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Regurgitation Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Regurgitation. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you had regurgitation?

    Why: to determine if acute or chronic.

  2. What contents are regurgitated?

    Why: e.g. acid regurgitation describes the intermittent, sudden and spontaneous appearance of bitter tasting fluid in the mouth; food regurgitation refers to emitting already swallowed food or drink after eating. Note regurgitation is different to vomiting where the food is digested.

  3. Is there anything that makes the regurgitation worse?

    Why: e.g. big meals, assumption of horizontal posture, belching, bending over.

  4. Does the problem come on at night soon after you go to bed?

    Why: would suggest gastro-esophageal reflux.

  5. Does it wake you at night?

    Why: may suggest gastro-esophageal reflux.

  6. Does bending over (gardening) make it worse?

    Why: suggests gastro-esophageal reflux.

  7. Past medical history?

    Why: e.g. gastro-esophageal reflux may be associated with scleroderma, pregnancy or obesity.

  8. Medications?

    Why: e.g. non-steroidal anti-inflammatory medications (2-4 times the risk of gastric ulcers), anticholinergics, aspirin, calcium channel blockers, corticosteroids, digitalis, lipid lowering medications, narcotics, slow release potassium supplements, theophylline, tricyclic antidepressants and tetracycline - may all cause gastro-esophageal reflux.

  9. Nicotine smoking?

    Why: Cigarette smoking is an important cause of reducing the pressure of the lower esophageal pressure and thus increasing the risk of gastro-esophageal reflux. Cigarette smoking also increases the risk of esophageal cancer.

  10. Alcohol history?

    Why: Alcohol is an important cause of reducing the pressure of the lower esophageal pressure and thus increasing the risk of gastro-esophageal reflux. Alcohol also increases the risk of esophageal cancer.

  11. Heartburn?

    Why: typically heartburn is a burning discomfort behind the sternum (breastbone) that radiates to the throat, associated with acid reflux, aggravated by heavy meals, swallowing hot and cold fluids, stooping, lying flat and lifting and straining, more likely to occur at rest than with exertion. Heartburn associated with regurgitation may be due to gastro-esophageal reflux, reflux oesophagitis, hiatus hernia, peptic ulcer and scleroderma.

  12. Waterbrash (excess secretion of saliva into the mouth)?

    Why: may suggest gastro-esophageal reflux, hiatus hernia or peptic ulcer.

  13. Cough?

    Why: may suggest various complications of acid regurgitation. Some people complain of waking up episodically with the sensation of choking such that they will cough vigorously, but rarely produce any sputum, get out of bed and go to an open window to catch their breath. Other people may just describe a chronic dry cough without sudden exacerbations. Asthma may sometimes be precipitated by gastro-esophageal reflux.

  14. Hoarseness of the voice?

    Why: e.g. acid regurgitation may result in irritation of the larynx and cause hoarseness of the voice. Usually the acid regurgitation occurs at night, so hoarseness is most evident in the morning, and gradually settles as the day passes.

  15. Waking up with a bad taste in the mouth?

    Why: may be due to acid regurgitation at night.

  16. Difficulty with swallowing both solids and liquids?

    Why: consider achalasia, scleroderma or diffuse esophageal spasm.

  17. Difficulty with swallowing solids only (nil difficulty with swallowing liquids)?

    Why: suggests esophageal cancer until proven otherwise.

  18. Significant weight loss?

    Why: very often associated with advanced esophageal cancer, esophageal stricture or advanced achalasia. Should always be investigated.

  19. Hand swelling and/or thickening and tightening of the skin of the fingers?

    Why: may suggest scleroderma.

  20. Symptoms of gastro-esophageal reflux?

    Why: e.g. heartburn, aggravated by bending, stooping or lying down, relieved by antacids. May have pain with drinking hot liquids or alcohol. Regurgitation of food and acid into the mouth may occur, particularly when the person is bending or lying flat. May be associated with pregnancy, obesity, cigarette smoking, scleroderma, eating chocolate or fat, drinking coffee or alcohol.

  21. Symptoms of esophageal cancer?

    Why: e.g. progressive difficulty with swallowing; initially there is difficulty with swallowing solids, but eventually difficulty with swallowing liquids also occurs. Pain occurs if food gets stuck due to narrowing of the esophageal lumen. Weight loss occurs due to difficulty with swallowing and also due to reduced appetite.

  22. Symptoms of achalasia?

    Why: e.g. intermittent difficulty with swallowing both solids and liquids; regurgitation of food into mouth from the esophagus may occur, particularly at night; occasionally food may get stuck; drinking large quantities of fluids help force the food through if food gets stuck; severe pain behind the breastbone due to dysfunctional contraction of the esophagus; weight loss may occur but is usually not marked.

  23. Symptoms of esophageal diverticulum?

    Why: e.g. difficulty with swallowing, undigested food is regurgitated into the mouth, especially when the person is lying down. The person may have to manually massage the neck after eating to empty the sac. The person may also experience swelling of the neck, gurgling noises after eating, bad breath and a sour metallic taste in the mouth.

  24. Symptoms of scleroderma?

    Why: e.g. difficulty with swallowing, heartburn, hand swelling and/or thickening and tightening of the skin of the fingers, Raynaud's phenomenon.

Conditions listing medical symptoms: Regurgitation:

The following list of conditions have 'Regurgitation' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Regurgitation or choose View All.

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