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. Can h Pylori case LPR….. I have lots of mucus in throat..and indigestion..burping..sometime burning in stomach.after eating acidic food my throat become sore ..red..painfull

    1. It should help at least somewhat, you can always send me a email with your typical meal plan and I can offer some advice if needed.

  2. I am waiting for an endoscopy, following acid reflux that started coming up in my mouth at night at the end of March 2020. I get a pain in my chest under my ribs. My tongue swells; I have pain in my ears, jaw near my ears, a persistent sore throat with excess saliva on many occasions. My ears feel under pressure and my nose keeps blocking. I am prescribed Omeprazole 20mg and am taking Gaviscon often during the day and night. Even my cheek bone area hurts on both sides and my upper neck hurts and causes some difficulty swallowing. I have tried virtually sitting upright in bed and not eating for a three hour period before bed and not drinking for two hours before bed. I have tried eating very small meals on a more regular basis and eating slowly. Due to Covid, my referral is taking longer than usual…please can you suggest my next course of action while I await the Endoscopy. I am becoming low in mood and can’t get any answers. Thank you.

    1. Diet changes to a low acid diet I would suggest. First try eliminating the trigger foods and then look to a natural low acid diet like my wipeout diet plan.

  3. I am having a acid reflux flare up due to stress right now and it has been a few weeks and nothing has changed.I’ve never had acid reflux in my entire life so I was surprised when I went to the doctor and they told me a diagnosis. I feel a burning sensation in my upper stomach and let me tell you it is not fun. I’m starting to change my diet hoping it will make it better. I’m also trying to incorporate some exercise through walking and yoga? How long do you think I would see results? Also do you possibly have any tips on how I can heal my stomach in the meantime?

    1. Diet changes are important as you have mentioned. As you mentioned about stress definitely look into trying to stop or lessen that, exercise can help even walking daily.

  4. Paul Logothetis

    Hello there! Great site with many tips for LPR.
    I got 10 at the test, I was diagnosed with LPR from my GP and I am taking PPI’s 20 mg once a day and Gaviscon advanced (UK) 3-4 times per day. After taking them for 16 days now I do not see any great results. I am a non smoker, I drink only water, fennel tea and camomile, no chocolate, no alcohol, no spicy foods, tomato, garlic or onions. From fruits I eat bananas, melons, kiwi and pears. About the coffee, I now drink only one single espresso. Do you think I should stop it at all? Thanks for your help!
    Paul

    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.

    2. Hi Paul,
      Thank you very much. I would suggest stopping the coffee in the meantime. Expresso is particularly acidic even more so than regular coffee not to mention the negative effect of caffeine on the stomach.

  5. Hi David. I just scored 17. It started for me back in April. I woke up one day and felt a bit like I had a lump in my throat. By this point the coronavirus had taken hold in the uk and doctors weren’t seeing any patients unless it was absolutely necessary. I had a couple of phone consultations with a GP which went nowhere so I was referred to the ear, nose, and throat clinic (which unfortunately is in the hospital so they weren’t seeing any patients either). After a phone call with them I was diagnosed as having GERD and prescribed proton pump inhibitors (omeprazole) and Gaviscon Advanced. After almost 2 months of treatment I don’t feel like my symptoms are improving at all, if anything I feel like they’re getting worse. Is there anything else I can do to improve symptoms or speed up healing? Is it worth me phoning the doctors and telling them my symptoms are more like LPR than Gerd? Many thanks

    1. Hi Gareth,
      I think a low acid diet is absolutely your best action now and things like not eating soon before bedtime and stopping eating big sized portion. I personally don’t think visiting the doctors in this case in worth your time, when they clearly are not knowledgeable enough to provide useful advice.

  6. Hi David: I’ve been following your diet for a couple of weeks now. I did get the Gaviscon Advance also but I think it might have triggered some Anxiety. I am generally just not feeling very well. I wanted to ask you if symptoms keep coming and going when you were healing. I guess I’m just looking for some information on how to gauge what is happening to me. I hope I hear back from you. Thank-you.

