I had this for over 10 years and didn't realize what it was. Unfortunately most GI and ENT doctors do not have much of a solution for it. The ENT doctor I went to at least did give me a definitive diagnosis. The ones I went to put me on PPIs to" reduce acid damage" which don't work very well and caused other problems like SIBO, Yeast overgrowth and possibly the HPylori I had. These guys are good doctors the problem is that to solve this you have to change your diet and lifestyle extensively that's not something a medical doctor can really help you with.
@@jeannettesamuels3000 I been taking HCL , Slippery Elm and Zinc Carosine for 3 months . And since then I had another "EGD test" and waiting on results in 3 weeks . I been dealing with GUT issues for 4 1/2 years and everyday since that time, I been researching and doing everything possible . Worried about Barrett's Disease ( precancerous ) and Esophageal Cancer . I know of 2 people who DIED from Esophageal Cancer , very scary .
I stopped my painful GERD with magnesium cream before bed nightly. Rub on hairless skin, don't think I'd use it on neck. Use a decent amount...start with at least 2 finger tips smallish scoop. They say the older, stressed, fatter, sickly you are the more you need. I truly believe GERD is a magnesium deficiency. I have to admit, I do have bouts of silent GERD sometimes...as you say there's no good fix, except diet change
It can also be not what you eat but HOW you eat. I realized that I was eating too quickly. I decided to eat more slowly and my silent reflux is getting much much better. This is never mentioned by doctors but this was the cause in my case. Something to consider.
THIS!!! For me it was almost entirely timing. When I eat way slower, breathe beforehand, calm down, sit up straight, and am less stressed and choose to relax, specifically, to eat slower, I my symptoms almost go away no matter what I eat. I mean, there are some exceptions, but overall it's soooo much so this for some people.
20 years of symptoms, including massive dental breakdown and 7 root canals and I am finally understanding what is happening. I was diagnosed with GERD years back and nothing Rxd worked, and no one--not the ENT, not the GI doc, not the dentist --mentioned anything about LRP. The GI told me my LOWER sphincter was incompetent. So many doctors don't do their HW. Thank you for making this video. You all seem thorough and thoughtful, your patients are lucky!
This is just what I needed it's not too complicated. I used to see a ear, nose and throat doctor who was very good. He put the camera up my nose every 3 or 4 months. he was a very good doctor. Then I moved and needed a different doctor he was useless. After watching this I am motivated to find another doctor. Thanks for the information.
I have LPR and low stomach acid. Initially I was diagnosed with GERD and BO; given PPI's which initially worked but a year later after suffering iron deficient anemia, chronic fatigue and sinus problems, I was re-diagnosed with LPR and hypochlorhdria. I no longer take PPI's or any antacids. I now take Betaine and through the day drink lemon water. All my symptoms are gone. I think doctors are all too ready to hand out PPI's without further testing.
Hydrochloric acid supplements, probiotics and ermented food. I discovered that the spincter in your stomach can stop working properly if you don't have enough stomach acid.
@@DR07921 Did you go back to the doctor and he signed off , you are Cured? I been taking Betaine HCL , Slippery Elm and Zinc Carnosine daily . I guess my point is I'm trying to figure out , if I'm healed . If I need to go to GI doctor and find out ( repeat ) if I am really healed.
@@debbiec6216 I did, but I had to explain why I had fully recovered... meaning I have no more symptoms of reflux. I do though, have BA which you can get with low stomach acid and high stomach acid, so I will still need checking periodically.
I had the nasal drip. Didn’t know I was having issues with silent reflux. Thought it was allergies. Now I’ve been diagnosed with Barrett’s. I wished I had know this before.
Thank you so much for teaching about LPR. Most people act like it doesn't exist and I've never gotten a response to any questions I've asked so again thanks.
I'm living proof of that ! 😞 my vocals are ruined because of this ! ... its bizarre I literally get 2 hours after eat meal where I can sing / rap great but before I eat (cos acid will build cos I'd be hungry then I eat and 2 hours after I eat its okay ) usually take slippery elm after meals if it is that bad . But I have clicked that if I jump after meals it pushes the food down and it enables me to belge .and i sound completly fine which is equally very annoying as jarring .. . have been on Proton Pump Inhibitors since I was 7 years old .. which is 20 years now which isn't good or advised . Trying to come off them now to go on H2 blockers .. as atleast they won't disrupt blood vessels . Trial and error for sure !!!
Taking an alginate like Nutritist Refluxter has been a literal life saver for me in my ongoing struggles with LPR. My GI doc just me to take omeprazole and didn't even want to hear about silent reflux and alternative therapies.
