{"id":22089,"date":"2026-10-02T12:48:04","date_gmt":"2026-10-02T10:48:04","guid":{"rendered":"https:\/\/www.gvperte.it\/not-everything-that-causes-a-burning-sensation-is-acid-reflux-how-to-make-the-correct-diagnosis\/"},"modified":"2026-10-07T16:24:02","modified_gmt":"2026-10-07T14:24:02","slug":"not-everything-that-causes-a-burning-sensation-is-acid-reflux-how-to-make-the-correct-diagnosis","status":"publish","type":"post","link":"https:\/\/www.gvperte.it\/en\/not-everything-that-causes-a-burning-sensation-is-acid-reflux-how-to-make-the-correct-diagnosis\/","title":{"rendered":"Not everything that causes a burning sensation is acid reflux: how to make the correct diagnosis"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"

Some time ago, we discussed gastroesophageal reflux in this column (https:\/\/gvperte.genteveneta.it\/il-reflusso-gastroesofageo-croce-e-delizia-del-gastroenterologo\/<\/a><\/u><\/span>): essentially, one of the most common diagnoses in gastroenterology. Perhaps even too common, to be honest: how many of you, after seeing an ENT specialist or pulmonologist, have been told you suffer from reflux\u2026 And how many, after even prolonged treatment, had to admit during a visit with a gastroenterologist that perhaps it wasn\u2019t true after all! <\/p>\n

Well, yes, not everything that seems like acid reflux actually is, and it\u2019s often difficult to diagnose with certainty. Let me explain: some \u201ctypical\u201d symptoms are quite suggestive\u2014such as a burning sensation and pain behind the breastbone, for example\u2014which may be worse on an empty stomach and accompanied by a little regurgitation. These symptoms are easy to describe and identify. At this point, since we have very effective medications to reduce acid\u2014the root cause of these ailments\u2014a few pills are enough to put the patient\u2019s fears to rest. The symptoms quickly disappear, the patient is reassured, and the gastroenterologist sleeps soundly\u2026 <\/p>\n","protected":false},"author":89,"featured_media":22051,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"give_campaign_id":0,"footnotes":""},"categories":[2007],"tags":[3300,3302,3299,3301],"class_list":["post-22089","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-green-salus","tag-gastroenterologist","tag-prazolo","tag-reflux","tag-stomach"],"acf":{"categoria":[2007],"categoria_source":{"label":"Category","type":"taxonomy","formatted_value":[{"term_id":2007,"name":"Green\/Salus","slug":"green-salus","term_group":0,"term_taxonomy_id":2007,"taxonomy":"category","description":"","parent":0,"count":36,"filter":"raw"}]},"sottotitolo_h2":"Not everything that seems like reflux actually is. Symptoms, age, and the frequency of symptoms help guide the diagnosis: before resorting to an endoscopy or \u201cproton pump inhibitors,\u201d more precise criteria are needed. ","sottotitolo_h2_source":{"label":"Subtitle","type":"text","formatted_value":"Not everything that seems like reflux actually is. Symptoms, age, and the frequency of symptoms help guide the diagnosis: before resorting to an endoscopy or \u201cproton pump inhibitors,\u201d more precise criteria are needed. "},"immagini_principale":{"ID":22051,"id":22051,"title":"ReflussoBisBortoluzzi1","filename":"ReflussoBisBortoluzzi1.jpg","filesize":231205,"url":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi1.jpg","link":"https:\/\/www.gvperte.it\/en\/not-everything-that-causes-a-burning-sensation-is-acid-reflux-how-to-make-the-correct-diagnosis\/reflussobisbortoluzzi1-2\/","alt":"","author":"89","description":"","caption":"","name":"reflussobisbortoluzzi1-2","status":"inherit","uploaded_to":22089,"date":"2026-10-02 10:44:49","modified":"2026-10-07 14:24:02","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/www.gvperte.it\/wp-includes\/images\/media\/default.png","width":1191,"height":650,"sizes":{"thumbnail":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi1-150x150.jpg","thumbnail-width":150,"thumbnail-height":150,"medium":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi1-768x419.jpg","medium-width":768,"medium-height":419,"medium_large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi1-768x419.jpg","medium_large-width":768,"medium_large-height":419,"large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi1.jpg","large-width":800,"large-height":437,"1536x1536":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi1.jpg","1536x1536-width":1191,"1536x1536-height":650,"2048x2048":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi1.jpg","2048x2048-width":1191,"2048x2048-height":650,"mailpoet_newsletter_max":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi1.jpg","mailpoet_newsletter_max-width":1191,"mailpoet_newsletter_max-height":650}},"immagini_principale_source":{"label":"Main images","type":"image","formatted_value":{"ID":22051,"id":22051,"title":"ReflussoBisBortoluzzi1","filename":"ReflussoBisBortoluzzi1.jpg","filesize":231205,"url":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi1.jpg","link":"https:\/\/www.gvperte.it\/en\/not-everything-that-causes-a-burning-sensation-is-acid-reflux-how-to-make-the-correct-diagnosis\/reflussobisbortoluzzi1-2\/","alt":"","author":"89","description":"","caption":"","name":"reflussobisbortoluzzi1-2","status":"inherit","uploaded_to":22089,"date":"2026-10-02 10:44:49","modified":"2026-10-07 14:24:02","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/www.gvperte.it\/wp-includes\/images\/media\/default.png","width":1191,"height":650,"sizes":{"thumbnail":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi1-150x150.jpg","thumbnail-width":150,"thumbnail-height":150,"medium":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi1-768x419.jpg","medium-width":768,"medium-height":419,"medium_large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi1-768x419.jpg","medium_large-width":768,"medium_large-height":419,"large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi1.jpg","large-width":800,"large-height":437,"1536x1536":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi1.jpg","1536x1536-width":1191,"1536x1536-height":650,"2048x2048":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi1.jpg","2048x2048-width":1191,"2048x2048-height":650,"mailpoet_newsletter_max":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi1.jpg","mailpoet_newsletter_max-width":1191,"mailpoet_newsletter_max-height":650}}},"introduzione":"

