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. Hi,
    I was told by my ENT and Gastrointestinal DR that I have GERD thou to me sounds more like LPR. My symptoms used to be burping, Sore throat, burning mouth, sour taste in the mouth, difficulty swallowing like the muscle at the beginning of my throat is contracting and it moves from left to right, lump feeling in the throat and ear Aches on both sides. I began gavision and the only major symptom left was the difficulty swallowing I would get the occasional earaches and throat irritation but hardly . I assumed it had gone till three weeks after I began burping, getting the burning throat feeling/sore throat ( which is worse in the evening ), the sour taste, earaches with the difficulty swallowing still. Then I found this blog and realised I have been handling it all wrong. I have been consuming chocolates almost every other day as well as consuming spicy foods. I have now decided to go on LPR diet by Gods grace it works. I think I have had it for a long time because I remember about 7 years ago I was constantly clearing my throat with a cough that won’t go away I even had to stop coffee because it gave me heartburn. But this stopped after some months I probably changed my diet abit I can’t remember. It started again two months ago when I was given diclofenac ( a NSAID ) for a month for cervical spondylitis and I would sleep immediately after eating because of the spondylitis. So from your expert opinion does it sound like LPR? I also had the ENT do endoscopy but she only checked the top structures and they were fine. Should I get her to check all the way to the tummy?

    1. Hi Ayeesha,
      It definitely sounds like LPR to me from what you have mentioned not GERD. It’s up to you if you want to have them check it, personally I would work on the diet changes, and if possible limit the NSAID because its not good at all for the stomach and digestive system.

  2. Hi, is the LPR test no longer available. As soon as I press or scroll the keyboard the test disappears.
    I had burning in my throat and cannot get anything warm past my throat. When eating or drinking even slightly warm I feel the burn in my throat.
    Is this normal, that one can not have a warm drink or warm food in LPR.
    After no difference with ppi for 3 weeks went to ENT said the lower phyrnx looked little red so it may silent reflux. I have no other symptoms.
    Some weeks later the tongue started to burn and then this increased to the roof of the mouth. I have been staying away from fried stuff, citrus fruits but eat mild curry. Yet there’s no difference. Recently i started having a feeling of something stuck in the throat. I decided to go on a complete blend diet, but 3 weeks later and no difference noticed.
    I’ve been given medication for desensitising my mouth.
    Been told now that because of the bms I will not realise the difference in my throat even if there was any.

    1. Hi Zakir, I had some technical problem with it. I think it should be resolved now and be working as intended. It’s not normal as you mentioned. But some foods and drinks can easily cause that issue of the burning if you have LPR. Should be considering diet firstly and working from there.

      It does sound like LPR from what you mentioned. I definitely would suggest taking a look at my wipeout diet. A more precise diet plan is likely what you need to help stop your symptoms.

  3. David,
    I have been trying to get a diagnosis of my issues that I have been dealing with for over a year. I have a smell that I have been breathing for quite sometime. It seems to bother my sinuses and my eyes. I cannot really smell well and I foods don’t taste like they should. I have begun having mild ear aches, plugged ears on both sides and sore glands under the ears. I have also had a sore neck and my equilibrium seems to be affected and I walk or exercise. I have a slight sore throat in the back of the throat, some hoarseness and clearing of the throat. I have a weird taste in my mouth and a little bit of a sore tongue. I have also experienced some mucous, especially in the morning when I am brushing my teeth. June 2nd I had a bad vertigo attack and ended up in the hospital for 2 days. Extreme dizziness and extreme fatigue. The fatigue has subsided for the most part, but still feel unbalanced. I have had and EDG with a bravo test. Concluded that I have reflux but no H. Pylori. I am on a PPI but seems to do no good for my other issues I am having. I don’t have any breathing issues or a lump in my throat. I have had an MRI of the brain and it was normal. My Dr. doesn’t seem to know what I am dealing with and wants to send me to the ENT Dr. for a scope of the sinuses and throat. I’m not sure if I have LPR but it seems I have a lot of the symptoms. Do you have any suggestions or ideas? I have been trying to limit trigger foods and beverages and sleep with the head of the bed raised 6 inches.

    1. Hi Paula,
      It definitely sound like LPR from what you have suggested. I have had some of them symptoms myself at some point or another. I would 100% suggest diet changes, firstly eliminating the trigger foods and then if that doesn’t help enough following a more precise diet plan for LPR like my wipeout diet.

  4. Weird, posting a comment seems to have fixed the issue.

    Scored 13. I’m always that person. I never fit firmly anywhere on charts, which always leaves me questioning.

    1. I would say 13 is still a score where you can and should have LPR, it’s just more definitive when you get a higher score. You could simply have slightly less minor LPR would be more assumption.