I’m 39, active and healthy. I had this issue creep up on me and wasn’t sure how to approach it. ENT or GI Doc? Is this an allergic reaction to food/drink? Am I being exposed to something harmful at work? Here’s what my symptoms look like: Episodic. Could be daily or weekly. Random feeling of pressure in stomach/abdomen. Always regular, never constipated. Usually symptoms begin in the late afternoon or evening. Never in the morning. Worst when sitting, better when standing, best when lying down. Sometimes symptoms begin on empty stomach, sometimes 1-3 hours after a meal. Sometimes consuming a meal would actually help subdue the symptoms if they already began…. Relief of pressure by burp or just involuntary relaxation of stomach/esophagus without trying or with positional change. Then, almost instantaneously, tightness in throat. Like instant dryness/tension/swelling with quick buildup of mucus. Always incessant throat clearing, sometimes globus. Coughing. Asthma-like reaction with variable degree of chest tightening. Sometimes tightness in my back between shoulder blades. Then the sinuses. Complete shutdown and closure. Sometimes burning/stinging. Never any heartburn or feeling of liquid acid in my throat or elsewhere. It is almost gaseous. Symptoms can last for hours or even days. These symptoms started slowly many months ago and gradually progressed in intensity and regularity. In an instant, I will feel like I’ve gone from running on 8 pistons to 4. It can wreck my day. I am nearly certain that I’m experiencing a reaction to pepsin rising from the stomach to places that it shouldn’t be. If the onset of symptoms cannot be prevented, the pepsin needs to be neutralized and washed out. Here are some suggestions if this applies to you: Neti pot will save me if I can address the symptoms in time, as they’re starting. I also pay attention to internal stomach pressure and take OTC gas medication after meals. This, I believe, keeps pressure off of the LES so the pepsin doesn’t escape the stomach via LES. The other game changer is just a baking soda and water solution to gargle. It will save you when the symptoms set in. I wish everyone luck with this. I don’t believe in PPIs as a magic wand. The journey to figure out whether or not this was allergy/exposure related was extremely difficult. As a funny aside, I am a cop. I was wondering if my pepper spray was leaking and stopped carrying it on my duty belt. Of course I drink a lot of coffee late at night to get me though my shifts. Compression from my ballistic vest isn’t helping, either. Meal management, positional changes (less sitting, pressure on stomach) spice/caffeine/acidic food & drink avoidance should help.
It's 100% diet. I had it really bad to the point that a prominent pulmonologist misdiagnosed me with COPD. Both times I went on a strict ketogenic diet, all of my symptoms disappeared within a few days. I can't say it was cutting carbs, however, because if I take a shot of honey it relieves my symptoms almost immediately. My best advice is to be vigilant for a good two months keeping a food diary. That should give you enough data to identify the foods that trigger your LPR. Coffee and high fat foods were definitely not my triggers, because on keto, I drank lots of coffee and had mostly high fat foods. My worst offenders are processed foods that use cheap industrial oils like vegetable oil - that's almost all processed foods (cookies, cakes, many breads). It seems like if I just eat meat, fish, eggs, fruit, vegetables I'm fine. My symptoms were all the usual suspects: globus, chronic cough caused by stealth post-nasal drip, throat clearing etc. Acid sneakily shoots up to the larynx and it sets off a cascade of Ear, Nose, and Throat issues.
@@Versiongurl It's "pure honey" from Golding Farms. They are in North Carolina, but I think their product is sold nationwide. I think it's just masking the problem temporarily because it coats the throat and takes away the constant tickle from LPR that causes a cough reflux. For me, if I eat a nutrient dense diet with real food and do moderate exercise (even just walking for an hour a day) this problem goes away completely within a few days. If I become sedentary and eat (sugar, flour, cheap oils) like those found in cookies, cakes, breads etc., the problem comes roaring back. I've dealt with this and conquered it and dealt with it and conquered it over and over and over. It's the same pattern every time - at least for me.
@@nancyj795 I used Manuka honey once before just a couple of times and I can’t say for sure if it helped or not. You did give a lot of insight. You have me thinking differently about my own personal situation with this. I am not active like I used to be. Honestly, this condition along with a smell sensitivity (hyperosmia, heightened sense of smell) I developed led me to resign from my job. It flipped my life upside down.
@ronakvyas once you are established, please help people who has Acid Reflux and Esophagus , because this is two health issues, that needs 100% help . I am so serious. I have no clue how to heal Erosion Esophagus and Acid Reflux . I have been to many Specialists and they wasn't much help , which is very sad . I don't want to end up with Barrett's or Esopheal Cancer ... All I am asking , what do I take to Heal to get better . I can see how stress and anxiety plays a part .
an ENT told me I had silent reflux after putting a camera up my nose & into my throat - the only symptom I had was occasional heartburn usually in the evening & usually from eating certain foods & sometimes when I when to bed (ie lying down) a reflux pain at the entrance to my stomach - they gave me a PPI to use which Ive decided to take for a while mainly to see if it helps clear up my sinus issue which is the far more significant problem I have as its stoping me sleeping - I dont want to get addicted to it though so wont take it for months on end
I hope someone sees this and can help me… I’ve had acid reflux in the last few years, and I’m sure it started with stress. Then it kind of went away and I started coughing at night, sometimes almost strangling out of a sound sleep. I have been literally exhausted for the last two months which is adding to stress. Not only am I not getting enough sleep I have been choking on water, food, sometimes it seems like I choke on air. I cannot live like this. What can I do to help myself without running to a doctor? I have started using bicarbonate of soda and alkaline water sprays into my sinuses for the post nasal drip and am losing weight- mainly because I’m afraid to eat anything. I’ve choked in restaurants, in grocery stores and at home while eating a meal. This is rough 🥺
You need to get to a gastroenterologist immediately for an upper endoscopy. Your throat may need dilated. I had this. It’s awful. Don’t t use scented laundry products they can make it worse by creating inflammation in the digestive tract. No scented stuff. Just get rid of it. No harsh cleaning chemicals either. Go eco friendly everything.
