Reflux Symptom Index(RSI) Test

Welcome to the Reflux Symptom Index Test

How this Test works is for each of the statements you choose a rating of 0-5 on how much each condition effects you. If no have no problem with it you score yourself a 0, if you have a severe problem with it you score a 5.

1. Hoarseness of problem with your voice
2. Clearing your throat
3. Excess throat mucus or post nasal drip
4. Difficulty swallowing
5. Coughing after eating or lying down
6. Breathing difficulty or problems
7. Chronic or annoying cough
8. Lump in throat feeling (globus sensation)
9. Heartburn, chest pain or indigestion

72 thoughts on “Reflux Symptom Index(RSI) Test”

  1. I like the test. I can’t differentiate between Gerd and LPR after being diagnosed with HPyroli. I used to have heartburn but after taking point for 3 weeks, I now have a dry throat with a burning sensation

    1. If you have H-pylori I believe that can be treated with most commonly anti-biotics. Also there is a natural alternative called mastic gum which has been proven to stop H-pylori as well. I would recommend considering them.

      1. Can presence of H pylori cause LPR symptoms ? … Does LPR cause burning stomach after eating together with regurotion of food back in the throat sometimes?

  2. I have been diginosed with heritable hernia and acid reflux More than a year ago. I thought it had gone away but it is back with burning mouth and the breathing problem. I an taking digestacure it is for autoimmune . It healed before so I hope it will this time. I did not have the breathing and wheezing before only at night when I lay down after a few hours of sleep. I know to stop coffee wine and spicy foods or acidic things. Are there other foods I should be careful of.

  3. I have this terrible dry nose and chest and throat, facial flushing and the sinuses are so dry I start smelling this smoky smell when nothing around me is burning.
    Pretty sure I have it.

    1. Yeah based on your symptoms there is definitely a good chance. Acid can affect the sinuses and there is a good chance the dryness is caused by the acid reflux as well

  4. I didn’t realize this could affect my sinuses as well. Good to know. I’ve been researching esophageal erosion and some of the things I read don’t seem to apply to me, but what I’ve found here does. I scored 22. I’m trying to heal my throat. I think acid is getting to it, but I don’t feel it happening. I’ve never heard of silent reflux, or read it might take 6 months to heal. I’m a LOT less depressed about this.

  5. Had Strep throat in January and Tonsillitis in February. Still have a slight sore throat and sometimes a globus sensation. Compared to March of this year I would say I am 92% healed around my throat but still lingers here and there. Anybody know how long for it to possibly heal completely. Don’t get me wrong some days I feel 100% but would love to feel 100% all the time. thanks

    1. Hi David,

      Its hard to say with any certainty. Perhaps something you are eating can be slightly triggering it. But it’s hard for me to know without knowing your diet and lifestyle.

      Thanks,

      David

  6. Alan Washington

    I changed my diet about 3 weeks ago. the cough has gone (that was driving me crazy), the nasal drip has gone, I am not swallowing all the time. But the mucus is still there and my throat is burning and I am very hoarse, how long does it take to heal?

    1. Hi Alan,

      There is not sure way to know how long it will take to heal as everyone is different. Usually people who follow my diet plan and take gaviscon advance see improvements within 2 weeks but for others it may take a couple of months before improvement is seen.

  7. Hello,

    I have been diagnosed by doc with GERD. I feel like I something stuck in my throat (globus sensation) and experience tightness in my throat. Also I feel need to clear my throat everyday morning. I can also feel regurgitation due to acid and distaste in mouth. Sometimes I feel a little pain when I contract base of throat muscles or a pellet stuck in throat when I touch the base of the throat. Could all of these be symptoms of LPR? Please advise.

    1. Hi Patrick,
      Based on the symptoms you have mentioned that sounds very like LPR. Send me an email if you need any more advice 🙂

    1. Hi Ryan,
      It’s different for each individual person. Some people may have to avoid them for the foreseeable future whereas others only temporarily until they are healed and feeling better.

  8. So essentially, I have to give up my food groups (caffeine, alcohol, chocolate) in order to be cough-free? That makes me sad. I did purchase the Gaviscon Advance – fingers crossed!

