From: Prospective Acid Reflux Study of Iran (PARSI): Methodology and study design
Symptoms | Frequency | Intensity | Severity | ||||||
---|---|---|---|---|---|---|---|---|---|
Heartburn, Acid regurgitation, Non Cardiac Chest Pain, Chronic Interscapular Pain | None (0) | With specific food (1) | Less than weekly (2) | 1–3 times per week (3) | Almost every day (4) | Several times a day (2×) | Do not feel it if don't think about it (2) | Feel it, but not interfering with work and/or daily life (3) | Interfering with work and/or daily life (4) |
Halitosis, Water Brash, Nausea, Hoarseness, Globus, Bitter Mouth | None (0) |  | Less than weekly (1) | 1–3 times per week (2) | Almost every day (3) | Several times a day (2×) | Do not feel it if don't think about it (2) | Feel it, but not interfering with work and/or daily life (3) | Interfering with work and/or daily life (4) |
Dysphagia, Odynophagia | None (0) | With specific food or condition (1) | Less than weekly (2) | 1–3 times per week (3) | Almost every day (4) |  | Relieves spontaneously (2) | Relieved with drinking water(3) | Only partially relieved by ingesting large amounts of water (4) |
Chronic Cough, Sore throat and mouth | None (0) |  | Occasionally (1) | Most days (2) | Almost every day (3) | Almost all day long (2×) | Not interfering with work and/or daily life (2) | Interfering with work and/or daily life (3) |  |
Anorexia | None (0) |  | Less than weekly(1) | 1–3 times per week (2) | Almost every day (3) | Several times a day (2×) | Although present but I take almost normal amount of food (2) | I have cut my food intake (3) | I am almost unable to take any food (4) |
Belching | None (0) | With specific food or condition (1) | Less than weekly (2) | 1–3 times per week (3) | Almost every day (4) | Almost all day long (2×) | Not interfering with work and/or daily life (2) | Interfering with work and/or daily life (3) |  |