@@johnjohng668its crazy u say this bc alot or scents irritate my nose and throat and chest. Its hard to explain but yeah colognes and everything bothered and bother me till this day.
I am torn between copd as I have lung damage from a child, and reflux. My cough is so frequent and exhausting. Ultra sensitive to everything and a mouthful of cold water sets me coughing as does simply steam from the kettle, cold air/ wind.Teethbrushing makes me foam at the mouth so I use hot water only several times a day. I think I have Laryngeal hypersensitivity too. Try apple cider vinegar diluted in water. Helps a little. It is a very tiring annoying disease sadly.
Thank you so much for this video. I have been suffering for the past five months with post nasal drip, sore throat, a tickle that makes me cough, hoarse voice, thicker mucus inside that causes me to have to clear my throat that is so bad it causes me to choke. Spicy foods do make me cough more. But I'm finally going to go to an ENT after making my appointment 5 months ago. 😅
@Rusha Mainali no when I went to the doctor he didn't help me at all, he said to stop clearing my throat and he gave me a phone number to go to a voice coach.
you have same thing as i am, pls you need to make endescopy, not ENT doctor, i did it and they took biobsy and found i ve Barret disease, first it was Gerd then turn to Barret's which has to be under observation. dont wait pls. just ask for endescopy very easy short procedure.
@@susanchandler2317 I have heard of that , this doctor in NYC , had the same thing as you . He's an expert on all this stuff , we all have going on. I wished he lived close to my region , I'll would already visit him. He's on TH-cam and plus I have his book.
Tonsils.? I had mine removed in quite a course manner when I was 3 in 1948( Uk). Can remember it clearly .just had a thought could this lead to LPR in later life.i am now 79 znd suffer greatly with all the symptoms particularly excessive coughing and globus. I like to try and connect any dots.
I have severe fatigue and just got diagnosed with this thinking it was throat cancer. Do you have any ideas of anything else that it could be or additional testing?
@@addictive7019 yes that is correct. To be healed 100%. I had surgery about 6 months after my post. Still takes time to heal even after surgery. All the damage that was done from the reflux if you had it for a significant time like me just doesn’t disappear overnight. Atleast in my case.
THE NICE DOC WITH GLASSES DESCRIBING SORE THROAT. JOARSE VOICE. ALLERGY & CONSTANT CLEARING THE THROAT IS MOST USEFUL, AS OVER THE PAST 3 YEARS I HAD ALL THOSE.
I've been managing my gerd for months and just a week ago. I suspect that my gerd was turned into a silent reflux now. Because my usual symptoms were almost gone and turned into shortness of breath, clearing of throat in the morning, sour/bitter taste, burning throat, chest pain. Before I take my iron supplement and dealt with constant stress and anxiety. My gerd symptoms was the typical I have been dealing with for months which we bloating, indigestion, lump in the throat, heartburn, dizziness, dry mouth which I can easily managed back then. Now it's a different scenario and it's freaking me out. 😢
same here i had gerd and after 6 months it turned to become silent reflux all those throat stuck shortness of breathe 🤦🏻♀️ but acupressure is helping me out i advise you to look for acupressure videos on youtube for acid reflux indijestion constipation it will help you alot
I thought I was coughing from long Covid… I was coughing and clearing my throat, once in a while I’d lose my voice saying a word my voice would fade out or the word would be lost. I did have a slight ear ache a few times nothing major… only to learn a few days ago I have this diagnosis 😑 thank you!!!!
Since i got bile reflux my throat is sore..i had a nissen surgery before bile problem because i had acid reflux now i don' t know how to control lpr at night..still waiting to see GI
@@Fetherko absolutely this is the common theory. I think the thing to remember with this is that it is very multifactorial and quite honestly. It really is a pain in the ass. I’m a singer, and this has absolutely positively negatively affected my voice. It’s absolutely horrendous. And it’s some thing that comes and goes. The lower esophageal sphincter seems to be the issue not so much acid production in the stomach. And the pepsin is supposed to be the biggest issue here in terms of coming up and irritating the voice box, which creates inflammation and significant mucus production.
they suggested dietary changes, sleep arrangements, time of eating, over the counter acid treatment as first steps. The PPI were down the list. Maybe they suggest these because they know noses.
I have this persistent cough due to a hiatus hernia and have been on ppi for over 20 years now, currently on Esomeprazole 40mg per day, I’m 65 years old and live in the UK, I would like to come off ppi as I read that they are not good for you long term, What would you recommend?
I was constantly clearing my throat and especially during vigorous sports. GERD was suggested by a friend of mine. I also have sleep apnea and am a mouth breather and snorer when I sleep. In my quest to avoid CPAP and improve my sleep situation I started mouth taping. I can tell you that within 2 weeks my throat clearing disappeared. (My sleep apnea also went from severe to mild on my next sleep test) So it wasn’t reflux. This one is tricky indeed. Good luck everyone.
@@debbiec6216 Hi. No I taped my mouth shut at night to stop mouth breathing. Sleeping with the mouth open allows the tongue to fall back into the airway more easily and also contributes to snoring and can contribute to sleep apnea events. I taped my mouth shut in an effort to reduce my obstructive sleep apnea severity. It worked for that and a side bonus was the throat clearing went away. I suspect my throat was getting so dried out at night while breathing only through my mouth that it irritated it and led to my throat clearing.
