopy is considered when warning signs are present or symptoms do not improve as expected.
Treatment and follow-up
We explain the findings and decide whether treatment, observation, additional testing or referral to a hospital is appropriate.
FAQ
Frequently asked questions about Heartburn
These are general principles. Individual testing and treatment are decided during the consultation.
Will I always need an endoscopy?
Not always. Many people can begin with a clinical assessment and treatment. Gastroscopy is considered for warning signs, persistent symptoms or diagnostic uncertainty.
Do I need an appointment for the first consultation?
General medical consultations do not require an appointment. Please visit during clinic hours. Gastroscopy and colonoscopy are arranged separately after the required information is reviewed.
Medical references
General medical information is based on public guidance from professional societies and national institutions. Individual care is determined after clinical review.
Related
Related pages
Contact
General consultation for Heartburn does not require an appointment
Visit during clinic hours. Gastroscopy and colonoscopy requests are handled through the dedicated page.