dr9ohm · GI Overlap Symptom Score

Multi-symptom GI overlap
Layer triage (not a disease diagnosis)

Quick answer (BLUF): A 0–15 triage for overlapping reflux, epigastric, and bowel patterns in the same week. Does not replace GERD, URD, or IBS layer scores.

5 triage items (0–3) + profile + urgent — routes you to the right layer; does not replace layer scores

How to answer

Symptoms: 0/1/2/3 · Other: Yes/No.

Inspired by Rome IV / ACG GERD & IBS education / NIDDK · Asst. Prof. Dr. Norawit Raatpiboon

Triage score (Raw Score)

0 / 15

Items answered 0/5 · Profile 0/5 · Urgent 0/5

Part 1 — Layer triage items (scored)

Q1: Reflux layer (GERD / LPR)

How often do you have heartburn, sour regurgitation, morning cough/hoarseness, or need extra pillows?

0 — None
1 — Mild (1–2 days/week)
2 — Moderate (3–4 days/week)
3 — Severe / almost daily, life-disrupting

Q2: Stomach layer (epigastric burn)

How often is burn/fullness/pain under the xiphoid stronger than mid-chest and meal-related?

0 — None
1 — Mild (1–2 days/week)
2 — Moderate (3–4 days/week)
3 — Severe / almost daily, life-disrupting

Q3: Bowel layer (IBS / constipation)

How often do you have stool-related pain, bloating with changed stool form, hard stools, or alternating loose stools?

0 — None
1 — Mild (1–2 days/week)
2 — Moderate (3–4 days/week)
3 — Severe / almost daily, life-disrupting

Q4: Multiple layers in the same week

How often do 2+ layers (chest / epigastrium / bowel) occur in the same week?

0 — None
1 — Mild (1–2 days/week)
2 — Moderate (3–4 days/week)
3 — Severe / almost daily, life-disrupting

Q5: Stacking products without sorting layers

How often do you stack acid reducers, coating sachets, and probiotics/laxatives without sorting symptom layers?

0 — None
1 — Mild (1–2 days/week)
2 — Moderate (3–4 days/week)
3 — Severe / almost daily, life-disrupting

Part 2 — Profile (not in the 15)

Not in the 15.

1. You have never done the GERD Severity Score despite mid-chest burn or morning cough

Yes
No

2. You have never done the epigastric score despite burn under the xiphoid

Yes
No

3. You have never done the bowel score despite stool-related abdominal pain

Yes
No

4. You are considering stopping prescribed medicine and using multiple supplement sachets instead

Yes
No

5. You also have non-GI symptoms such as heavy hair shedding or abnormal gynecologic bleeding

Yes
No

Part 3 — Urgent symptoms (not in the 15)

Any Yes → see a doctor now.

1. Chest pain to arm/neck/jaw with cold sweat or shortness of breath

Yes — see a doctor now
No

2. Black stools, vomiting blood, or blood in stool

Yes — see a doctor now
No

3. Food sticking or rigid abdomen without flatus

Yes — see a doctor now
No

4. Unintentional abnormal weight loss

Yes — see a doctor now
No

5. Unrelenting vomiting or sudden pale weakness

Yes — see a doctor now
No

0 points

Start multi-symptom triage

When complete, use the matching layer score — this page does not replace GERD/URD/IBS scores

Important notes (Red Flags)

Cardiac-sounding pain, GI bleeding, obstruction signs, or sudden weakness → emergency care. Then complete the matching layer score (GERD / epigastric / bowel).

What a 0–15 score means

Symptom-density bands — not a diagnosis

Score	Band	Meaning	What not to do
0–4	Not dense yet	Keep tracking; do not skip red-flag signals	Do not delay exams because of ads
5–7	Starting to recur	Plan to see a clinician for this system	Do not add supplements on your own
8–10	Clearly disruptive	Do not ignore — book a visit	Do not use a quiz instead of a clinic visit
11–15	High density	Check Red Flags now	Do not treat this as a diagnosis

Frequently asked questions

Does a high overlap score diagnose three diseases?

No. It flags overlapping patterns so you can run the right layer score next.

Should I skip GERD/URD/IBS scores?

No. This is triage first; layer scores still matter.

Can I stack acid reducers and probiotics based on ads?

Sorting layers first is safer than stacking products blindly.

Urgent Yes but low score?

Urgent Yes wins — seek care now.

Non-GI symptoms?

Use hair-loss, cervical, or other layer scores as appropriate — do not force everything into GI.

Medical Disclaimer: For general education only — not personalized medical advice. Triage only — not a disease diagnosis.
Seek care immediately for dangerous signals · Asst. Prof. Dr. Norawit Raatpiboon
· Thai twin: https://dr9ohm.com/gi-overlap-symptom-score/