Hi docs,I.have Silent reflux and a hiatial herniaas well as primary hyperparathyroidism,I am trying to eat alkaline food to not trigger the lpr,but what I would like to know is what foods can I eat that won't trigger the lpr yet provide adequate calories and nutrition.Thanks.
Food that doesn't trigger me are, soaked almonds, walnuts, roasted pumpkin seeds, sunflower seeds, fruits like mango, watermelon, cantaloupe, muskmelon, apple, banana (see if it suits you). Boiled legumes. Oil and sugar to be eliminated. If you can get hold of pure extra virgin olive oil, you can have it. Green leafy vegetables, cucumber, carrots, broccoli. Avoid spicy spices. All these don't trigger me, u try some, and see if it suits you, coz everyone is different. All the best, yeah, I also have roasted flax seed and Nigella sativa seeds. Good luck. Dairy, sugar and seed oils as well as non veg trigger my LPR. So you do what doesn't trigger you.
Anyone experience palpitations on left side with SLR? I have all symptoms, along with palpitations, but no heartburn. Been taking Betain/Pepsin and seems to help. I've been to ER many times and all checks out (3 previous heart attacks due to CAD, been diabetic type 1 for 42 years and am on WFPB No SOS or oils). I also have sleep apnea. After extensive research, I basically have figured it out on my own...
@@magiermexico I had an acid test done and I have low stomach acid not too much so the beta /pepsin helps. They are always too eager to prescribe meds that may not be necessary!
Im praying someone could answer me this question. I took clonazepam for a whole year for anxiert and while I was on it I was fine but after a month of taken my last dose I develope a feeling of something stuck in my throat. In the morning is ok but after my first meal I feel discomfort and slowly starts getting better until the next meal. I dont have a cough and Ive had many tests performed including 2 barrium swallos 1 upper endoscopy and laryngoscopy and others as well. The barriums and the upper endoscopy came back negative to gerd. I do play saxophone as well. Ive read that clonazepam could cause the les to relax and cause lpr. Could the benzodiazepams cause a permanent les disfunction?
I've had constant clearing of my throat for 4 years, along with sticky mucus, hoarse voice and cough. It used to be just ar night but now it's during the day and night. I have a tickling cough, and what looks like spots on the back of my mouth. I am beginning to think it silent acid reflux. It tastes bitter, often exacerbated after eating and lying down. I thought it was just something l would have to live with.
Oh my gosh!!!! This is exactly what I have. Post nasal drip, feeling something in my throat, appetite loss, and now I’m having random acute abdominal pain.
You are probably 100% correct! Gastric acid is very caustic and will cause damage to the lining of your GI tract, including throat and mouth, your sinuses, and even eats the enamel off of your teeth, causing irreparable damage. It can absolutely cause cancer to those areas
What about nausea soon after finishing the meal, burping, then vomiting and constantly having hiccups in days and weeks? and sometimes burping even hours after the meals?
I forget what the actual diagnosis was but my 24 hour Ph monitor test and endoscopies all pointed to upper esophageal reflux with esophageal rings whatever they are and functional esophagus whatever that it. I was sent to voice doctors and they took high resolution video of my vocal cords in action which was painful. My vocal cords are very stained with edema and the area around them are pock marked with white blobs. One of the vocal cords has a small white things sticking out and the cords smash together and stick together. What's more is my pulmonary function test showed stage III I think COPD yet my VO2 Max is superior and all my fitness activities show high functional capacity, low breathing rate and low resting heart rate. I run out of breath when talking sometimes just a few seconds in. I can go all day at max incline on a treadmill and not even breathe hard. My voice sounds raspy and harsh and it hurts to talk and sometimes to swallow. It's been like this for two decades with no improvement except for a period of time when I was on nexium. Now the HMO wont authorize nexium and my throat and esophagus are swollen and it triggered Afib recently when swallowing too much of a smoothie after working out. My voice sounds a little like RFK Jrs at times. It hurts to talk and I run out of breath and energy doing so. Some docs said this is anxiety other said it is GERD and LPR and others have said it is COPD. Not a smoker. Grew up around it though. When I was kid my heartburn was daily and always up in my throat not my chest area. Now it doesnt burn up there it just hurts.
@@emrr9955 Once I had some docs ho put me on 40mg Nexium twice a day and my speech returned to normal and shortness of breath disappeared and my percentage of body fat got down to 9% and my fitness testing was all top 1%. Then a few year later a new doc said the HMO doesnt authorize nexium except for special cases and you arent special. Too me off it and my problem returned a couple years later. Right now back on nexium but hasnt been long enough to see if it is helping. Hoping I dont have throat cancer. The voice and throat docs said I had to be on a good PI but the primary care docs over the years change out every time I go and they dont buy it.
I have constant feeling of something stuck in my throat like lump feeling, a lot of burping the minute I drink or eat something and also a mild chest pain. My doctor said it was Gerd and prescribed me Omeprazole which help somewhat with lump feeling, but 2 hours after I take the meds I feel as if my right side of throat all the way to my ear is clogged, like I have something there. Can this be more LPR or Gerd?
I get like an asthma attack type sensation when I eat.It attacks my breathing from the pepsin being activated by the acid in my stomach causing aerosols to rise into my respitory tract.I do have a 2cm hiatial hernia and Primary Hyperparathyroidism. Can either or both of these conditions cause LPR.?
