- How many times per week do each of the following symptoms occur per week
- Answers
- Score 0: Occurs on 0 days
- Score 1: Occurs on 1 day
- Score 2: Occurs on 2-3 days
- Score 3: Occurs on 4-7 days
- Questions (Score 0-3 for each based on above)
- Burning feeling behind the Breastbone (Heartburn)?
-
Stomach contents moving up to the throat or mouth (regurgitation)?
- Pain in the middle of the upper Stomach area?
-
Nausea?
- Trouble getting a good night's sleep because of Heartburn or regurgitation?
- Need for over-the-counter medicine for Heartburn or regurgitation?
- Examples: Tums, Rolaids, Maalox, or other Antacids)
- In addition to the medicine your doctor prescribed
- Total score of 0-2 points
- Likelihood of GERD: 0%
- Total score of 3-7 points
- Likelihood of GERD: 50%
- Total score of 8-10 points
- Likelihood of GERD: 79%
- Total score of 11-18 points
- Likelihood of GERD: 89%
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