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Do you have any other symptoms, such as asthma, hoarseness, or stomach pain?
Does pain radiate to another part of your body?
Impact of symptoms
Were you unable to sleep?
Were you unable to go to work?
Were you unable to perform your normal activities?
Possible triggers of symptoms
Are you taking any medicines?
Did exercise make your symptoms worse?
What did you eat? What did you drink?
Did you smoke before this episode?
Were you under stress?
Were you lying down or bending over during the episode?
Treatment
Did you take any medicines—over-the-counter or prescription—to relieve the heartburn? Record all treatments, including antacids, herbal remedies, and home remedies.
Outcome of treatment
Did the medicine provide complete relief? If yes, how long did the relief last?
Did your symptoms persist even though you took the medicine as indicated?
Author: All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
Current as of: October 24, 2023
Author:
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the . Learn .