Gastric Reflux Screening: It is our commitment that every person we care for will be screened for gastric reflux.


Gastric Reflux Screening: It is our commitment that every person we care for will be screened for gastric reflux.

Gastric reflux occurs when stomach acid (also bile and digestive enzymes) moves up into the esophagus, throat, mouth, nasal passages, and/or lungs. It is often associated with sleep apnea, where a negative pressure is created due to a blocked airway. It is also associated with an acidic, American diet. In recent years Esophageal Cancer has been the fastest growing cancer in the U.S. Significant risk factors include gastric reflux, Barrett’s esophagus (chronic inflammation), male, over 55, overweight and smoker.

60% of the adult population will experience some type of gastro-esophageal reflux disease (GERD) within a 12 month period. Less than 15% will be medically screened. It is our commitment that every person we care for will be screened for gastric reflux. You can complete the Koufman Reflux Symptom Index below as an initial self screen. If the screen indicates a higher risk, we can pursue a complete diagnosis together.


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Reflux Symptom Index (RSI) Screening

Reflux Symptom Index (RSI) Screening



Withing the last MONTH, how did the following problems affect you?
“0” = No Problem, “5” = Severe Problem


Hoarseness or a problem with your voice012345
Clearing your throat012345
Excess throat mucous or postnasal drip012345
Difficulty swallowing food, liquids, or pills012345
Coughing after you ate or after lying down012345
Breathing difficulties or choking episodes012345
Troublesome or annoying cough012345
Sensations of something sticking in your throat or a lump in your throat012345
Hearburn, chestpain, indigestion, or stomach acid coming up012345
Total your score.
A score of 15 or more means that you have a 90% chance of having reflux.




Schedule a Consultation

Let us help you. Call 727-282-1980 or contact us for an appointment.


Contact Us

Schedule a Consultation

Let us help you. Call 727-282-1980 or contact us for an appointment.


Contact Us