Some time ago, we discussed gastroesophageal reflux in this column (https:\/\/gvperte.genteveneta.it\/il-reflusso-gastroesofageo-croce-e-delizia-del-gastroenterologo\/<\/a><\/u><\/span>): essentially, one of the most common diagnoses in gastroenterology. Perhaps even too common, to be honest: how many of you, after seeing an ENT specialist or pulmonologist, have been told you suffer from reflux\u2026 And how many, after even prolonged treatment, had to admit during a visit with a gastroenterologist that perhaps it wasn\u2019t true after all! <\/p>\n

Well, yes, not everything that seems like acid reflux actually is, and it\u2019s often difficult to diagnose with certainty. Let me explain: some \u201ctypical\u201d symptoms are quite suggestive\u2014such as a burning sensation and pain behind the breastbone, for example\u2014which may be worse on an empty stomach and accompanied by a little regurgitation. These symptoms are easy to describe and identify. At this point, since we have very effective medications to reduce acid\u2014the root cause of these ailments\u2014a few pills are enough to put the patient\u2019s fears to rest. The symptoms quickly disappear, the patient is reassured, and the gastroenterologist sleeps soundly\u2026 <\/p>","introduzione_source":{"label":"Introduction","type":"wysiwyg","formatted_value":"

Some time ago, we discussed gastroesophageal reflux in this column (https:\/\/gvperte.genteveneta.it\/il-reflusso-gastroesofageo-croce-e-delizia-del-gastroenterologo\/<\/a><\/u><\/span>): essentially, one of the most common diagnoses in gastroenterology. Perhaps even too common, to be honest: how many of you, after seeing an ENT specialist or pulmonologist, have been told you suffer from reflux\u2026 And how many, after even prolonged treatment, had to admit during a visit with a gastroenterologist that perhaps it wasn\u2019t true after all! <\/p>\n

Well, yes, not everything that seems like acid reflux actually is, and it\u2019s often difficult to diagnose with certainty. Let me explain: some \u201ctypical\u201d symptoms are quite suggestive\u2014such as a burning sensation and pain behind the breastbone, for example\u2014which may be worse on an empty stomach and accompanied by a little regurgitation. These symptoms are easy to describe and identify. At this point, since we have very effective medications to reduce acid\u2014the root cause of these ailments\u2014a few pills are enough to put the patient\u2019s fears to rest. The symptoms quickly disappear, the patient is reassured, and the gastroenterologist sleeps soundly\u2026 <\/p>\n"},"paragrafi_articolo":[{"titolo_paragrafo":"Symptoms, age, and frequency of disorders: factors to consider","testo_paragrafo":"

The problem, if anything, could resurface when medication is discontinued: Reflux, in fact, is a chronic condition, and if in the meantime we haven\u2019t made some lifestyle changes\u2014we\u2019ve discussed this before, I believe: eating small, frequent meals, avoiding certain foods that don\u2019t agree with us, and getting regular exercise\u2014the symptoms can quickly return. We\u2019ll then have to resume treatment, perhaps at a different dosage: before long, we find ourselves \u201cforced\u201d to rely on medication, even when, with a little care, we could do without it! <\/p>\n