    1. I think if that helps it’s more than worth it in my personal opinion. Of course there are certain alternatives that can be good choices for someone with reflux. For example carob is a great alternative to chocolate and if you want alcohol a potato based vodka is a much better choice than red wine. Try something in moderation and see how you react is what I would suggest. The gaviscon should help as well 🙂

  9. You have no idea how much good you are doing to people like us with GERD with this blog. Thank you so much.
    I am a former Opera singer diagnosed with GERD, this illness destroyed my career, after 7 years I realized that GERD was the reason of my hoarseness.

    I am taking PPIs now and they are not doing much but at least I know what is the problem as I was in the dark before.
    Will see my GI to evaluate my condition and chances for a surgery, probably will try stretta and dif no improvement, fundoplication. I am a bit skeptical with LINX procedure as I am diabetic type 1 and don’t want any device in friction with my esophagus there inside, it could perforate it with time.

    Thank you for having a platform like this for people like us.

    1. You are most welcome Norman thank you for your kind comments. If you are suffering from throat pain your symptoms could be more akine to LPR or silent reflux and likely PPIs won’t help with that. You can read more about it on my complete LPR guide here. What you have said with the surgery options I would definitely agree with. I read that stretta has an 85% success rate for people with LPR so that is very high probably that it will help.

  10. Hi I think i have LPR and honestly saying I’m particularly distressed with globus sensation. I just want it to stop 🙁 I noticed these past few weeks that I would burp often even only sipping a little amount of water and then after that I had this wet burp that caused my sinusitis and a weird sensation that something is stuck in my throat. I just it heals fast before I enter med school because this is causing me depression and anxiety 🙁

    1. Hey Jerica. I know that globus sensation is very annoying to say the least but know that it can be remedied. The best way to remedy this is through a strict low acid diet.

  11. Michelle L Ferraro

    I don’t have heartburn I have silent heartburn. White phlem coming up on back of my throat everytime I eat,
    and spitting up mucus everytime I eat. Horrible metallic taste which I have been calling Burning Mouth syndrome but don’t know if it is just from this or not. I am having hormone tests done this week because I heard hormones can cause burning mouth. According to last years films I have no heartburn and no other symtoms but do have burning in my throat sometimes. What do you think? Does it sound like I have Silent heartburn or just Burning mouth syndrome. I really need an answer soon because I have to discuss this with my physciatrist.

    1. I think this test is an quite a accurate way to determine if you have LPR, if you scored over 15 then the chance you have LPR is over 90%.

  12. I have been dealing with this burning pain sensation every time I eat for the pass 3 weeks I also have a burning sensation on my chest and the right side of my throat hurts around the Adam’s apple. Could this be LPR?? I really stressing over this O have never experience this before and I am really worry

    1. I could be, if you score is over 15 on this test thats a strong indication that it is LPR. I know it’s easier said than done but try to remain calm, stress and anxiety will only make it worse.

    1. Hey Patricia, You should be able to see your score as soon as you do the test. If you are still having problems send me an email and I can do the test for you.

  13. My symptoms only started after I had a cold and cough. Main symptom is the globus sensation, which is definitely worse after eating or drinking anything (even water).

    Dr thinks its reflux and prescribed Pataprozole 40mg once daily for 4 weeks.

    It is likely at all that this would fix it or does it sound more like lpr? I’m confused because it came on out of nowhere, and I don’t typically have any digestive issues.

    Appreciate your insight.

    1. I personally wouldn’t recommend taking the Pataprozole, if you are still taking it probably best to slowly ween off it assuming you only have LPR symptoms as the PPI’s won’t likely help in the long run. Instead get the gaviscon and look into your diet and start avoiding the common trigger foods to start.

  14. I have acid reflux. I’m taking Nexium daily. I now have ear ringing, feeling like thing are moving but they are not actually moving, headache/migraine, sensitive to movement of computer and cellphone. when I turn the computer on or active the phone I get these movement spell. someone told me that I could be acid reflux. Doctor told me that it could be Meniere disease or vertigo. still waiting for ent doctor. could you tell me what kind of test would be need to determine if the acid reflux is my problem or is it vertigo

    1. If your only symptom is related to the ears without the other symptoms it likely is not LPR and sounds more likely to be vertigo though I am not certain. I don’t know the other disease you mentioned unfortunately so I can’t advise on that. If your score is low in this test that should be proof enough that it isn’t acid reflux related. If you want a proper medical test, the best test for LPR symptoms is the restech pH study.

