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. 2016 Jul 14;83(3):356–363. doi: 10.1016/j.bjorl.2016.05.012

Table 2.

Laryngopharyngeal Reflux Symptom Index (RSI).23 A RSI > 13 can be indicative of laryngopharyngeal reflux.

Last month, how these problems affected you? 0 = No problem
5 = important problem
1. Hoarseness or voice problem 0 1 2 3 4 5
2. Clearing the throat 0 1 2 3 4 5
3. Excessive throat or nose secretions 0 1 2 3 4 5
4. Difficulty swallowing food, liquids or tablets 0 1 2 3 4 5
5. Cough after eating or after lying down 0 1 2 3 4 5
6. Difficulties breathing or choking episodes 0 1 2 3 4 5
7. Excessive cough 0 1 2 3 4 5
8. Sensation of something sticking on the throat 0 1 2 3 4 5
9. Heartburn, chest pain, indigestion or stomach acid in the mouth 0 1 2 3 4 5