Getting an accurate diagnosis of your LPR is essential. The tests we use will enable us to do this for you and will also inform your treatment plan. Read more about how we diagnose LPR and the tests we use here. LPR Treatment Success Stories In addition to the more common symptoms listed above, the following complications can manifest in cases of extended silent reflux. Gastroesophageal reflux (GER) and gastroesophageal reflux disease (GERD) in adults. (2014, November 13.) Retrieved from

Brown J, Shermetaro C. Laryngopharyngeal Reflux. [Updated 2021 Mar 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519548/ Difficulties swallowing (dysphagia) – Many LPR sufferers experience trouble swallowing due to throat inflammation. If you decide to pursue the silent reflux diet, doctors recommend eliminating high-fat foods, sweets, and acidic beverages.So eating lower acidity foods and drinks obviously directly helps with that. But for LPR you also have another important thing to consider – the pepsin. The reason the pepsin effect is important is because when it enters the throat it can lays dormant in the cells in your throat etc. even after the acid reflux has stopped. And because pepsin is activated more with a higher acidity level this means if you eat something more acidic and it passes over the throat and reactivates the dormant pepsin this means you get irritation and your symptoms will be worsened – this is what causes LPR symptoms. Lastly, on the topic of low stomach acid I want to mention the fact that the stomach is designed as a highly acidic environment. In fact, as a measure of acidity from 1-14pH, with the highest levels expressed in low numbers, stomach acid is naturally in the range of 1-3 pH. This is slightly less potent than battery acid! Normally, the stomach, its mucosal lining, and your anti-reflux barriers are more than a match for this highly corrosive environment. It is necessary for digestion, to kill harmful pathogens in support of your immune system, and to support healthy balance of gut bacteria. For this reason, it is quite often that Small Intestinal Bacteria Overgrowth (SIBO) or Irritable Bowel Syndrome (IBS) often accompany low stomach acid.

TIF ®; this may be appropriate for patients without a hiatus hernia or who don’t want to undergo laparoscopic surgery.

Summary

Medical Factors: Surgery, Low Acidity, Medications (Asthma, Blood Pressure, Depression Medications, Sedatives, Antidepressants, Narcotics, Tranquilizers, …)

https://www.bridgerent.com/wp-content/uploads/2012/12/Laryngopharyngeal-Reflux-Disease-and-Dietary-recomendations.pdf Low residue; if gastroparesis is diagnosed a diet low in fibre can help and this should be dietician supervised. It’s also been suggested that melatonin supplementation can protect your esophagus from stomach acid [ 22, 23]. Including melatonin supplements at bedtime may help reduce reflux and protect your esophagus from the negative effects of reflux. Motility Supports and Prokinetics for Reflux Bang CS, Yang YJ, Baik GH. Melatonin for the treatment of gastroesophageal reflux disease; protocol for a systematic review and meta-analysis. Medicine (Baltimore). 2019 Jan;98(4):e14241. doi: 10.1097/MD.0000000000014241. PMID: 30681611; PMCID: PMC6358381.Oesophageal Inlet patch; there is evidence that in some patients a small patch of acid secreting tissue at the top of the oesophagus can cause irritation of the adjacent larynx and pharynx. In these patients this is probably an embryological remnant. Research of this condition is on-going. For breakfast, a person may wish to consider eating oatmeal or another wholegrain cereal. Wholegrain cereals can be filling, which means that a person will need less to feel full until lunch.