An UGI *can* show reflux but that is NOT it’s primary purpose. An UGI will show any structural anomilies.
If there was one test I’d do, it would be an EDG. Yes, they have to go to the O.R. and get sedated and all, but, it gives a GREAT GREAT amount of info.
If I were to choose ONE test, that would be it. A simple yet extrmelely affective Scope with biopses. (4 to be exact)
I pick that one because form an EDG they can see:
1) if meds are working or need to be upped
2) if there are any EOS presnet (to DX a condition known as EE)
3) if the child has Celiac’s Disease
4) if there are any other issues IN the stomach going on like, ulcers ect…..
It’s just a very effective test and you get the most answers form it. Depending on what he EDG shows would determine what if anything (testing wise) needs to be done next.