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Gastrointestinal

Acid Reflux Assessment Quiz

If you answer yes to two or more questions call our Heartburn and Reflux Center Care Coordinator, Dianne Duncan (407) 303-2689. 

How often do you experience heartburn, the burning feeling behind your breastbone?

  • Never
  • Daily
  • Once a week
  • Once a month

How often do you experience regurgitation or have stomach contents (liquid or food) move upwards to your throat or mouth?

  • Never
  • Daily
  • Once a week
  • Once a month

How often do you experience discomfort or pain when swallowing?

  • Never
  • Daily
  • Once a week
  • Once a month

How often do you have difficulty sleeping because of your heartburn and/or regurgitation?

  • Never
  • Daily
  • Once a week
  • Once a month

Do you have a chronic cough and if so how long have you had the cough?

  • Never
  • 1-6 months
  • 1-2 years
  • More than 2 years

Do you cough more when lying down?

  • Yes
  • No

How often do you take over the counter medications such as Tums, Rolaids, Pepcid, Alka-Seltzer, Maalox, etc.?

  • Never
  • Daily
  • Once a week
  • Once a month

How long have you been taking prescription or over the counter proton pump inhibitors like Prevacid, Nexium, Protonix or Prilosec?

  • Never
  • 1-6 months
  • 1-2 years
  • More than 2 years