Questionnaire for the presence and severity of GERD

Questionnaire for the presence and severity of GERD

The questionnaire contains 6 questions about well-being and related sensations over the past week, divided into three groups.

The first group consists of questions about the presence of symptoms that support the diagnosis of GERD: heartburn and regurgitation (the rapid movement of liquids or gases in the opposite direction to normal).

The second group includes questions about symptoms whose frequent occurrence casts doubt on the diagnosis of GERD: nausea and epigastric pain.

The third group consists of questions about the impact of the disease on quality of life, supporting the diagnosis of GERD: sleep disturbances and the use of additional medications due to existing GERD symptoms.

Test
My results
Reviews
Heartburn and regurgitation
6
How often have you experienced heartburn (burning behind the sternum)?
5
How often have you noticed that the contents of your stomach (liquid or food) come back up into your throat or mouth (belching)?
Nausea and epigastric pain
4
How often have you felt pain in the center of the upper abdomen?
3
How often have you felt nauseous?
Sleep disturbances and additional medication intake
2
How often did heartburn and/or belching interfere with your ability to sleep well at night?
1
How often did you additionally take other remedies (baking soda solution, Maalox, Rennie, Almagel, Phosphalugel, Gastal, Ortanol, Gaviscon) for heartburn and/or belching, besides those recommended by your treating physician?
Answer all the questions to get the result for free and with no registration.
Term:
GERD
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