Do you have severe pain?

Do you have moderate pain that does not get better when you take medicines or use home treatment for the heartburn?

Have you had moderate pain for longer than 1 week that goes away when you take medicines or use home treatment, but comes back after the treatment wears off?

Have you had mild pain for longer than 1 week that does not get better when you take medicines or use home treatment for the heartburn?

Have you had mild pain that comes and goes for longer than 2 weeks?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

Do you have more than a small streak of bright red blood in your vomit?

Do you have material that looks like coffee grounds in your vomit?

Have you had a streak of bright red blood in your vomit, and you are not sure whether the blood is coming from your nose or your mouth when you vomit?

Have you had streaks of blood in your vomit for 24 hours or longer, and you are sure the blood is coming from your nose or your mouth when you vomit?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

Are you unable to swallow food or fluids?

Are you unable to eat normally because it is hard for you to swallow?

Have you lost more than during the past 3 to 6 months for no known reason?

Are you able to eat normally most of the time?

Are your swallowing problems slowly getting worse?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

Do you have severe heartburn after taking medicines to relieve your heartburn?

Do you have moderate heartburn after taking medicines to relieve your heartburn?

Have medicine and lifestyle changes prescribed by your health professional not relieved your mild to moderate heartburn after 1 week?

Have nonprescription medicines and lifestyle changes not relieved your mild to moderate heartburn after 1 week?

Have nonprescription medicines and lifestyle changes not relieved your mild heartburn after 2 weeks?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

Do you think that your heartburn may be caused by a medicine?Note: If your answer is "Yes":Call the health professional who prescribed the medicine before you take the next dose to find out if you should stop taking the medicine or take a different one. An appointment may not be needed.If you are taking any medicine that was not prescribed by a health professional, stop taking it. Call your health professional if you feel that you need to continue taking the medicine or need help controlling your symptoms.

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

Have you lost more than over the past 3 to 6 months for no known reason?

If you have answered "No" to the above questions, go back to Check Your Symptoms and continue to answer the questions to evaluate your symptoms.

Call your health professional immediately.

You have answered "Yes" to a question that indicates you may need immediate care. Call your health professional now to discuss your symptoms and arrange for your care.

• Symptoms are likely to worsen without medical care.
• If you do not have a health professional, seek emergency care.
• Emergency transportation is not needed. However, if you are not able to travel safely either by driving yourself or having someone else drive you, call an ambulance.

You do not need to answer any of the other questions.

Call your health professional today.

You have answered "Yes" to a question that indicates you need to call your health professional to discuss your symptoms and arrange for care.

• An appointment today is usually needed.
• Symptoms are unlikely to improve without medical care.

Return to the Check Your Symptoms section and answer the questions. You may need to see a health professional sooner if you have other more serious symptoms.

You may wait to see if the symptoms improve over the next 24 hours.

You have answered "Yes" to a question that indicates you may wait to see if your symptoms improve over the next 24 hours (or the specified time period). If symptoms improve, no appointment is needed.

• If symptoms do not improve after 24 hours (or the specified time period), an appointment within the next 24 hours is usually needed.
• If appropriate, try home treatment to relieve your symptoms.
• Check your symptoms in 24 hours, or sooner if there is any change.
• Call your health professional if symptoms get worse.

Return to the Check Your Symptoms section and answer the questions. You may need to see a health professional sooner if you have other more serious symptoms.