Houston Heartburn Doctors GERD Self-Assessment

Are you suffering from frequent heartburn? If weekly or daily acid reflux symptoms are interfering with your quality of life, you may have GERD (Gastroesophageal Reflux Disease). Perhaps you have been diagnosed with GERD or chronic acid reflux, but your current treatment plan is no longer effective. GERD is a progressive disease and when medication can’t keep up, it may be time to explore other options.

The doctors at TLC Houston’s Heartburn Center, a partner of Nobilis Health, are experienced in minimally invasive treatments for long-term relief of GERD symptoms. Our Houston heartburn specialists created this self-assessment to help you figure out if GERD treatment could be right for you.*

do or do not , there is no try

Has a medical professional previously diagnosed you with GERD?

Yes

Do you experience these symptoms? (check as many as apply)

Frequent burning sensation behind breast bone

Difficulty or pain when swallowing

Scratchy or sore throat

Bad breath or acidic taste in your mouth

Persistent cough not related to another condition

Do your symptoms affect your daily life by:

Limiting your ability to enjoy certain foods/drinks

Preventing you from sleeping through the night

Causing regurgitation after meals

Causing regurgitation while lying down

Requiring you to take daily medication

How would you rate the severity of your heartburn and acid reflux symptoms?

Mild - the symptoms are infrequent and tolerable

Moderate - symptoms occur weekly, with some pain

Severe - the symptoms are frequent and painful

Which best describes your current heartburn or GERD treatment plan?

I don’t have a plan and I’m not sure how to treat my symptoms

I use medications, but I’m frustrated because they don’t always work

I use medications and I’m happy with the results

I have had a medical procedure to treat GERD, but I still experience symptoms

None of these quite describe my situation, but I’m interested in treatment options

What is your #1 concern with heartburn or GERD treatment?

Effectiveness

Side Effects

Cost

Knowledge and compassion of the doctor

We’ve helped many people find relief from GERD symptoms. Enter your information to learn which treatment options at TLC Houston’s Heartburn Center may be able to help you:

First Name

Last Name

Phone

Zip Code

Are you ready to experience relief? We are here to help! Our Insurance Coordinators have helped thousands of patients get approval for treatments.

Get a FREE Insurance Verification

Yes

I Do Not Have Insurance

Height

Weight (lbs)

Date of Birth

Your Preferred Surgeon

Undecided

Scarborough

Mehta

Primary Care Doctor

Referring Physician

Insurance

Primary Insurance Holder's Name

ID Number

Group Number

Insurance Phone Number

Questions/Comments

*Communications through our website or via email are not encrypted and are not necessarily secure. Use of the Internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use.

*This self-assessment is not meant to serve as a substitute for professional medical advice, diagnosis, or treatment. Consult your physician or another qualified health provider with any concerns you may have regarding a medical condition. In the event of a medical emergency, call 911 immediately.

GERD Quiz

Heartburn and GERD Self Assessment Quiz