Had sibo test ,had hydrogen sulphate ,negative ,had linx op , had camera down ,had camera in my nose ,windpipe , had liquard diet , 8 weeks ,had fodmap diet . Still ive got acid in my throat not windpipe my throat ,please please help , tried garggli g bi soda salt , on ppi ,still have sore throat please please help
When I was studying in 8th/9th grade , after having a heavy lunch,I had a nap. And all of a sudden,I woke up gasping for breath and trying to cough out the regurgitation. Until recently I didn’t know it was acid reflux…..I’m scared of laying down after eating something.
Oh my gosh I've had that happen and it truly IS the SCARIEST thing EVER! I have been panic stricken just trying to get rid of what has come up so that I can simply take a breath! This might be TMI but has it ever started coming out of your nose when that happens? It has done that to me on occasion and that acid BURNS the inside of my nose so badly!
what if it's a stomach acid issue? what can come from low stomach acid? Isn't there a connection between low stomach acid and the release of bile/ closure of the sphincter?
Yes I’ve started taking Betaine HCL with meals or even a Tbs or 2 of apple cider vinegar in a cup of water. It was low stomach acid for me. Dr Eric Berg has a great video on reflux and gerd.
@paigen5717 Thanks! I'm leary of "Dr " Berg. He's a chiropractor, but never discloses the nature of his degree, allowing people to believe he is sn M.D.
@@hotwireman49 I believe he has DC after his name corresponding to all his videos. He explains things in so much more detail than any of my PC docs ever have.
@@hotwireman49 Dr Berg is okay for the information, he does research before he even video it for everyone to watch it. I have learned alot from him. I know what you mean by , him not being an "M.D. There's others on youtube who's good too. *I have Low Stomach Acid , do you know or suggest , how to fix it ? I can't be taking ACV because I have Esophagus issues* . *I took a break with dr berg, I noticed different things about him . I have been watching him for many yearss* I hope you are feeing better . I am taking Zinc Carnosine, DGL and Slippery Elm , so far it's helping .
Hello guys...are there safer alternatives to PPI's? I heard long term use is bad. 5 wks ago i started with a mild cough, got bad, then now its just throughout the day. ENT put me on PPI for a month tonsee if that works? Also i read about LINX Procedure but heard some scary reviews on it. Haven't seen a gastroenterologist yet. BTW, he found one of my vocal cords isn't closing all the way, wondering if that is the real issue. Ugh frustrated and tired
This is exactly me constant coughing especially after eating and drinking chocolate or tea with milk my ears and nose feels blocked and runny thanks for this a revelation to clean up my diet .
Acid reflux? I thought LPR was pepsin reflux. An alginate and alkaline water have helped. Cutting way back on all my faves: coffee, caffeine, dark chocolate, tomato products 😢. Timing of eating and reclining help.
Ive got 2cm sliding hitus herna sour liquid in mouth pain between shoulder blades burping gas nausea fatigue been like this over 3 years tried everything all they tell me you shouldn't be getting systoms had all ppi tablets antibiotics also they said operation would be drastic so am at a loss any suggestions please also tried diet
Mine turned out to be a neurological disorder, and going on an anti depressant really turned my LPR around. They also did a swallow study on me, and found that I have Esophogeal Dysmotility Disorder.
Some anti depressants make the LPR worse, but some make it better. You just have to try different ones to find the right formula. Wellbutrin seems to exacerbate my LPR, but Cymbalta 30mg, has made it way better. Good luck!
I have tremendous dry mouth and was recently diagnosed with LPR. My Dr originally thought it was Oral Thrush. Is dry mouth a common symptom of LPR ? Or do I have something else going on?
Do you snore or mouth breathe when you sleep? That can definitely dry out tissues. I had chronic daily throat clearing issues. I was a mouth breather at night and started sleeping with my mouth taped. Within 2 weeks my throat clearing issues vanished. Maybe something to look at?
Low stomach acid. If you have a burning in your stomach when empty get tested for H. Pylori. If you have H. Pylori get this solved first if no H. Pylori then get HCL with Pepsin supplement. Start with low doses. This saved me from major acid reflux, SIBO and candida overgrowth issues. All my health issue started because I drank too much fluids with my meals that diluted my stomach acid and cause dysbiosis. Be safe everyone.
*You just Answer my Question, I been waiting for , 3 months and thank you so so much* I have had a health issue for months. What, I have is an BAD odor , like Sulfur , throughout my body , I smell it, no one else can smell it. What, I think I have because, I have Low Stomach Acid it was DILUTED and I believe it started smelling after I ate and time later drinking . I hope this is how it all started. This been going on for months, and for a while, I thought the smell would go away, well it didn't .
@@debbiec6216hi, do you take probiotics at all? Gut health is extremely important. I was a nurse for over 30 years, and we were always taught that bad odors, bad breath, etc comes from the colon...it COULD also be something in your diet, too....but do yourself a big favor....look up info/videos on healing leaky gut, restoring your biome also, there is a wealth of videos right here on you tube. Most of the info is on dietary changes and can be followed simply after checking with your Dr first!
I've suffered for 5 years with LPR. Have GI, ENT and Allergist involved but they prefer to treat through meds. Some diet, exercise and lifestyle modifications are helpful but substantial relief of symptoms is elusive. I need to travel to a major med facility for more comprehensive testing beyond upper GI and ENT scopes. PPI's, supplements, gargles, and You Tube advice etc. don't provide consistent day-to-day relief. Good luck, and thanks for your channel.
