Table 3. Gastroesophageal reflux disease questionnaire (GerdQ).
Within the last 7 days… | 0 day | 1 day | 2–3 days | 4–7 days |
---|---|---|---|---|
1. How often did you have a burning feeling behind your breastbone (heartburn)? | 0 | 1 | 2 | 3 |
2. How often did you have stomach contents (liquid or food) moving upwards to your throat or mouth (regurgitation)? | 0 | 1 | 2 | 3 |
3. How often did you have a pain in the center of the upper stomach? | 3 | 2 | 1 | 0 |
4. How often did you have nausea? | 3 | 2 | 1 | 0 |
5. How often did you have difficulty getting a good night’s sleep because of your heartburn and/or regurgitation? | 0 | 1 | 2 | 3 |
6. How often did you take additional medication for your heartburn and/or regurgitation, other than what the physician told you to take? (such as Tums, Rolaids, Maalox) | 0 | 1 | 2 | 3 |
Questions 1, 2, 5 and 6 are reflux positively related; questions 3 and 4 are reflux negatively related.