GERD Risk Assessment

This confidential assessment can help give you a better idea of your risk of developing GERD. While it can’t replace an evaluation by a medical professional, it’s a good starting point to better understand your digestive health and get the best possible care.

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25%

Progress 25%

GERD

Check your risk level on developing chronic GERD.

*This tool does not replace an evaluation by a medical professional.

In the past week, how often did you have a burning feeling behind your breastbone/chest (heartburn)?*

In the past week, how often did you feel the unpleasant sensation of stomach contents (food or liquid) move upward in your throat or mouth (regurgitation)?*

In the past week, how often did you have pain in the center of the upper stomach region?*

In the past week, how often did you have nausea?*

In the past week, how often did you have difficulty getting a good night’s sleep because or your heartburn and/or regurgitation?*

50%

Progress 50%

GERD

Check your risk level on developing chronic GERD.

*This tool does not replace an evaluation by a medical professional.

In the past week, how often did you take additional medications for your heartburn and/or regurgitation (such as Tums, Pepcid, Prilosec, etc…)?*

Within the last month, was hoarseness or a problem with your voice:*

Within the last month, was excess mucous in your throat or postnasal drip:*

Within the last month, was difficulty swallowing food, liquid or pills:*

Within the last month, was coughing after eating or lying down:*

75%

Progress 75%

GERD

Check your risk level on developing chronic GERD.

*This tool does not replace an evaluation by a medical professional.

Within the last month, was difficulty breathing or choking episodes:*

Within the last month, was a troublesome or annoying cough:*

Within the last month, were sensations of something sticking in your throat, or a lump in your throat:*

Within the last month, was heartburn, chest pain, indigestion or stomach acid coming up in your throat:*

100%

Progress 100%

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