@@melodycristeldelacruz8485 Sorry to hear that relief is elusive. I haven’t found the solution yet. Some things I’ve tried provide sporadic relief but there are always good and bad days. I need to go to a place like Stanford Med or Mayo Clinic for more tests and treatment. 🤞
PPI’s Don’t work for most people with LPR. This is a fact. They can help a tiny bit in the beginning but they do not help long-term at all and come with a myriad of horrible side effects
Baking soda in distilled water sprayed into nose and throat will allow throat to heal and stop throat clearing. Use 1 Tablespoon of baking soda in 2 cups of distilled water. Use several times a day.
@jakubdekys4799 These docs are typical of the medical establishment. They are all about stopping symptoms through drugs. Indirectly helping the Big Pharma. PPIs are the worst thing that you can take. Very often, you need more acid in the stomach for LES to work properly. PPIs do the opposite and give you polyps in the stomach. Medical profession needs to learn how to heal. They will never consider complementary medicine like fasting which helps the body to heal itself. Surgery is a brutal way to treat patients. Medical profession, whilst no doubt saves lives but for chronic conditions it is overrated along with those who practice it! Poor ignorant patient can easily get trapped by the medical system. Watch out.
@@jakubdekys4799 you need to talk to a GI doctor to rule out H pylori or other conditions in your stomach. For me I have LPR but a strict low fodmap diet has been working for me. Maximum 6 weeks because you can get constipated. There is also the low histamine diet. As well as the high fiber diet. In my case the bloating from eating high fiber food which is good for gut health was causing too much gas to be produced and weakened the upper muscle. So that gas that comes up is mixed with some stomach acid. There is a lot of stuff online that has not been proven medically but may work for some people the apple cider vinegar thing has not been proven but my doctor said it doesn't hurt to try. Gl friend hope you find relief!
I have had silent reflux for a few years now, I now have a very sore, hoarse and quiet voice. It is very annoying. I am on omeprazole, Famotidine and Gaviscon advance but nothing seems to help. I have a hiatus hernia but have waited over a year for an appointment with ENT.
@@Wellness101-cu8nd still the same have seen ENT and they just give speech therapy and GP wants to take me off the drugs, am cutting down but still getting the reflux. Voice is a bit louder but not back to normal
Anyone deal with shortness of breath especially when lying down on back? I have shortness of breath all the time but it’s the worse when I lay down. I like literally have to sit up straight. Could this be from LPR?
Guys before theorizing what you may or may not have go to a gastro specialist and get an endoscopy done. Then you can rule stuff out and get the appropriate treatment for your condition.
I’ve been suffering from post nasal drip for about two years now. I take linzess for constipation for about 4 years now. I’ve always had sinus/allergy issues my whole life and I’ve had sinus surgeries plus I’ve been getting allergy shots for about the past 4 years now. The post nasal drip only started a couple of years ago and I don’t think it’s caused by allergies, my doctor suggested acid reflux. I’m starting to wonder if linzess is causing Gerd and the Gerd is causing my post nasal drip. I do have a scope scheduled with a GI but I’m curious if anybody has had this issue with linzess?? I’m just trying to connect the dots.
@@Wellness101-cu8nd Hi, I had my scopes done from my GI Doctor, turns out I had an ulcer in my esophagus, an ulcer in my stomach, Gerd, and a hiatal hernia. All the acid coming up was irritating the throat, pharynx, and esophagus and your body reacts to produce more mucus to try to protect the tissues/mucosa lining. I’m on voquezna, sucralfate, Pepcid, and balofen to help heal the ulcers and reduce the stomach acid production. The meds help but they don’t completely stop the mucus in my throat. The amount has lessened but I still have strong episodes still. The only way to stop it and get off the meds is to have surgery to fix the Gerd and the hiatal hernia. A Nissan fundoplication or a toupe fundoplication was recommended to me but I’m scared to go through with the surgery so I’m still taking the meds. If you’ve ruled out Sinus or Allergy issues, I’d recommend going to a GI doctor and get checked out.
I found this to be disappointing. The vast majority of Acid Reflux patients suffer from low acid in the stomach which causes the lower esophageal sphincter to not close completely. Inhibiting acid production is like putting out a fire with gasoline. Pharmaceutical inhibitors are not the answer. Many people get complete relief by simply consuming a couple of table spoons of Apple Cider Vinegar in a glass of water every day. This brings the acid in the stomach high enough to cause the sphincter to close thus preventing any reflux.
that's one item , I can't have ACV , that would burn my esophagus , pass ! If you can figure another way , to close my esophagus , please let me know. Thanks !!
I tried to take the holistic path first, to no avail ...I have it SO bad that acid literally comes out of my nose at night if I eat anything for 3 hours b4 bed or if I sleep flat. It us the scariest thing to wake up literally choking and not being able to get a breath until I can cough and blow my nose....very very scary! I was started on Omeprazole 40mg a day and if I am even late with my daily dose, I start having symptoms. Once it starts, the Omeprazole takes a lot longer to work, and I need to add an OTC pepcid! I don't want to stay on meds,but I think my condition is from having the gastric sleeve, because I had occasional reflux prior to the surgery.....it's more than an inconvenience, I've lost my singing voice, and that has altered my life greatly😢
@@debbiec6216 There are some acid producing pills you can take that do the same thing as ACV. I forget the name. Look up "Dr Berg Acid Reflux" he has a couple of very good videos about this issue.
