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

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

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Thank you

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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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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.

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Profile picture for rosemaryhow @rosemaryhow

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.

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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

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Profile picture for rosemaryhow @rosemaryhow

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.

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Hi,
Please YouTube and Google: apple cider treatment for LPR. Really gave me some relief from the symptoms you describe, as well as being a cheap solution!,,

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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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The recommendation to use apple cider vinegar for silent reflux has no scientific basis and can make LPR symptoms worse. Bad advise.

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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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Thankyou Cindy. I am going to check out Dr. Kaufman

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Profile picture for rexsan20 @rexsan20

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

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I drink low acid coffee from Lifeboost, ordered online. It comes caffeinated or decaffeinated, dark, medium or light roast; several flavors, beans or ground. I found it helpful for my reflux along with eliminating alcohol and some foods.

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Profile picture for t98 @t98

If your non-medical attempts do not resolve the reflux, then you should treat it medically because untreated acid reflux can cause esophageal cancer. You can first try Tums and/or gaviscon, and if this is not enough then a non-PPI, such as famotidine. (H2 blocker) If these don't work, then you should go to a PPI.
Keep in mind that if you have throat irritation, even if you've started medication it will take a week or two for the throat soreness to go away, so you need to give it that chance to heal and then see if it gets better with the meds.

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Should you see an ENT dr or a GI for silent reflux? Im trying to find my way through this.

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Profile picture for rosemaryhow @rosemaryhow

navia, I just want to say that I truly understand how you feel. This problem has truly put a damper on my life. The strange thing is that I was sent to ENT who said it was a GI issue, and to go back to GI. When I described my Sx. to GI and asked him if he ever heard of it, he said NO. I have been through all the tests except for the one you mentioned which he says is very painful. I have learned more from everyone on this site, than from this very large group of GI docs.I have read a lot about it. I can tell you that concentrated sugar products make it worse, especially chocolate. I can say that I have tried Mucinex for mucous relief and it has helped. I also bought a new cool mist humidifier for bedtime, and point it toward my face, and it has helped.I go back to see GI next month. I think I have received more help from people on this site than from the GI docs.Just my feelings. Take care and best of luck.

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So glad to see your post. I’m in month seven and feel like I’m navigating on my own.

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Profile picture for rocket102 @rocket102

Should you see an ENT dr or a GI for silent reflux? Im trying to find my way through this.

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You should see a gastroenterologist.

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