Sometimes, however, the \u201ctypical\u201d symptoms are mild or absent altogether: the diagnosis is made based on a cough, a sore throat, or some difficulty swallowing. At this point, treatment begins with the same \u201cacid-reducing\u201d medications\u2014the legendary proton pump inhibitors\u2026 They\u2019re practically superheroes! <\/p>\n

But\u2014be careful!\u2014with these \u201catypical\u201d symptoms, things are a bit more complicated: the same medication must be taken for a longer period of time and at a higher dose in order to see any results, and if it doesn\u2019t work, doubts about the diagnosis should arise. We have effective medications, but if the diagnosis is incorrect, their effectiveness will obviously decrease\u2014and significantly so. <\/p>\n

But how can this so-called diagnosis be made? First, a fundamental clarification: reflux is actually a normal condition that occurs in all of us several times a day. In our part of the world, up to 20% of people may complain of symptoms of this kind: considering that the first-line test is, of course, an endoscopy, it immediately becomes clear that a screening criterion must be put in place. We certainly cannot subject one-fifth of the population\u2014including children\u2014to an invasive\u2014that is, a gastroscopy\u2014and potentially uncomfortable procedure. Forget about waiting lists. <\/p>\n

Therefore, several factors must be taken into account: symptoms (minor or \u201calarming\u201d), age (the risk of serious illnesses generally increases with age), the frequency of symptoms, and, perhaps, the response to empirical treatment.<\/p>","multimedia":"immagine","video":null,"immagine_paragrafo":{"ID":22053,"id":22053,"title":"ReflussoBisBortoluzzi2","filename":"ReflussoBisBortoluzzi2.jpg","filesize":120999,"url":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi2.jpg","link":"https:\/\/www.gvperte.it\/en\/not-everything-that-causes-a-burning-sensation-is-acid-reflux-how-to-make-the-correct-diagnosis\/reflussobisbortoluzzi2-2\/","alt":"","author":"89","description":"","caption":"","name":"reflussobisbortoluzzi2-2","status":"inherit","uploaded_to":22089,"date":"2026-10-02 10:45:52","modified":"2026-10-07 14:24:02","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/www.gvperte.it\/wp-includes\/images\/media\/default.png","width":1024,"height":572,"sizes":{"thumbnail":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi2-150x150.jpg","thumbnail-width":150,"thumbnail-height":150,"medium":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi2-768x429.jpg","medium-width":768,"medium-height":429,"medium_large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi2-768x429.jpg","medium_large-width":768,"medium_large-height":429,"large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi2.jpg","large-width":800,"large-height":447,"1536x1536":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi2.jpg","1536x1536-width":1024,"1536x1536-height":572,"2048x2048":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi2.jpg","2048x2048-width":1024,"2048x2048-height":572,"mailpoet_newsletter_max":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi2.jpg","mailpoet_newsletter_max-width":1024,"mailpoet_newsletter_max-height":572}},"didascalia":""},{"titolo_paragrafo":"All too often, treatment with \u201cprazole\u201d drugs becomes routine","testo_paragrafo":"

For \u201cnormal\u201d symptoms and in young people\u2014broadly speaking, those under 45\u201350 years of age\u2014the diagnosis is usually based on a short course of treatment with medications that reduce acid production. Traditionally, this involves two or at most four weeks of treatment with a proton pump inhibitor\u2014those well-known medications whose names end in \u201cprazolo.\u201d <\/p>\n

If the symptom resolves quickly, the diagnosis is confirmed. At this point, we focus on lifestyle changes, some symptomatic treatment as needed, perhaps testing for Helicobacter\u2014a bacterium whose presence in the gastrointestinal tract is linked to many digestive disorders, including gastroesophageal reflux\u2014and keep going! <\/p>\n

If, on the other hand, our patient reports additional symptoms\u2014difficulty swallowing food, weight loss, severe heartburn, progressive worsening, unexplained anemia\u2014or even if they simply can\u2019t do without the legendary \u201cprazolo\u201d anymore and are perhaps over 50 years old, then a gastroscopy is certainly warranted, with varying priority depending on the doctor\u2019s assessment.<\/p>\n

