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Reflux Symptom Index (RSI) Name: Date: Instructions: Within the last MONTH, how did the following problems affect you? Circle the response that best describes your symptoms with 0 No Problem and 5

How to fill out reflux symptom index rsi

How to fill out reflux symptom index rsi

1. To fill out the Reflux Symptom Index (RSI), follow these steps:
2. Start by giving a score from 0 to 5 for each of the following nine symptoms:
3. Hoarseness or a problem with your voice
4. Clearing your throat
5. Excess throat mucus or a feeling of a lump in your throat
6. Difficulty swallowing or a sensation of food sticking in your throat
7. Coughing
8. Spitting up or vomiting
9. A sour taste in your mouth or bad breath
10. Heartburn or a burning sensation in your chest
11. Rate the severity of each symptom based on how often you experience it in the past month, with 0 being none and 5 being severe.
12. Add up the scores for all the symptoms to get your total RSI score.
13. Submit the completed RSI form to your healthcare provider.

Who needs reflux symptom index rsi?

1. The Reflux Symptom Index (RSI) is typically needed by individuals who suspect they may be experiencing symptoms of acid reflux or gastroesophageal reflux disease (GERD).
2. It is used by healthcare providers, ENT specialists, or gastroenterologists to assess the severity and frequency of reflux-related symptoms in order to make a diagnosis or monitor the effectiveness of treatment.
3. People who frequently experience symptoms such as heartburn, hoarseness, coughing, throat irritation, or difficulty swallowing may benefit from filling out the RSI to better understand their symptoms and communicate with their healthcare provider.

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What is reflux symptom index rsi?

Refux Symptom Index (RSI) is a questionnaire used to evaluate the severity of acid reflux symptoms.

Who is required to file reflux symptom index rsi?

Patients who are experiencing symptoms of acid reflux are required to fill out the Reflux Symptom Index (RSI) form.

How to fill out reflux symptom index rsi?

To fill out the Reflux Symptom Index (RSI), patients need to answer a series of questions related to their acid reflux symptoms on a scale from 0 to 5.

What is the purpose of reflux symptom index rsi?

The purpose of Reflux Symptom Index (RSI) is to provide a standardized way to assess the severity of acid reflux symptoms in patients.

What information must be reported on reflux symptom index rsi?

Information reported on Reflux Symptom Index (RSI) includes the severity of symptoms such as throat clearing, heartburn, and difficulty swallowing.