Silent Reflux or LPR

Our bodies are so complicated that sometimes we can figure things out more than the Drs because we know ourselves better than they do. What a lucky day it was when you saw the young intern. Sometimes a fresh pair of eyes is needed. Also, remember that some Drs passed their exams in the bottom half of the class!

Yes, I had silent reflux a few years ago. It was a horrible, miserable experience and it took me a long time to finally get the correct diagnosis after going to many different specialists. I had a chronic cough, very sore throat, and had nasal irritation and a continuous nasal drip. Actually, I was diagnosed with acid reflux, not silent reflux, and was told to take OTC medications and a few foods to avoid - that did not work for me at all. My gastroenterologist prescribed the drug named Dexilant. It was very expensive, totally worth it, and I only took it for about 3 months. In addition, I totally eliminated foods that could possibly contribute to the reflux. I highly recommend that you get the book by Dr. Jamie A. Koufman named The Chronic Cough Enigma: How to Recognize Neurogenic and Reflux Related Cough. She provides recommended foods to avoid and a lot of other good information. I believe that she still has a practice in New York City. I hope this info is helpful to you.

¿What do you usually eat? Did you take the medication on an empty stomach?

I followed the guidance that was in Dr. Koufman's book. You can find a lot of valuable info on her webpage under the blog section. One of them is this article:
https://jamiekoufman.com/is-a-vegan-or-vegetarian-diet-good-for-acid-reflux/
As far as the medication, I don't remember if I had to take it on an empty stomach or not. Dexilant is a drug that you need to wean yourself off of. Fortunately, it was very effective for me.

I hope this is helpful.

Hi, I think most likely i have sient reflux/ LPR. i see a ENT this coming week. i have had the symptoms for about a year. symptoms started shortly after my galbladder surgery. i did have the 24 hour monterty ph test. which was very unpleasant but it came back negetive. i never thought i had gerd my GI at the time did cause i was overweight. but i did see a ent last summer but he was awful. at the time i was hoping my symptoms were just worsening allergies. ( i later found out it wasnt. ) but this ent said i had silent reflux but he did no kind of testing, just put that string up my nose that gives you a picture and then he started talking about surgery, etc i just looked at him strangely. i did not have a good feeling about him then basicly he gave me a script for astylin which is a very strong alergy nasal spray. his words to me was to use the astylin for 4-6 weeks. if it works its allergies if it doesnt its silent refux and basicly that was it so i never went back to him. i am hoping this new ENT i will be seeing is much better. i do have a routine i do at home just to give me temp relief. but i am hoping this new ent wil be able to let me know for sure and give me ideas better ones for me to do.

What is LPR? What coffee is goof for acid reflux....mine is silent

Low acid coffee, and probably decaf is even better. I like Lucy Jo which I obtain via Amazon. Ground or whole bean.

Others have been mentioned in this thread.

Best wishes to you! Cindy

Thank you

So, just so I understand correctly, when you have LPR, can it also reflux up as high as your frontal sinuses. Because I am also suffering from constant nasal drip, and inability to breathe through my nose, which comes and goes, and is especially bad in the eve.. If I cannot breathe through my nose, I have a anxiety attack. I have self medicated with nose spray, Mucinex, Vicks, neosinephryn, Tylenal severe sinus, humidifier, Neilmed sinus wash, and if it helps, it is only for a very short period. If this is so, why does GI tell me they have never heard of this?? Some days I just sit and cry, and pray.

Yes! It is called silent reflux also. There is plenty of information in this thread. GI doctors many times prescribe drugs that are not necessarily appropriate for this condition, like PPI’s.

Dr. Jamie Koufman has written numerous helpful books but you can also sign up for her blog, which addresses quite a few topics.

Best wishes to you! Cindy