The diagnosis may or may not be confirmed, and treatment will then need to be \u201ctailored\u201d to the outcome: all too often, treatment with \u201cprazole\u201d drugs becomes routine, and it isn\u2019t always really necessary\u2026 But that\u2019s yet another story, which I\u2019ll tell you about in a new episode of this gripping saga.<\/p>","multimedia":"immagine","video":null,"immagine_paragrafo":{"ID":22055,"id":22055,"title":"ReflussoBisBortoluzzi3","filename":"ReflussoBisBortoluzzi3.jpg","filesize":244586,"url":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi3.jpg","link":"https:\/\/www.gvperte.it\/en\/not-everything-that-causes-a-burning-sensation-is-acid-reflux-how-to-make-the-correct-diagnosis\/reflussobisbortoluzzi3-2\/","alt":"","author":"89","description":"","caption":"","name":"reflussobisbortoluzzi3-2","status":"inherit","uploaded_to":22089,"date":"2026-10-02 10:46:35","modified":"2026-10-07 14:24:02","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/www.gvperte.it\/wp-includes\/images\/media\/default.png","width":1792,"height":1024,"sizes":{"thumbnail":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi3-150x150.jpg","thumbnail-width":150,"thumbnail-height":150,"medium":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi3-768x439.jpg","medium-width":768,"medium-height":439,"medium_large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi3-768x439.jpg","medium_large-width":768,"medium_large-height":439,"large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi3.jpg","large-width":800,"large-height":457,"1536x1536":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi3-1536x878.jpg","1536x1536-width":1536,"1536x1536-height":878,"2048x2048":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi3.jpg","2048x2048-width":1792,"2048x2048-height":1024,"mailpoet_newsletter_max":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi3-1320x754.jpg","mailpoet_newsletter_max-width":1320,"mailpoet_newsletter_max-height":754}},"didascalia":""}],"paragrafi_articolo_source":{"label":"Article Paragraphs","type":"repeater","formatted_value":[{"titolo_paragrafo":"Symptoms, age, and frequency of disorders: factors to consider","testo_paragrafo":"

The problem, if anything, could resurface when medication is discontinued: Reflux, in fact, is a chronic condition, and if in the meantime we haven\u2019t made some lifestyle changes\u2014we\u2019ve discussed this before, I believe: eating small, frequent meals, avoiding certain foods that don\u2019t agree with us, and getting regular exercise\u2014the symptoms can quickly return. We\u2019ll then have to resume treatment, perhaps at a different dosage: before long, we find ourselves \u201cforced\u201d to rely on medication, even when, with a little care, we could do without it! <\/p>\n

Sometimes, however, the \u201ctypical\u201d symptoms are mild or absent altogether: the diagnosis is made based on a cough, a sore throat, or some difficulty swallowing. At this point, treatment begins with the same \u201cacid-reducing\u201d medications\u2014the legendary proton pump inhibitors\u2026 They\u2019re practically superheroes! <\/p>\n

But\u2014be careful!\u2014with these \u201catypical\u201d symptoms, things are a bit more complicated: the same medication must be taken for a longer period of time and at a higher dose in order to see any results, and if it doesn\u2019t work, doubts about the diagnosis should arise. We have effective medications, but if the diagnosis is incorrect, their effectiveness will obviously decrease\u2014and significantly so. <\/p>\n

But how can this so-called diagnosis be made? First, a fundamental clarification: reflux is actually a normal condition that occurs in all of us several times a day. In our part of the world, up to 20% of people may complain of symptoms of this kind: considering that the first-line test is, of course, an endoscopy, it immediately becomes clear that a screening criterion must be put in place. We certainly cannot subject one-fifth of the population\u2014including children\u2014to an invasive\u2014that is, a gastroscopy\u2014and potentially uncomfortable procedure. Forget about waiting lists. <\/p>\n