  15. Hi…Glad I found your site as I have been suffering for a few years with the symptoms of LGR…have a lot of trouble with my sinuses too, and did not realize the reflux can backflow up into the sinus area. My main symptoms are constant mucus coming up in my throat area, especially in the morning, and have even noticed some slight, slight blood tinge in the mucus at times. This has been very rare, but have seen it. Not sure if I should be overly concerned with that because I am not sure if this is from my sinuses or LGR. Have not been to a Gastro for this, but have self diagnosed according to my observations. Coffee wine, chocolate dairy, eating late at night, spicy foods all seem to make it worse…I think even tea is bothering me now, so am switching to herbal teas. Have about 15 to 20 lbs to loose as well. I took your test….scored a 15. Ordered the pillow for bed. Can you weigh in on this further with other suggestions.

  16. My main symptoms is the something stuck in the throat sensation and excess saliva but that has reduced. I went to ENT and he used the scope to look down my throat but he said it looked fine. If pepsin was causing inflammation, wouldnt he had seen it?

    1. I mean if you have bad symptoms I am sure he would have likely some inflammation etc. Even still if you have symptoms there is definitely a reason for them whether it was visible to him or not.

  17. 1.5 years of this for me has turned into breathing problems. I always wondered how one doesn’t get heartburn and only throat issues. I think your right. The pepsin maybe bipasses the esophagus carried through bubbles or belching. My symptoms get worse when belching always after standing up. My symptoms disappear when sleeping then after belching in morning they arise again all day. I’m on a weight loss mission seems to be helping. I mostly muscle (weight train) at 224 down from 230. My only fat is in gut area some but losing the 6# has made a difference. Also cutting acid but soooo hard. Anyway, thanks for the advice and reading all this helps me better understand lot. I think the main problem for most including myself is that the symptoms of lpr make things worse. It’s cause breathing difficulty for me and immediately leads to anxiety. I will check out your book, thanks, jeff

    1. Hey Jeff. Yes belching is something that can and does make this worse most often in my experience. When I had bad symptoms before, I was belching a lot. When I got my symptoms under control my belching almost has completely stopped. Yes, for some people losing some weight can make a massive difference, as the pressure around the stomach from the added weight makes reflux more likely as you may already know. So I think that’s a good plan that will help in the long run for you. Also thank you for your interest in the book and best of luck 🙂

  18. Hi David,
    Your excellent site has been a goldmine of useful information.
    I was diagnosed with a small hiatal hernia years ago which caused me all sorts of problems.
    I had a lot of reflux and have been on PPI ‘s for a long time . In August I had another Gastroscopy where I was told I have ” early stage ” Barratts Oesophagus .
    In December after a bout of bronchitis I developed a sore throat ( which I still have ) – Backwards and forwards to the doctor who initially said I had Oral Thrush – he fast tracked me ( at my insistence ) to an ENT consultant who checked me over and stuck a camera up my nose and down my throat . He said there was no evidence of cancer but my symptoms could be due to pepsin and bile from silent reflux that PPI’s don’t deal with . I had never heard of it before. I am due to go onto double dose omesaprazole and Gaviscon Advance . I pray that does the trick as my throat is really troubling me. I have seen your excellent diet advice and will be following that as well

    1. Hey Peter, Thank you for the kind comments. I am glad to hear that the ENT actually knew it was from sient reflux, that tends to be quite uncommon currently. As for starting the omeprazole and the gaviscon, I personally wouldn’t recommend taking the omeprazole because it has been shown to not be effective at helping silent reflux though the gaviscon advance should definitely help. If you want more info on why I don’t recommend PPI’s check out this article – silent reflux treatment.

