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The GERD Score It is used before and 6 months after the treatment, and assesses the severity (on a 4-point scale) and frequency (on a 5-point scale) of 6 GERD symptoms (heartburn, regurgitation, epigastric or chest pain, epigastric fullness, dysphagia, cough).
[15] Other physical findings of LPR include edema of the false and true vocal cords with or without ventricular obliteration, diffuse laryngeal and pharyngeal edema, erythema, hyperemia, thickened mucus, mucosal ulcers, and even subglottic stenosis in extreme cases.
It is graded as mild (1 point) to obstructing (4 points). Hypertrophy of the posterior commissure is a frequent finding in LPR. It is graded as mild (1 point) (Fig.
An RSI of more than 13 is considered to indicate LPR. It ranges from 0 to 45 (worst possible score). Reflux finding score,9 on the contrary, is an 8-item clinical severity rating scale based on endoscopic findings. The scale includes most common laryngeal findings related to LPR.
Symptoms that get worse after eating, bending or lying down may further suggest you have GERD. This includes chest pain, or heartburn, which occurs just above the stomach, caused by the contents of the stomach coming up into your esophagus. Typically, most patients will have heartburn and regurgitation.
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RSI is a scoring tool that consists of nine items used to assess various symptoms associated with LPR. Each item has a scale ranging from zero (no complaints) to five (severe complaints), with a maximum of 45 indicating the most severe symptoms. A RSI score higher than 13 is considered abnormal and suggests LPR.

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