I had this for over 10 years and didn't realize what it was. Unfortunately most GI and ENT doctors do not have much of a solution for it. The ENT doctor I went to at least did give me a definitive diagnosis. The ones I went to put me on PPIs to" reduce acid damage" which don't work very well and caused other problems like SIBO, Yeast overgrowth and possibly the HPylori I had. These guys are good doctors the problem is that to solve this you have to change your diet and lifestyle extensively that's not something a medical doctor can really help you with.
Did you try HCL with Pepsin as an alternative to the PPI's?
What are you to heal?
@@jeannettesamuels3000 I been taking HCL , Slippery Elm and Zinc Carosine for 3 months . And since then I had another "EGD test" and waiting on results in 3 weeks . I been dealing with GUT issues for 4 1/2 years and everyday since that time, I been researching and doing everything possible . Worried about Barrett's Disease ( precancerous ) and Esophageal Cancer . I know of 2 people who DIED from Esophageal Cancer , very scary .
Its actually hital hernia get a surgery it will be cured or else it can turn into cancer
I stopped my painful GERD with magnesium cream before bed nightly. Rub on hairless skin, don't think I'd use it on neck. Use a decent amount...start with at least 2 finger tips smallish scoop. They say the older, stressed, fatter, sickly you are the more you need. I truly believe GERD is a magnesium deficiency. I have to admit, I do have bouts of silent GERD sometimes...as you say there's no good fix, except diet change
42 years old and just found out a few months ago from my ENT that I have LPR! This video was excellent at explaining it more, thank you!
It can also be not what you eat but HOW you eat. I realized that I was eating too quickly. I decided to eat more slowly and my silent reflux is getting much much better. This is never mentioned by doctors but this was the cause in my case. Something to consider.
THIS!!! For me it was almost entirely timing. When I eat way slower, breathe beforehand, calm down, sit up straight, and am less stressed and choose to relax, specifically, to eat slower, I my symptoms almost go away no matter what I eat. I mean, there are some exceptions, but overall it's soooo much so this for some people.
Not eating before sleep, not eating heavy meals too. Not sleeping after a meal. Chew a Lot your food.
I struggle with eating fast and I have mild gerd it is hard to eat slow but I did notice when I did for the first time in a while I felt better
I'm eating too quickly also. I need to stop this..
@@bennygreene1421 I'm trying to count the number of times I chew a bite. On average, 25 is a good target (minimum).
20 years of symptoms, including massive dental breakdown and 7 root canals and I am finally understanding what is happening. I was diagnosed with GERD years back and nothing Rxd worked, and no one--not the ENT, not the GI doc, not the dentist --mentioned anything about LRP. The GI told me my LOWER sphincter was incompetent. So many doctors don't do their HW. Thank you for making this video. You all seem thorough and thoughtful, your patients are lucky!
hi, may i know what were your symptoms?
@20lounge dysphagia. Hoarseness. Cracking voice. Cough. Chronic sinus congestion and infections. Dental erosion, caries, and root canals. Indigestion. IBS. Zero heartburn
Crazy how doing simple excercises can resolve all this better than surgery
Really?@@Chatlore2024
This is just what I needed it's not too complicated. I used to see a ear, nose and throat doctor who was very good. He put the camera up my nose every 3 or 4 months. he was a very good doctor. Then I moved and needed a different doctor he was useless. After watching this I am motivated to find another doctor. Thanks for the information.
I have LPR and low stomach acid. Initially I was diagnosed with GERD and BO; given PPI's which initially worked but a year later after suffering iron deficient anemia, chronic fatigue and sinus problems, I was re-diagnosed with LPR and hypochlorhdria. I no longer take PPI's or any antacids. I now take Betaine and through the day drink lemon water. All my symptoms are gone. I think doctors are all too ready to hand out PPI's without further testing.
Hydrochloric acid supplements, probiotics and ermented food. I discovered that the spincter in your stomach can stop working properly if you don't have enough stomach acid.
How time to you recovery when you use betain
And the lemon is mustn't use for our. f🎉
@@debbiec6216 Less than a week.
@@DR07921 Did you go back to the doctor and he signed off , you are Cured? I been taking Betaine HCL , Slippery Elm and Zinc Carnosine daily . I guess my point is I'm trying to figure out , if I'm healed . If I need to go to GI doctor and find out ( repeat ) if I am really healed.
@@debbiec6216 I did, but I had to explain why I had fully recovered... meaning I have no more symptoms of reflux. I do though, have BA which you can get with low stomach acid and high stomach acid, so I will still need checking periodically.
I had the nasal drip. Didn’t know I was having issues with silent reflux. Thought it was allergies. Now I’ve been diagnosed with Barrett’s. I wished I had know this before.
Me also with Barrett's. No symptoms until swallowing issue. Also wish I had known.
What is treatment for Barret's?
Form how year u have this problem
@@robtpenn9666 from when u have theses symptoms
@guadaluegladu4171 What are you taking for Barrett's disease ? Any meds or supplements ????? I hope you are doing better .
Lump in throat.. gargle with baking soda and warm water❤.. it works
Thank you so much for teaching about LPR. Most people act like it doesn't exist and I've never gotten a response to any questions I've asked so again thanks.
You are very welcome!
