Gastric Reflux Screening

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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 Sleep Apnea. 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.

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 voice 0 1 2 3 4 5
Clearing your throat 0 1 2 3 4 5
Excess throat mucous or postnasal drip 0 1 2 3 4 5
Difficulty swallowing food, liquids, or pills 0 1 2 3 4 5
Coughing after you ate or after lying down 0 1 2 3 4 5
Breathing difficulties or choking episodes 0 1 2 3 4 5
Troublesome or annoying cough 0 1 2 3 4 5
Sensations of something sticking in your throat or a lump in your throat 0 1 2 3 4 5
Hearburn, chestpain, indigestion, or stomach acid coming up 0 1 2 3 4 5
Total your score.
A score of 15 or more means that you have a 90% chance of having reflux

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Integrative Dental Medicine | Save Your Life Campaign | ID Life | Sleep Apnea Screening | Gastric Reflux Screening | Diabetes Screening | Salivary Bacterial Testing | Nutritional Support