7-Day Symptom and Food Diary for GERD/Acid Reflux

I highly recommend that you keep a food diary for GERD/Acid Reflux and other GI conditions.

Why? I am glad you asked…

If you don’t know what is making you sick, how are you going to get to the root cause? (I am sure you want to get off the PPIs and over-the-counter antacids since you are here 🙂

That’s why I have created a simple easy-to-fill-out cheat sheet (you can probably edit it with a PDF editor) if you prefer digital versions.

If you suspect that foods may trigger or worsen your symptoms of gastroesophageal reflux disease (GERD), try keeping a one-week daily symptom diary. Share the information with your doctor during your next visit. It may help to gain a better understanding of your symptoms.

For the next 7 days, keep a record of any and all heartburn and other symptoms you may have, and how often they occur. Record each symptom each time it occurs, even if it occurs several times a day. Make sure your diary is accurate and complete.

Throughout each day record the time of day, description (food and amount), activity, and any symptom that follows (including “none”).

Name the symptoms you experience.

For reflux disease (GERD) or chronic heartburn, a one-week daily food diary may help you get the most out of getting to the root of what is making you miserable or even bring it to your next Doctor’s appointment.

Learn more about how to keep track of your symptoms and print out this free 1-week diary template to help you track your symptoms and what foods, activities or situations affect YOU.

Click the image below to access PDF or click here