How I Cured My Silent Reflux: The Counterintuitive Path to Healing Acid Reflux, GERD, and Silent Reflux (LPR)

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How I Cured My Silent Reflux: The Counterintuitive Path to Healing Acid Reflux, GERD, and Silent Reflux (LPR)

How I Cured My Silent Reflux: The Counterintuitive Path to Healing Acid Reflux, GERD, and Silent Reflux (LPR)

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Upper oesophageal sphincter (UOS) dysfunction; the valve at the top of the oesophagus can become over-active in response to a failing LOS in an attempt to protect the airway. This may be responsible for LPR symptoms such as Globus. However, the role of the UOS in LPR remains unclear. 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. Anxiety – Anxiety is often two fold 1. social stigmas from bad breath or hoarse / muted voice and 2. a side effect of vitamin B12 deficiency, a common side effect of long term acid reflux medication usage.

Low residue; if gastroparesis is diagnosed a diet low in fibre can help and this should be dietician supervised. Certain physical characteristics may make some individuals more likely to develop LPR, including those who have: If your doctor suspects silent reflux, they may prescribe reflux medication. If the medication eases your symptoms, you may be able to continue taking that medication. The medicine will also help stop any damage the silent reflux is causing. But it will not reverse it.Spechler SJ. Gastroesophageal Reflux Disease and Eosinophilic Esophagitis. Gastroenterol Hepatol (N Y). 2019 Feb;15(2):111-113. PMID: 31011306; PMCID: PMC6469260. It’s also important to avoid chocolate, mints, and spicy foods because they’re known to weaken the esophageal sphincter. Ziverel; in addition to helping to protect the lining of the oesophagus this can also help repair of its lining. It is currently undergoing evaluation in LPR. Ok, next I’ll share some treatment options I consider when someone walks through my doors with silent reflux. Natural Treatments For Silent Reflux If you are suffering with the symptoms of LPR, don't despair, it can be treated. We have collected some stories of people we have successfully treated. You may recognise the cycle of frustration they experienced while trying to get an accurate diagnosis. We were able to provide this diagnosis and an effective treatment plan.

PPIs; The Proton Pump Inhibitors including Omeprazole, Esomeprazole, Lansoprazole. This class of powerful acid suppressants can be very helpful in patients with heartburn, but generally they are much less so in LPR. At most half will find some benefit. If Pepsin is the primary cause anti-acid drugs are likely to be of marginal help, if SIBO is responsible they may exacerbate the problem and the difficulty of rebound hyper-acidity following their prolonged can also pose a problem. Consequently, its essential that the right diagnosis is made before committing to taking PPIs long term. Wei C. A meta-analysis for the role of proton pump inhibitor therapy in patients with laryngopharyngeal reflux. Eur Arch Otorhinolaryngol. 2016 Nov;273(11):3795-3801. doi: 10.1007/s00405-016-4142-y. Epub 2016 Jun 16. PMID: 27312992. Ready for some relief? Just enter your details in below, and get the guide straight to your inbox for FREE! Low Stomach Acid 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.In addition to medicine, your doctor may recommend several lifestyle changes. These lifestyle changes are designed to help reduce risk factors that increase your chances of reflux. These lifestyle changes include: Losing weight. All reflux symptoms can be worsened by excessive weight and a diet designed to reduce this can reduce symptoms. However, many people with LPR are of normal weight. A person could eat a grilled fish fillet with steamed vegetables, such as broccoli, for a filling meal that should not aggravate silent reflux.

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 Using alginate supplements immediately after meals may help reduce reflux so that your esophagus can heal. Other LPR Treatments That May Help Lechien, J. R., et al. (2020). Patients with acid, high-fat and low-protein diet have higher laryngopharyngeal reflux episodes at the impedance-pH monitoring [Abstract].


An endoscopic exam, an office procedure that involves viewing the throat and vocal cords with a flexible or rigid viewing instrument Melzer J, Rösch W, Reichling J, Brignoli R, Saller R. Meta-analysis: phytotherapy of functional dyspepsia with the herbal drug preparation STW 5 (Iberogast). Aliment Pharmacol Ther. 2004 Dec;20(11-12):1279-87. doi: 10.1111/j.1365-2036.2004.02275.x. PMID: 15606389. Ear infections – The ear, nose, and throat are all connected so inflammation, bacteria, and mucous responses can express through any of the three organs. 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

If you suspect you have one or both of these reflux types, make an appointment to see a doctor. A heartburn problem is worth investigating, especially if you’re experiencing symptoms more than twice a week for several weeks. Have you ever had a feeling of butterflies in your stomach when you were doing something new, risky, or scary? That is because the gut and brain communicate with each other and are intricately connected. In fact, over the last twenty years a whole new field of medical science has emerged around this topic, called the gut-brain axis. Astonishingly, the gut which is often referred to as the second brain, has more than 500 million neurons. As you may know, the neuron is the fundamental unit of the brain and is responsible for interpreting sensory input and sending motor commands to the body. Melzer J, Iten F, Reichling J, Saller R. Iberis amara L. and Iberogast–results of a systematic review concerning functional dyspepsia. J Herb Pharmacother. 2004;4(4):51-9. PMID: 15927925. For adults with silent reflux, some lifestyle changes can keep the throat from becoming dry and irritated. She was a bit reluctant to admit a problem like silent reflux could be causing such a debilitating cough and subsequent decline in her health. That changed when we put her on an elimination diet.Pro-kinetics: drugs that improve gastric motility have been known to help improve symptoms in some patients. Its possible that this is because in this particular group gastroparesis is the underlying problem. However, these drugs generally can’t be taken long term and diagnosing this accurately is obviously essential. Difficulties swallowing (dysphagia) – Many LPR sufferers experience trouble swallowing due to throat inflammation. Silent reflux is common in infants because their sphincters are undeveloped, they have a shorter esophagus, and they lie down much of the time. The cause in adults is not known. Symptoms of LPR As I mentioned previously, herbal bitter formulas can also be helpful for increasing tone in the esophageal sphincters. This prevents reflux in the first place! You should only use bitters under supervision. They may not be suitable if you have acid reflux as they can increase stomach acid and worsen symptoms. More often they are helpful in non-acid reflux which we see commonly in silent reflux. Acupuncture Low stomach acid; There are some authors that blame reflux on low stomach acid and suggest taking additional acid as a treatment. However, there is currently no scientific evidence to support this theory.

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