To find out what treatment options may be available for your heartburn and acid reflux symptoms, fill out the short assessment below to send to our specialists. Do you have heartburn more than two times a week? Yes No Have you had a hard time swallowing in the past month? Yes No In the past month, do you feel like your food is stuck in your throat or you have a lump in your throat? Yes No Have you been coughing and wheezing but don't have respiratory problems (cold, allergies, etc.) Yes No Are you hoarse or have a sore throat in the mornings? Yes No Does your heartburn get worse after eating? Yes No Does your heartburn wake you up at night? Yes No Would you like us to contact you to schedule an appointment? Or please call 512.509.4373 if you would like to call us to make an appointment. Yes No First Name Last Name Phone Number (xxx-xxx-xxxx) Email Address Message to the Heartburn and Acid Reflux Center