  19. My primary issue is extreme hoarseness and some throat-clearing. Also occasional burping.
    Wonder if stress can cause a lot of this because I do have quite a lot of that. Also, if the stress
    is relieved would that help LPR?
    Thanks for your blog…it really is good and comforting.

    1. Hey Nancy, thank you I’m glad it’s helped you. Yes things like stress and anxiety definitely will make acid reflux worse. If you can make changes to help stop or lower your stress your LPR should also improve.

  20. Hi David, This is Eli, I have been having symptoms of acid reflux for about 4 years and for a while I’ve had bad indigestion, sore throats when waking up, more sinus infections and it I can feel acid coming up my throat. I can feel it burn as it comes up. Even headaches and breathing problems. The past few days I’ve had bad heartburn, Indigestion and it hurts to swallow, talk and foods take awhile to get down. I haven’t been diagnosed with anything and have not been treated. what may this be cause of? And can LPR and Gerd occur together

    1. Hi Eli, based on what you have said it sounds like LPR to me, maybe with some occasional GERD symptoms like the heartburn as you mentioned. The cause most likely is pepsin coming up into the throat/sinuses and this causes irritation & inflammation which causes your symptoms. This could be due to multiple reasons but perhaps the most likely reason is a malfunctioning lower esophageal sphincter. LPR & GERD can occur together yes but it seems not too common but definitely possible.

  21. Hi David, this is a great site with eye opening information. I have GERD and sliding hiatal hernia and been on PPIs for 30 years. Also suffer from chronic sinusitis, have a constant hoarse voice and sore throat and sore/full left ear and allergic to animals, grass, pollen. It’s getting to the point where my work is being impacted due to sinus and hay fever that ends up in infection and fatigue. I have an appointment with a surgeon to talk about nissen fundoplication options. I will try Gaviscon dual action available in Australia. It contains Sodium Alginate. Do you think my symptoms could be related to GERD and LPR?

    1. Hi Rohan, thank you! Yes based on what you have said it sounds quite like LPR causing your sinus/throat/ear problems. Ideally I would try and slowly taper off the PPIs, and taking the gaviscon dual action as you said.

  22. Hi David, I was diagnosed with a 3cm hiatus hernia 18months ago after having heartburn and indigestion problems following a chronic cough. I was given 20mg omeprazole and managed fairly well, just the occasional lump feeling in chest until 3weeks ago. I had a sudden onset of a bitter metallic taste in my mouth, worse after eating, hoarse voice, cough and tingling sinuses. The omeprazole was increased to 40mg but after one week all the symptoms worsened. Not sure whether I have LPR only or GERD as well which has been suppressed by the impressive for 18months. Any thoughts?I am bothered about the taste onset out of the blue that I’ve never had before. I am going to taper the omeprazole, use gaviscon advance and look at the diet. Would you agree? Also, can’t help wondering that sorting the mechanics is the root to the problem.

    1. Hey Lyn,
      Yes I would agree with your plan to help yourself. That’s exactly what I would recommend. If you have GERD symptoms when you are lowering the omeprazole perhaps its a good idea to replace it with a H2 blocker like ranitidine then you can lower that as well after depending on how you are processing. This can help with the heartburn and GERD symptoms without the negative effects of the PPI.

  23. Hi David,
    I am glad I stumbled across this blog. All of the previous comments describe exactly what I have been going through for close to a year now. I have been to the gastro and ENT, and had an endoscopy, which showed esophagitis and was diagnosed with GERD. So I was put on PPI and Carafate. It seemed to help temporarily, but I feel the PPIs dont help. My symptoms seem to be more LPR related as I dont have heartburn. My symptoms are burning throat, excess mucus post nasal drip, breathing problems at times, and having a feeling of a lump in my throat. I have began diet changes, most notably cutting out dairy, caffeine, alcohol, fried food, fatty food. It seems to help some. I have also ordered the Gaviscon Advanced. Hope to stay on top of it and learn from others on this blog! Thanks

    1. Hey Austin,
      Thank you. Yes what you have planned to do and have done so far with the diet is great steps in the right direction. Just need to keep going and perhaps make a few more diet/lifestyle adjustments.

