Does surgery work for Laryngopharyngeal Reflux (LPR)?

Posted by Bpositive @bpositive, Jun 13, 2017

Since December 13, 2016. My symptoms started with a soar throat, soar inflamed taste buds on the tip of my tongue and inflamed salivary glands on my soft palate. My tongue, throat and soft palate had a painful burning sensation that was on and off. My General practitioner referred me to an Ear Nose throat specialist who referred me to an oral surgeon who referred me to an oral pathologist for burning mouth syndrome. After wasting 3 months of running around with these Dr's and being tested for oral thrush, hsv tests, vitamin deficiency tests, auto immune deficiency tests, cultural bacteria tests all which came back normal. I decided to go for a second opinion with another E.N.T. specialist who performed a camera scope and diagnosed me with acid in my throat. I was put on Dexilant and noticed the pain dissipate almost immediately only problem was I couldn't tolerate the medication. I was then put on Tecta and referred to a G. I. My general Practitioner did some blood work for h pylori and I tested positive. I started to develop tinitus in my left ear. I had a gastroscopy where they found a 2 cm Hiatel Hernial and my lower sphincter was weak. Thats when I was told I have a mild case of gerd, but I don't suffer from any heart burn. I was put on triple dose of antibiotics for h pylori and continued with the Tecta, domperadone and sucrolafate. I'm getting a little relief from the PPI and meds but I still suffer from bitter reflux taste and burning pain in my throat, soft Palate, the tip of my tongue and dry mouth that comes and goes. I'm in the process of having a 24 hr ph level test done. The G. I. I was seeing says my esophagus biopsy tested clean and he doesn't believe what is happening in my oral cavity is related to my gut. He stated in order for acid to travel to the throat it has to travel through the esophagus and the esophagus tested clean. Thus he can't help me anymore. I'm so confused my ENT says I have acid in my throat and the G.I. doesn't agree.

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Profile picture for cmdw2600 @cmdw2600

Has anyone been diagnosed with silent reflux or LPR? This is a condition where there is no heartburn, but acid makes its way to the throat. I have had a sore throat/throat irritation for over two years.Would like to treat without PPI and do what I can homeopathically.

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If you want a natural get with a functional med person. I’m using HCl to increase gastric acid with good results. I know it sounds counterintuitive but it’s not. Consider Reflux Gourmet. It’s spendy but good and all natural. Use it at night and elevate the head of the bed.

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Profile picture for cmdw2600 @cmdw2600

Has anyone been diagnosed with silent reflux or LPR? This is a condition where there is no heartburn, but acid makes its way to the throat. I have had a sore throat/throat irritation for over two years.Would like to treat without PPI and do what I can homeopathically.

Jump to this post

I've been on protonx 40mg. 22y's. Pepcid complet w. Got off 8 days ago. Trying to regulate w diet. Fish, chicken, turkey. Fresh fruits & veggies. Can veggies. I know our diet is cutting so much that we enjoy. It has to be looked at as our greatest resolution. Cheat one a week & you'll burn throat & intestines.

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Profile picture for sadiecat @sadiecat

If you want a natural get with a functional med person. I’m using HCl to increase gastric acid with good results. I know it sounds counterintuitive but it’s not. Consider Reflux Gourmet. It’s spendy but good and all natural. Use it at night and elevate the head of the bed.

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I found a couple forms of Reflux Gourmet on Amazon, such as gum and a paste that you eat. Which do you use and do you only take it at night (after a meal or befor bed)? Thanks.

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Profile picture for cmdw2600 @cmdw2600

Has anyone been diagnosed with silent reflux or LPR? This is a condition where there is no heartburn, but acid makes its way to the throat. I have had a sore throat/throat irritation for over two years.Would like to treat without PPI and do what I can homeopathically.

Jump to this post

It’s expensive so I use usually only at night unless I’m eating foos I think might cause reflux at other meals. More effective I’ve noticed if I that it that way. Probably with each meal is optimal. The gum is great as chewing gum increases your stomach acid. Contract to popular belief we need to increase our stomach acid as we get older. Again, a good functional medicine practitioner should be able to help.

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Profile picture for cmdw2600 @cmdw2600

Has anyone been diagnosed with silent reflux or LPR? This is a condition where there is no heartburn, but acid makes its way to the throat. I have had a sore throat/throat irritation for over two years.Would like to treat without PPI and do what I can homeopathically.

Jump to this post

I had esophageal ablation surgery three months ago. They put me on 2 doses of omezprazole, 40mg. After the tissue healed, I had no reflux or heartburn. Until last night. I had what you are calling silent reflux. We are on a long drive and I may have overdone it with some coffee.

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Profile picture for rsedlock1958 @rsedlock1958

I had esophageal ablation surgery three months ago. They put me on 2 doses of omezprazole, 40mg. After the tissue healed, I had no reflux or heartburn. Until last night. I had what you are calling silent reflux. We are on a long drive and I may have overdone it with some coffee.

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You have had an ablation and still drink coffee?? I gave it up years ago, along with alcohol. If you are serious about getting better you may want to give up everything on the “do not eat” list, otherwise you are sabotaging your recovery. Barrett’s is not something I want to tangle with. 😉

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Profile picture for klrick007 @klrick007

You have had an ablation and still drink coffee?? I gave it up years ago, along with alcohol. If you are serious about getting better you may want to give up everything on the “do not eat” list, otherwise you are sabotaging your recovery. Barrett’s is not something I want to tangle with. 😉

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Is it the oils in coffee or the caffeine that is the issue?
How about water filtered decaf ?

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Profile picture for cmdw2600 @cmdw2600

Has anyone been diagnosed with silent reflux or LPR? This is a condition where there is no heartburn, but acid makes its way to the throat. I have had a sore throat/throat irritation for over two years.Would like to treat without PPI and do what I can homeopathically.

Jump to this post

Coffee is acidic and has caffeine which loosens the muscle which allows acid to flow back up the esophagus. You can buy low acid coffee like healthwise off Amazon. It comes in decaf too.

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Profile picture for annie104 @annie104

Is it the oils in coffee or the caffeine that is the issue?
How about water filtered decaf ?

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Coffee has caffeine and is very acidic, which is a problem for those of us with this problem. I’m surprised your DR didn’t educate you about this and put you on a low acid diet. There is a “Gerd” diet. The next step after “Barrett’s” is potentially cancer, so I take this very seriously 😳

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Profile picture for michelle34 @michelle34

Hi, I’ve been suffering with LPR for 5 months. I’ve tried multiple PPI’s, H2 blockers, and antacids. I’ve changed my diet and elevated my bed. I’ve been to multiple gastrointestinal doctors and ENT’s that can’t seem to help me. I’m not getting any relief and my symptoms are getting worse. On a daily basis I have burning in my chest and ears, sore throat, constant sour taste in my mouth, post nasal drip, and asthma. I think the worst part is my mental health. I’m battling anxiety and depression everyday and fear that I am going to be stuck like this forever. I was wondering if anyone is suffering these symptoms and has any advice? I appreciate any one who can reach out
Thank you,
Michelle

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Michelle, I know this is an old post. I’m new to this forum. How are your symptoms now? Have you found any solutions to this LPR other than diet change? Why don’t doctors instant this illness.

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