If you have a hypersensitive esophagus, then normal amounts of reflux (the kind that everyone can get--everyone gets some reflux, but it doesn't qualify as GERD). A DeMeester score of <14 is considered "normal". Those who experience reflux pain at those lower levels are suspected of having a hypersensitive esophagus...especially if there is no erosion discovered when an endoscopy is performed.
It is confusing, that's for sure.
Nissen Fundoplication 2/09
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