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. I’m not sure if I have LPR…I scored pretty low, a 8…My only symptoms are a sore throat down by my collarbone for 8 weeks, some post nasal drip. And a little mucus in the morning. My endoscopy was normal..even tho my throat feels like SO sore. I’m getting allergy tested this coming week and the doc wants to do a swallow study and PH monitoring. I’m at a loss of what to do! I’m treating LPR and allergies but the sore throat is still there.

    I just started taking pepcid morning and night and algenic acid at bed. I hate taking meds…but I tried diet and supplements for over a month and it didn’t do anything…I’m starting to think maybe it’s not LPR? I feel like with the changes I have made something should give!

    1. Some of your symptoms definitely point to LPR though as you said it’s not 100% conclusive but my educated guess is that you do have LPR.

  2. I had dry cough and now i wokeup with a pain just in swallowing saliva and the pain in throat left side very down to the tonsils near to thyroids.i sleep and have pain but when i eat something like cold there is no pain.Dr gave me the antibiotic saying there is may be throat infection.i am taking nexium with the antibiotics and trying to follow ur diet plan.please suggest me is it gerd?

    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.

      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.

        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.

    2. It depends what your symptoms are, if they are just the cough and throat pain, that could more point to LPR though it’s not definitive just based on them 2 symptoms.

  3. Hi,
    I took the test and got 11. So I’m not sure if I have Lpr but these are some of the symptoms I’ve been having for the past year. I’ve been having post nasel drip, thick stringy mucus in throat, bad breath, bubbly saliva, salty sour taste in mouth, sometimes I get a slight burning in the upper stomach once in while more when I lay down. Dr said I have acid reflux and gave me pantoprazole but it did nothing but make me burp a lot. I stop taking them and did the hpylori test and it came back negative. I’ve been doing the low acid diet but no improvement so far.

    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.

    2. Hi Rachel,
      That does sound like LPR to me even with a slightly lower score. Sometimes you may need an adjustment with your diet, you can always email me at david@wipeoutreflux.com with what you typically eat maybe I can offer advice on that.

  4. Hi David, 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. Hi Cheyenne,
      I doubt you permanently changed the position of your organs no, though as I have heard waist trainers can cause issues like that and I would suggest you stop to use them if you haven’t already. The diet should help yes and it’s a good plan of action.

  5. Hi David,

    It all started with an ear infection that came out of nowhere and after it cleared up, after being given some antibiotics, my stomach was really troubling me, I had a sore throat and constant sounds in my throat, either after drinking water or out without ingesting anything at all, just by sitting.

    I was diagnosed with GERD with atypical symptoms and helicobacter pylori, given Nexium 1 month (20mg in the morning and 20 mg in the evening) followed by 2 weeks (40mg morning and 40 mg evening at the same time I took the antibiotics). And then 40 mg each morning for 10 days, and then 4 more days, taking 40 mg every other day.
    Finished this 2 weeks ago and I am feeling worse and worse.

    I also have eustachian tube dysfunction and I think it has been caused by the acid in my throat reaching my ear, because I didn’t have any cold or other symptoms.

    I have been watching my diet for almost 3 months with almost no result at all. There are so many contradictory info out there, so I cannot know for sure if my low acid diet is ok. I eat mostly lean meat and steamed vegetables, oats and chia seeds, apples and bananas, low fat milk and bifidus yogurt. No coffee, processed or fatty food, pepper, tomatoes, I don’t eat spices at all, even before.. just need some advice on what I am doing wrong, I am at my witts end with constant earn issues (including awful tinnitus) for which I need to take ibuprofen and this affects my stomach as well…

    Many thanks

    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.

    2. Hi Andreea,
      The would suggest stopping the Ibuprofen, it really is awful for the stomach and likely could or will bring on some if not all your symptoms in the first place. It sounds like you are doing quite a good job on the diet. What you mentioned you eat sounds good though I wouldn’t take the yogurt because they tend to be too acidic. You can always send me a email at david@wipeoutreflux.com and explain me your diet more so I can maybe offer some suggestions.

  6. 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.

  7. 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 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.

  8. 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.

    1. Tonya Shrewsberry

      Took the test, scores a 29. Have a scope scheduled for Friday. Will they see anything that will lead them to this diagnosis? I have been suffering from not being able to eat at all since April. Liquids are hit and miss. They went the neuro route first and ruled out stuff now we are back to gastro. Never put together that this year’s “allergy cough” seemed different and was hanging on so long. So no PPI? I can’t be triggering anything by food cause I can’t eat. I only get a bit of water in the last week. Why would I not be seeing improvement?

      1. They can see irritation or perhaps something like a loose LES or even ulcers for example. The endoscopy is far from a gold standard when it comes to diagnosing LPR. It’s gaseous reflux in your case, so you don’t need to consume any food for it too happen. Actually not eating would make it worse more likely as has been shown in some small studies.

  9. 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 ..

  10. 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 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.

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