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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Have you heard of Xylimelts? They are tiny discs that you place between cheek and gum at night to stimulate your salivary glands. I am 70 year old female and have suffered with dry mouth and throat for years. I believe this lack of saliva contributed greatly to my diagnosis of LPR last month. Although I mentioned the constant dry mouth and throat to several doctors over thevyears, I got nothing but the 'hmmm' response. Finally I mentioned it to my dentist's assistant during a routine check up. She gave me a sample pack of Xylimelts. I have never used the term 'life-changing' but that's what these little discs have been. I used to wake up 2-3 times a night with a choking sensation and struggling to swallow. Since using these I have not had that problem even once- and it's been two months. I wish I had found these years ago as I think (and am doing research to support this) that the lack of saliva allowed the acid, bile salts, and other 'gastric juices' to flow upward to my esophagus. If you have awakened in the night with that 'choking' sensation, I strongly recommend you try these. About $8 over the counter (I went to CVS) or a little more online for a pack of 40. Way cheaper than all the PPIs, etc with no side effects. There is so much conflicting information about LPR I had to mention this. It has not been a cure but may have been preventative and has at least Xylimelts? They are tiny discs that you place between cheek and gum at night to stimulate your salivary glands. I am 70 year old female and have suffered with dry mouth and throat for years. I believe this lack of saliva contributed greatly to my diagnosis of LPR last month. Although I mentioned the constant dry mouth and throat to several doctors over thevyears, I got nothing but the 'hmmm' response. Finally I mentioned it to my dentist's assistant during a routine check up. She gave me a sample pack of Xylimelts. I have never used the term 'life-changing' but that's what these little discs have been. I used to wake up 2-3 times a night with a choking sensation and struggling to swallow. Since using these I have not had that problem even once- and it's been two months. I wish I had found these years ago as I think (and am doing research to support this) that the lack of saliva allowed the acid, bile salts, and other 'gastric juices' to flow upward to my esophagus. If you have awakened in the night with that 'choking' sensation, I strongly recommend you try these. About $8 over the counter (I went to CVS) or a little more online for a pack of 40. Way cheaper than all the PPIs, etc with no side effects. There is so much conflicting information about LPR I had to mention this. It has not been a cure but may have been preventative and has at least made life a less uncomfortable.If you try it, please post back as I'd like to know about your experience. Good luck to us all.

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Profile picture for klrick007 @klrick007

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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It is the acid.

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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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I drink a glass of alkaline water each evening and when it gets bad I take Synogut capsules.

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Profile picture for navia @navia

I too have been diagnosed with LPR. I agree that the book Dropping Acid is very good and it also explains why we have this problem. I have tried following the diet and didn't find it helped very much but it is hard to keep it up for long. I don't eat fried foods and I never drink sodas but I do like a glass of wine with dinner. I notice that ice cream aggravates me a lot and also cookies and of course chocolate but generally I find that eating anything makes me worse. I have tried Pantoprazole for a year but it didn't help and I also have some Gaviscon Advance which is difficult to find in the USA but I found it on Amazon. There is a Dr Peter Dettman who is an expert on Pepsin which is the main cause of LPR. Also Dr Christopher Chang who is an ENT specialist that does work in this field.
I would be very interested if you or anyone else has found some homeopathic treatments.

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Hi, what medical examinations and tests did you do to get the diagnosis?
I have undiagnosed GERD and LPR, although I have reflux esophagitis up into the nasopharynx...
PPI don't help, nor Riopan (supposed to neutralize stomach acid and reduce gas formation). I tried Gaviscon, too, but it didn't help either.
I have constant pain in the stomac and, like you, I react to nything I swallow.
Can you tell me more about how Pepsin is the main cause of LPR?
Thanks and wishing you all the best.

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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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Hi, when do you drink this?

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Profile picture for jo5678 @jo5678

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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I took am looking for help. I can't tolerate PPI because of side effects. It's a miserable condition

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Profile picture for kbro2010 @kbro2010

I have avoided trigger foods since August 3rd when I found I had LPR. Im not a drinker. I would have the occasional soda that’s all. I’m on a low fat, low acid diet. And I’ve lost 30lbs 🙁 I’m now 105. I have always been a slow eater. That eats small meals. I have recently started to had a small snack between lunch and supper. I eat supper before 5pm to give it time to digest before bed. I have not had the manometry test. That was one of the test my GI doctor suggested after the Bravo. Thank you for replying

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what does the manometry test show?

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Profile picture for lumberguy007 @lumberguy007

what does the manometry test show?

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The test measures the pressure and contractions of the esophagus. They wanted to make sure everything was working the way it should. I had no issues. The test itself is awful. At least it was for me.

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Profile picture for kbro2010 @kbro2010

The test measures the pressure and contractions of the esophagus. They wanted to make sure everything was working the way it should. I had no issues. The test itself is awful. At least it was for me.

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Is it done in office? Painful? Did it help out you in the right direction for treating LPr?

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Profile picture for bonnieh218 @bonnieh218

I was taking omeprazole 40 mg twice a day for only two weeks when I stopped it because of side effects and I had lots of the rebound effects for a couple of weeks until I started another PPI. Sorry, that’s probably not what you wanted to hear, I imagine this is probably true with most if not all PPI meds.

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My sister and I both developed severe GERD which was alleviated by eliminating Sucralose from our diets. I actually lost my voice for 6 months due to reflux. It’s worth a try.

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