  5. Glad came across your blog thank you. My husband is suffering from Lpr, he has lost his appetite and food getting stuck in the throat. Not sure what to do.j

    1. Hi Lena,
      It’s firstly important to stop acid reflux trigger foods such as spicy, fatty, processed etc, see more here. Also following a more precise diet plan may be need like my wipeout diet.

  6. Hey David, I just started about 2 weeks ago I started with having a metallic taste 1 whole day after drinking with my family then I got a left side sore throat with ear pain and after that I have really ugly acid taste that last all day I’m scared because every time I eat my throat starts to get tight right after.. I went to ent doc said my throat is healthy and ran an endoscopy down my nose to throat and said that looks good. Before all of this has started I had a lot of throat clearing and burping because I would eat a lot of acidic foods and spicy foods. Doc prescribed me with omeprazole 40mg but only works a little bit. I do have anxiety and stress as well I did the exam and rated me a 41 so what do you think Mr. David ?

    1. Hi Mariano,

      Definitely sounds like LPR, that is a high score and similar to what I had when I first had LPR myself. Diet changes are the most important, eliminating trigger foods and lifestyle changes like not eating soon before bedtime are important. In your case I would suggest my wipeout diet plan, that has the most fine tuned diet to help you feel better as soon as possible.

  7. Hi David,
    I am so glad I found this page. I scored 15 and I have been dealing with hoarseness, constant nasal drip and clearing of throat for the past 4 months. I also feel burning in my throat but that came after the other symptoms. Have you heard of the Acid Watcher Diet? I was doing it but I didn’t have much improvement and found it really strict. Should I see a better result with your diet?
    Thanks 🙏🏼

    1. Hi Sharna,
      Yeah that score is a good indicator of LPR. I do know that diet. I would say my diet is similar to it though there are some important difference that I do feel make an important difference when it comes to LPR. Also things I have learnt myself and my readers which I have incorporated into the diet.

  8. I was recently diagnosed with lpr by an ENT but it was the gastroenterologist that prescribed Pantoprazole. I took it for 2 months and felt slight improvement. I stopped it when I started experiencing heart palpitations. Now I’m following your diet recommendations and just ordered gaviscon advance. I am getting slightly constipated probably because I’m not taking the Metamucil. I’m wondering if it would hurt with the low acid diet. I think I’m still rebounding from the meds.

    1. Definitely work on helping and stopping your constipation. Ideally naturally if at all possible. There is and could likely be a correlation between your LPR and your constipation. It increase the chance of bile reflux which also is a common cause of LPR. The meds may unbalance the digestive system that’s why I suggest if it’s possible to not use them.

  9. Hi I have had throat/ear/jaw issues since having covid, gp said everything looked fine so I went to a private ent who saw inflammation and suggested it was due to lpr and advised gaviscon advance. Is there any way of finding out what has caused it, I have never had reflux problems before. Also can lpr cause a really dry mouth and ear pressure?

    1. Hi Laura,
      It can be challenging to know exactly what caused it or is causing it now. For some people it could be diet, for some being overweight, for some it could be medication or others it could be things like stress and anxiety making things worse. And yes LPR can cause a dry throat and mouth, and also can irritate the ears and cause the ear pressure for some people. I personally recommend, putting some olive oil into the ear this helps moisten the ear and helps with the ear problem usually caused by the ears becoming to dry because of the pepsin from the reflux entering the ear canal.

  10. Hey David,
    I’m fairly new to all of this as I was battling what I thought was basic heart burn with tums nightly. After almost a year I finally said something is going on and I started talking more with my doctor. We finally scheduled an upper endoscopy and the results we not great. They diagnosed me with severe esophogitis or Barrett’s and GERD. They put me on a high dose of omeprazole and a sheet of paper that told me everything to stay away from. I’ve been doing a lot of research myself just like you had to because there has been no hand holding going on from the medical professionals. After stumbling across your web page and blog, it has really opened up my knowledge of everything going on with me. The PPI’s don’t really seem to be doing much, I have a constant burning in the back of my throat, all the mucus symptoms and if I accidentally over eat a little I feel like a pile of garbage. The most frustrating part is that they told me with the Barrett’s, that if it gets worse that it turns to cancer and currently there is no way to reverse Barrett’s. I’m almost certain I have LPR and I’m waiting another month and a half to have another endoscopy to determine if anything is getting better or if surgery is needed. That’s my story for now, thanks for listening, do you have any knowledge of Barrett’s other than what the doctors ha e told me and google??

    1. Hi Adam,
      Thanks for explaining. From my own knowledge barrets is simply damage to the throat or digestive tract that is at a worsened stage. Though I have heard stories of it being reversed naturally. So I wouldn’t take what the doctors have said for granted in that sense.

Leave a Reply

Your email address will not be published. Required fields are marked *

Scroll to Top