Reflux symptoms with a normal endoscopy and poor PPI response: what is worth clarifying?

A normal-looking endoscopy does not tell whether biopsies were taken or objective reflux was established.

This answer makes the sequence of symptoms and prior evaluation worth reviewing with your clinician.

If you are unsure, the dated original report or prescription can often answer a more useful question than memory alone.

Swallowing symptoms and allergy history help determine whether reflux is the only relevant explanation.

This can be relevant, but timing and clinician examination determine its significance.

You do not need to guess; the next questions can focus on what is reliably known.

More than one pathway can be relevant. A full history may show which features deserve attention first.