  24. Hi David,

    My name Tracy L. Collins and I have just been diagnosed with having Gerd, the chronic type of acid reflux, on March 6 – 2020. I am a 54 year old male and I have eating lots of spicy foods for a while including ( garlic and onions ) mostly every day with most my meals, breakfast, lunch and dinner. I don’t know if had this condition, now, or if been had it and didn’t know I had it. And now, I think the spicy foods has permanently damaged my ( stomach LES ). Because, I can’t seem to drink plenty of water anymore and or eat plenty of food anymore, without gagging, burping and feeling nauseated a lot. I am congested a lot and have very bad burning sensations in my stomach and chest and I have asthma type symptoms, also. I can’t hardly lie down in bed at because of all of these symptoms. The doctor prescribed to me Pepcid ( Famotidine and took two of the pills at the emergency room in the hospital where were transferred to by EMC. But, i haven’t taken the pills again, since , because I am kind of afraid to keep taking the pills, because, of the side effects of the pills. Do you know any other ways to help Gerd , Chronic Acid reflux get better, or there is no help for it to get better? I have been searching the internet, the past two days, since I was diagnosed, with this condition, to see if there are any other alternative ways to help reverse this condition, or help it become better. And also, i think i am getting a mild to moderate fever with this condition, now. Can you help me this condition?

    Best Regards,
    Tracy Collins

    1. Hey Tracy,
      The first and best thing you can do it avoid the obvious trigger foods like I covered here. If you are eating garlic and onions they would both likely worsen your GERD symptoms for example.

  25. Hi David,
    Thank you for your information, it’s been very useful. My son reported a lump sensation in his throat after Xmas, after a nasty bout of sickness. It hasn’t gone away and it’s taken us a while to realise his feelings of nausea (sometimes so bad he’s up til 1 am shaking and crying) came from a gagging sensation in his throat and no nausea in his tummy at all. No heartburn either. Now after 2 weeks of anti-reflux diet about 90% of his symptoms (some of which I hadn’t realised were related) have stopped. The lump in his throat still persists but is more an irritation than a real issue. We want it to go though. He’s seeing a paediatrician in April so will see what they say, but wanted to say thank you for information. I want to try the Gavision Advance too but unsure because of his age, really don’t want drugs like Omeprazole.

    1. Hey Becky,
      That’s great to hear that your son has seen an massive improvement. I think for the lump sensation it could take a bit longer to calm and heal but it should over time. As for Gaviscon, it’s much less harmful than drugs like Omeprazole so taking it even occasionally for a flair up could be a good possibility.

  26. Hi great site there..i started to feel pain on my throat for 2 weeks n Small cough as it felt tickly, but after that I realised it was burning feeling as well as on my chest, and sometime on the day i got like gas pain on my tummy, and when i woke up in the morning i felt pain on my tummy too, anytime i felt pain on my tummy it’s always in different places most of time under my chest bone. And it caused me light headed sometime especially before eating, and burning on chest after eating. So i got omeprazole from doctor and it’s around 5 days now feeling a bit better but the burning sensation on chest n up, n the tummy pain still come sometime. I wonder is it Gerd or LPR? Thanks

    1. Hey, thank you! You technically could have both GERD & LPR but that’s uncommon. I don’t know all your symptoms so it’s hard to accurately say, but from what you have said sounds more like GERD.

  27. David
    Luckily just came across this site by looking around my Facebook groups on GERD and LPR. Lots of good info! My Doctor thinks I have classic GERD. This all started in September of this year. Was put on Omeprazole and have been on it religiously since. I started a low acid diet in December and have been very strict on that as well. I don’t eat or drink any of the common triggers and really never have. It’s been six months and still having the same issues. Went to a GI and told him my symptoms. Glob-us,Post Nasal drip, sinus pressure, ear clogged, mucus, clearing cough and occasional pain below sternum and I use to have soreness in chest. I told him I believed that it was LPR. He said that he didn’t believe it was LPR and that it didn’t sound like GERD but I had some GERD like symptoms. Told me if I wanted we could take a look with scope. May 6th is the scope. Feel like I’m not getting much direction or guidance. Been to 3 Doctors and now a GI. I’m pretty in tuned to my body and have been in great health till this. LPR is what I think. Thoughts on next direction? Thinking ENT but it takes forever to get in to see one in Canada. Thanks for any help Kevin

    1. Hey Kevin, glad to have helped! It sounds like LPR to me from what you have mentioned. Generally going to doctors even specialists often won’t be much use due to lack of knowledge on LPR. Not to say that there aren’t doctors that are great and knowledgeable on the topic because there absolutely are it’s just not that common at least for now. My advice is what I have suggested on the site – diet, gaviscon advance & some lifestyle changes.

