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Need information on Laryngopharyngeal Reflux

Digestive Health | Last Active: Jun 4, 2023 | Replies (31)

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@jord

I have LPR. Started with coughing a lot for six months and drs could not figure out why. they put me on antibiotic. Then, found out had Diaphragmatic sliding hiatal hernia. Can't take PPIs or H2 Blockers as I start having fast heartbeat and SIBO and thrush. I have used a lot of Nystatin liquid thrush meds several times, and one day started having pain where the ribs meet in middle and getting bloated under ribs and now my throat is inflamed and rarely pills get caught in my throat, and have lots of mucous. Anything I eat causes pain in middle and sometimes shortness of breath. I am supposed to have a procedure done called Endoflip to check for esophagus and LES to see if LES is loose which I think it is.
I am told to eat several small meals during day instead of 3-4 big meals, chew food 30 + times, even while eating eggs, don't bend over for 1-2 hour after eating, respect your fullness cues, don't eat four hours prior to sleeping, use a wedge 6-8 inch high while sleeping. Sugar, bread, dairy, oily foods like bacon or fatty meat makes my LPR worse. Berries are good, if you can eat them, walnuts, almonds and pumpkin seed are not good, but rest of nuts okay. Avocados, bone broth, broccoli, olives, extra virgin olive oil, grass fed low fat meat,, whole eggs pasture raised and wild salmon are good, they are anti inflammatory. I gurgle also with warm water and baking soda. Don't use toothpastes made with mint. Brush your teeth, tongue and mouth several times during day with baking soda and water or get a baking soda toothpaste. Always drink warm water. Sip warm water all day. The only thing helped me was Tagamet, but got Sibo, so I stopped it.

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Replies to "I have LPR. Started with coughing a lot for six months and drs could not figure..."

I take melatonin for the LES to keep it relaxed and closed. Did research 9n this and melatonin does work. Been taking it ever since with good results

Have you been treated for your SIBO? That is really important as that can be the root cause of reflux.

I have LPR and recently had the Bravo meter implanted (four days) to measure acid. Reflux was confirmed so my GI doctor has me on famotidine, but also wants me to sleep at a 45 degree incline. I purchased a 10” and a 12” wedge and am finding either one impossible to implement-end up sliding down until I am basically not elevated at all.

Do you sleep on your back with your wedge pillow?

Thank you, Cindy