    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.

    2. Hi Grace,
      It could be just transitioning to the new diet caused feeling a little off while the body and the stomach adjust to the new diet. Perhaps just becoming mentally comfortable with the diet and also getting used to it perhaps could make you a little anxious as you get used to the new regime.

  7. Goretti Bardsley

    Hi I took the test and scored a 32 , I have been diagnosed with Gerd , gastritis sliding hernia , I am plagued with clearing my throat , worse in d morning but us there all day on and off , I’m on Nexium , I’ve been seen by ENT Doc who said my nasal etc passages showed erethama and we’re very dry , advised nasal rinse and my GP prescribed nasal spray , the throat clearing is very annoying and causes my throat to get sore , burning feeling in morning and slight ringing in ears, I take a gaviscon extra at night before bed to try and quell the acid , I’m a plain eater no spicy food , thanks for the RSI test Goretti

    1. Hi Goretti,
      Yeah absolutely sounds like LPR and the result of the test all but confirms that. I don’t know what spray your GP prescribed you but it likely probably isn’t ideal. I would suggest making your own with baking soda and alkaline water instead as explained in this video.

  8. Amr Aboughazala

    Hello,

    I actually started having cold hands a year ago that was, made a blood test and was good but then I was advised to take medicine to help blood circulation. I postponed it. Then now at time of Corona since last March and the first day I felt a shivering, headache, needed to go to bathroom twice or three times (not my normal and not dirrhea). Then day number 2 had a sorethroat and went on for 1 day directly after having a conference call for 1 hour. The headache was not there on the second day and the sore throat disappeared after 1 day exactly. Then blocked nose at night for 2 consecutive days and that was all. After few days I had the pain in the chest that is not lasting but appear at some position, standing, laying down and while moving my body right and left. While swallowing, I always felt it is as if If something is swollen and less gap to pass stuff with no much pain. Also I feel with a relief with burning. I purb every time after I eat to otherwise I have problem with breathing. I run sometimes to force purbing to have the relief. Whenever I sleep on my ear it is painful like crazy in few seconds once I am not passing air in. One day I woke up almost screaming from pain as I slept over it without noticing but once I woke up the pain went away fast once the air went in.

    I took Pantoprazol 20 MG for 3 weeks in the morning that I only ate after it by 5 hours and only in the 3rd day the purbs stopped. Then the time for fasting that I used to eat only at 9 PM while the whole day no eating or drinking and at that month, my chest pain and my purbing totally stopped and I was fine.

    After that month I started eating normally but then the pain came back. Last week I touched my throat by mistake and I felt with a harsh pain as if I hold the swollen part or as if I touched something was there that moved to my chest and then my heart rate increased crazy. For a minute, I slept on my stomach and then the pain in chest decreased and the heart rate started to decrease. My temperature increased a bit, headache and again urge to go to bathroom more than once. Once I tried to eat my ear turned hot and red and my temperature increased slowly to 38 degrees. I stopped eating and it went down bit by bit through the day. I have more pain now in my chest and the purbing came back to the limit that I feel less oxygen available to my brain and once I purbed I felt the blood going through all my body including my brain and a big relief being able to take strong and deep breath. It takes only a minute to feel back the shortness of breathing and the need of purbing.

    1. I don’t know what you mean by purbing but it does sound like LPR related to me. Of course my first and most important suggestion is a low acid diet like my wipeout diet plan.

  9. After my voice changed 5 years ago, I have had years of testing for respiratory problems. Finally, 2 months ago I have been diagnosed with LPR. The doc said, with the amount of inflammation and swelling, I have probably had it for years. I have changed my diet and only eat 4 small meals per day and never later then 5pm, and just recently found your site.

    Any ideas on how long healing can take for healing? I’m on medication and so far, am not comfortable stopping anything. I just started Advanced Gaviscon today.

    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.

      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.

        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.

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