RFS — Reflux Finding Score
8-item laryngoscopic examination score (Belafsky 2001) for LPR. Total 0–26. Score >7 abnormal. Useful pre/post PPI to monitor response.
Score interpretation
→ Address other causes. Re-examine if symptoms persist on PPI.
An RFS above 7 identifies laryngopharyngeal reflux (Belafsky 2001).
→ PPI BD 12 weeks + alginate; lifestyle. Re-scope at 12 weeks to confirm response. Voice therapy referral if vocal-fold oedema or hoarseness. Biopsy if leukoplakia or asymmetric oedema (rule out malignancy); specialist clinic, pH-impedance and manometry if refractory.
Interpretation bands for the RFS. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Adult Upper Airway Obstruction (Stridor) · DAS 2015 unanticipated difficult airway; RCEM
- Epistaxis Management · ENT-UK / NICE
- Acute Otitis Media · NICE NG91 2018
- Tonsillitis and Sore Throat · NICE NG84 2018
- Benign Paroxysmal Positional Vertigo · NICE CG124 / AAO-HNS Guidelines
- Acute Rhinosinusitis · NICE NG79 2017 / EPOS 2020
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.