Therefore, several factors must be taken into account: symptoms (minor or \u201calarming\u201d), age (the risk of serious illnesses generally increases with age), the frequency of symptoms, and, perhaps, the response to empirical treatment.<\/p>\n","multimedia":"immagine","video":null,"immagine_paragrafo":{"ID":22053,"id":22053,"title":"ReflussoBisBortoluzzi2","filename":"ReflussoBisBortoluzzi2.jpg","filesize":120999,"url":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi2.jpg","link":"https:\/\/www.gvperte.it\/en\/not-everything-that-causes-a-burning-sensation-is-acid-reflux-how-to-make-the-correct-diagnosis\/reflussobisbortoluzzi2-2\/","alt":"","author":"89","description":"","caption":"","name":"reflussobisbortoluzzi2-2","status":"inherit","uploaded_to":22089,"date":"2026-10-02 10:45:52","modified":"2026-10-07 14:24:02","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/www.gvperte.it\/wp-includes\/images\/media\/default.png","width":1024,"height":572,"sizes":{"thumbnail":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi2-150x150.jpg","thumbnail-width":150,"thumbnail-height":150,"medium":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi2-768x429.jpg","medium-width":768,"medium-height":429,"medium_large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi2-768x429.jpg","medium_large-width":768,"medium_large-height":429,"large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi2.jpg","large-width":800,"large-height":447,"1536x1536":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi2.jpg","1536x1536-width":1024,"1536x1536-height":572,"2048x2048":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi2.jpg","2048x2048-width":1024,"2048x2048-height":572,"mailpoet_newsletter_max":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi2.jpg","mailpoet_newsletter_max-width":1024,"mailpoet_newsletter_max-height":572}},"didascalia":""},{"titolo_paragrafo":"All too often, treatment with \u201cprazole\u201d drugs becomes routine","testo_paragrafo":"

For \u201cnormal\u201d symptoms and in young people\u2014broadly speaking, those under 45\u201350 years of age\u2014the diagnosis is usually based on a short course of treatment with medications that reduce acid production. Traditionally, this involves two or at most four weeks of treatment with a proton pump inhibitor\u2014those well-known medications whose names end in \u201cprazolo.\u201d <\/p>\n

If the symptom resolves quickly, the diagnosis is confirmed. At this point, we focus on lifestyle changes, some symptomatic treatment as needed, perhaps testing for Helicobacter\u2014a bacterium whose presence in the gastrointestinal tract is linked to many digestive disorders, including gastroesophageal reflux\u2014and keep going! <\/p>\n

If, on the other hand, our patient reports additional symptoms\u2014difficulty swallowing food, weight loss, severe heartburn, progressive worsening, unexplained anemia\u2014or even if they simply can\u2019t do without the legendary \u201cprazolo\u201d anymore and are perhaps over 50 years old, then a gastroscopy is certainly warranted, with varying priority depending on the doctor\u2019s assessment.<\/p>\n

The diagnosis may or may not be confirmed, and treatment will then need to be \u201ctailored\u201d to the outcome: all too often, treatment with \u201cprazole\u201d drugs becomes routine, and it isn\u2019t always really necessary\u2026 But that\u2019s yet another story, which I\u2019ll tell you about in a new episode of this gripping saga.<\/p>\n","multimedia":"immagine","video":null,"immagine_paragrafo":{"ID":22055,"id":22055,"title":"ReflussoBisBortoluzzi3","filename":"ReflussoBisBortoluzzi3.jpg","filesize":244586,"url":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi3.jpg","link":"https:\/\/www.gvperte.it\/en\/not-everything-that-causes-a-burning-sensation-is-acid-reflux-how-to-make-the-correct-diagnosis\/reflussobisbortoluzzi3-2\/","alt":"","author":"89","description":"","caption":"","name":"reflussobisbortoluzzi3-2","status":"inherit","uploaded_to":22089,"date":"2026-10-02 10:46:35","modified":"2026-10-07 14:24:02","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/www.gvperte.it\/wp-includes\/images\/media\/default.png","width":1792,"height":1024,"sizes":{"thumbnail":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi3-150x150.jpg","thumbnail-width":150,"thumbnail-height":150,"medium":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi3-768x439.jpg","medium-width":768,"medium-height":439,"medium_large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi3-768x439.jpg","medium_large-width":768,"medium_large-height":439,"large":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi3.jpg","large-width":800,"large-height":457,"1536x1536":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi3-1536x878.jpg","1536x1536-width":1536,"1536x1536-height":878,"2048x2048":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi3.jpg","2048x2048-width":1792,"2048x2048-height":1024,"mailpoet_newsletter_max":"https:\/\/www.gvperte.it\/wp-content\/uploads\/2026\/10\/ReflussoBisBortoluzzi3-1320x754.jpg","mailpoet_newsletter_max-width":1320,"mailpoet_newsletter_max-height":754}},"didascalia":""}]},"parole_chiave":[],"parole_chiave_source":{"label":"Keywords.","type":"taxonomy","formatted_value":false},"autore_esterno":"Francesco Bortoluzzi","autore_esterno_source":{"label":"Autore Esterno","type":"text","formatted_value":"Francesco Bortoluzzi"}},"yoast_head":"\nNot everything that causes a burning sensation is acid reflux: how to make the correct diagnosis - 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