symptom tracker

Acid reflux symptom tracker

Acid reflux and heartburn

Gastroesophageal reflux disease, or GERD, is a digestive disease characterized by chronic acid reflux, which occurs when stomach acid flows back into the esophagus. If you suffer from chronic heartburn, acid reflux, or similar symptoms, you may have GERD.

Complete the symptom tracker below and share the responses with your gastroenterologist. Each question represents a potential symptom for GERD. Information on this site should not be used as a substitute for talking with your gastroenterologist for potential diagnosis and treatment information.

Do you experience coughing?1-2

Do you experience regurgitation?1

Do you experience a burning feeling in your chest (heartburn)?1

Do you experience acid backing up into your throat or esophagus (reflux)?1

Do you have trouble swallowing?1,3

Do certain foods or drinks trigger discomfort?

Does discomfort typically start after these activities (laying down, exercising, sleeping, eating within 3 hours of going to bed)?

Do symptoms cause disruptions in your life?

How frequently do you experience symptoms?

You’re almost done. Please enter your information to get your risk assessment response results.

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Medtronic collects the information you provide in this form such as your email address, postal code, and country code if you choose to provide it. By checking the boxes below, you acknowledge our terms and provide consent to contact you via email to send you marketing and educational email information about reflux diseases, Barrett’s esophagus, esophageal cancer, gastroenterologists, and relevant Medtronic products. Medtronic retains this information collected for up to two years unless you contact us and unsubscribe.

Medtronic collects the responses you provide in the symptom tracker questionnaire to send you your personalized symptom results. The questionnaire contains yes/no questions about your health history, race, sex, age, and family medical history. You do not have to provide this sensitive personal information. This information is collected for the sole purpose of providing questionnaire results to you, and all individual responses will be deleted after 48 hours.

Your information is not shared with anyone, nor used for cross-context behavioral advertising or sold. For more information on our data practices, please see our Medtronic’s Privacy Policy.


  1. 1. Spechler SJ, Souza RF. Barrett's Esophagus. N Engl J Med. 2014;371(9):836-45.
  2. Kurokawa R, Kanemitsu Y, Fukumitsu K, et al. The diagnostic utility of the frequency scale for the symptoms of gastroesophageal reflux disease questionnaire (FSSG) for patients with subacute/chronic cough. Journal of Asthma. 2021;58(11):1502-1511. doi:10.1080/02770903.2020.1805750
  3. Madsen MM. M. Barrett esophagus. Salem Press Encyclopedia of Health. 2019. Accessed March 7, 2022.