  28. Hi David,

    I had burning upper stomach, belching and hiccups last November and doctor assumed stomach ulcer , also had H Pylori infection detected , I took pantoprazole for 10 days. After stopping pantoprazole I had bad acid rebound with heartburn which lasted like 2 weeks . After that I noticed throat burning January … sore throat that won’t go away .. pain while talking … feeling of clearing my throat and mucus in throat , sometimes I feel like sensation of food in throat too.. I am treating H Pylori within this March on antibiotics at present for two weeks.

    Please let me know if the burning stomach and presence of HPYLORI would have caused me this throat problems … Also would eradication of H PYlori have this symptoms cleared up ??

    1. Hey, clearing up the H Pylori could completely stop the symptoms and that is what I would hope. Of course it’s not guaranteed but more likely than not.

  29. Hi..

    I was diagnosed with HPYLORI had bloating and burning stomach last December .. currently I’m treating with antibiotic triple therapy for 14 days . Before triple therapy I took pantoprazole ppi for 10 days in December and when I stopped I had serious reflux and heartburn …. jaunaary I started experiencing burning throat and clearing of throat … pain in throat .. excess mucus in throat .. sore to talk as well and still burning stomach when I eat…

    After eradication of HPYLORI hopefully this month will all these symptoms go away? Is it causative of THS h pylori please help to let me know ..

    1. Yes it should go away once the H Pylori goes away probably though it is’t a guarantee. Yes when you mentioned you had serious heartburn when you stopped the PPI. This is normal, its a acid rebound effect when you stop taking them cold turkey, that’s why I always recommend tapering off them over a period of a few weeks instead.

  30. Im delighted to have found this wealth of information! Having been put on antibiotics for an unrelated condition for a period of 4 months, I recognised I began suffering from heartburn and awoke a few times with bile in my mouth. Just days after coming off them I awoke one morning to difficulty breathing and a dry congested sensation in my sinuses. My GP could not identify thd issue; I was tested for clots on the lung, sepsis, heart failure, and was sent away with an inhaler. After finding your website Im beginning to think I may have LPR or similar? Im trying to heal my stomach with probiotics and broth, and my GP prescribed something for the heartburn, but symptoms (sinus / difficulty breathing persist). Now with this global crisis is unfolding, resources for testing lungs / asthma etc are not available. Im at my wits end, but your page has given me a ray of hope that nothing more sinister is at play. Thank you.

  31. Supriya Chaphekar

    I am from India. And I took the test. My score is 24. I think I have LPR. I am facing acidity problems for long periods. But such symptoms like throat pain and ear pain with lump in throat I am facing first time. I am strictly vegetarian and follow simple diet. I am thankful to you as your test helped me to find out exact problem with me.

    1. Hey Supriya,
      I am glad to have helped. Yes if you have a high score like that it is almost certain you have LPR, I had a similar score when I first took the test years ago.

  32. I’ve been having this problem for over a month now, first I thought it was COVID because I’m having breathing issues. I waist trained consistently for a month and noticed I was getting bad breath, that turned into shortness of breath and eventually heart palpitations, burping, dry cough and now a nagging sore throat. Could it be that I permanently shifted my organs with the waist trainer? If that’s the case would diet change or ACV even help me? I’m reluctant to take Nexuim because I heard it could make problems worse. I really want to heal as soon as possible.

    1. Yeah the waist trainer could of caused the problems. I would stop using it if you haven’t already. I doubt the trainer would of moved the organs permanently. I do think diet change could help you get back to normal and I definitely wouldn’t take apple cider vinegar it would only make things worse. I agree that some diet changes should be your first line of action to help yourself.

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