RSI (Reflux Symptom Index) Test

Welcome to the Reflux Symptom Index (RSI) 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.

Once the test is completed you will be provided a total score.

PS. Because their is no real gold standard when it comes to diagnosing LPR the RSI test is actually one of the more reliable ways of helping to confirm LPR. It's one of the first and arguably simple yet best ways currently to help diagnose LPR as used by experts in the field.

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

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

  1. 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

  2. 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. 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.

  3. 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.

  4. 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. 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.

  5. 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.

  6. 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. 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.

  7. 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.

  8. 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. 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. Can you take Gaviscon Advance if you have an inflamed throat? I am trying, but it burns on the way down my throat.

      Thank you,
      Cindy

      1. Hi Cindy,

        You should be able to yes. If you really think it irritates your throat you can try something else like reflux gourmet for example.

    2. Hi I have burning on the tip of my tongue, not always – maybe a few times a month. I have clicking in my ears when I swallow & sore / dry throat most the time. It’s better in the mornings.
      I don’t have coughing.
      Could this be LPR?
      Thanks

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