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The following tests may be used to diagnose what is causing your heartburn: Oesophageal manometry which measures the function of your oesophagus (food pipe) 24-hour pH impedance monitoring which looks at whether you have any reflux Carbohydrate malabsorption breath test which finds out if you have certain food intolerances (lactose or fructose) Small intestinal bacterial overgrowth (SIBO) breath test which finds out if you have an overgrowth of bacteria in your small intestine (called SIBO) Gastric emptying test which measures how quickly food leaves your stomach The following tests may be used to diagnose what is causing your heartburn: Oesophageal manometry which measures the function of your oesophagus (food pipe) 24-hour pH impedance monitoring which looks at whether you have any reflux Carbohydrate malabsorption breath test which finds out if you have certain food intolerances (lactose or fructose) Small intestinal bacterial overgrowth (SIBO) breath test which finds out if you have an overgrowth of bacteria in your small intestine (called SIBO) Gastric emptying test which measures how quickly food leaves your stomach Most people who experience occasional heartburn symptoms can benefit from lifestyle changes