My gi department was obtuse
Am a case of the disease am very worry off l never listen a disease like this
@@Fetherkoiu😮8😮u8i😊i😅😅😅😅
This is the worst thing that can happen to a singer. It’s absolutely horrible.
I'm living proof of that ! 😞 my vocals are ruined because of this ! ... its bizarre I literally get 2 hours after eat meal where I can sing / rap great but before I eat (cos acid will build cos I'd be hungry then I eat and 2 hours after I eat its okay ) usually take slippery elm after meals if it is that bad . But I have clicked that if I jump after meals it pushes the food down and it enables me to belge .and i sound completly fine which is equally very annoying as jarring .. . have been on Proton Pump Inhibitors since I was 7 years old .. which is 20 years now which isn't good or advised . Trying to come off them now to go on H2 blockers .. as atleast they won't disrupt blood vessels .
Trial and error for sure !!!
Also Aloe vera from plant peeled and chopped and cleaned in a blender with boiling water and honey . (MIRACLE DRINK!!)
@@MelismaTheEnigmaThank you! I was a singer for years and I am so sad that I can't sing anymore. It's a great loss
@@MelismaTheEnigmaAmazing it works for you! May I know What Reflux you have and the symptoms? I also heard about aloe Vera but i havent try it yet
Taking an alginate like Nutritist Refluxter has been a literal life saver for me in my ongoing struggles with LPR. My GI doc just me to take omeprazole and didn't even want to hear about silent reflux and alternative therapies.
What are your symptoms?
There's excercises you can do that will heal this. Look them up
I’m 39, active and healthy. I had this issue creep up on me and wasn’t sure how to approach it. ENT or GI Doc? Is this an allergic reaction to food/drink? Am I being exposed to something harmful at work?
Here’s what my symptoms look like:
Episodic. Could be daily or weekly.
Random feeling of pressure in stomach/abdomen. Always regular, never constipated. Usually symptoms begin in the late afternoon or evening. Never in the morning. Worst when sitting, better when standing, best when lying down. Sometimes symptoms begin on empty stomach, sometimes 1-3 hours after a meal. Sometimes consuming a meal would actually help subdue the symptoms if they already began….
Relief of pressure by burp or just involuntary relaxation of stomach/esophagus without trying or with positional change. Then, almost instantaneously, tightness in throat. Like instant dryness/tension/swelling with quick buildup of mucus. Always incessant throat clearing, sometimes globus. Coughing. Asthma-like reaction with variable degree of chest tightening. Sometimes tightness in my back between shoulder blades. Then the sinuses. Complete shutdown and closure. Sometimes burning/stinging. Never any heartburn or feeling of liquid acid in my throat or elsewhere. It is almost gaseous. Symptoms can last for hours or even days.
These symptoms started slowly many months ago and gradually progressed in intensity and regularity. In an instant, I will feel like I’ve gone from running on 8 pistons to 4. It can wreck my day. I am nearly certain that I’m experiencing a reaction to pepsin rising from the stomach to places that it shouldn’t be. If the onset of symptoms cannot be prevented, the pepsin needs to be neutralized and washed out. Here are some suggestions if this applies to you:
Neti pot will save me if I can address the symptoms in time, as they’re starting. I also pay attention to internal stomach pressure and take OTC gas medication after meals. This, I believe, keeps pressure off of the LES so the pepsin doesn’t escape the stomach via LES.
The other game changer is just a baking soda and water solution to gargle. It will save you when the symptoms set in. I wish everyone luck with this. I don’t believe in PPIs as a magic wand. The journey to figure out whether or not this was allergy/exposure related was extremely difficult. As a funny aside, I am a cop. I was wondering if my pepper spray was leaking and stopped carrying it on my duty belt. Of course I drink a lot of coffee late at night to get me though my shifts. Compression from my ballistic vest isn’t helping, either. Meal management, positional changes (less sitting, pressure on stomach) spice/caffeine/acidic food & drink avoidance should help.
It's 100% diet. I had it really bad to the point that a prominent pulmonologist misdiagnosed me with COPD. Both times I went on a strict ketogenic diet, all of my symptoms disappeared within a few days. I can't say it was cutting carbs, however, because if I take a shot of honey it relieves my symptoms almost immediately. My best advice is to be vigilant for a good two months keeping a food diary. That should give you enough data to identify the foods that trigger your LPR. Coffee and high fat foods were definitely not my triggers, because on keto, I drank lots of coffee and had mostly high fat foods. My worst offenders are processed foods that use cheap industrial oils like vegetable oil - that's almost all processed foods (cookies, cakes, many breads). It seems like if I just eat meat, fish, eggs, fruit, vegetables I'm fine. My symptoms were all the usual suspects: globus, chronic cough caused by stealth post-nasal drip, throat clearing etc. Acid sneakily shoots up to the larynx and it sets off a cascade of Ear, Nose, and Throat issues.
@@nancyj795what type of honey did you take?
I hear you… it’s a daily struggle.
@@Versiongurl It's "pure honey" from Golding Farms. They are in North Carolina, but I think their product is sold nationwide. I think it's just masking the problem temporarily because it coats the throat and takes away the constant tickle from LPR that causes a cough reflux. For me, if I eat a nutrient dense diet with real food and do moderate exercise (even just walking for an hour a day) this problem goes away completely within a few days. If I become sedentary and eat (sugar, flour, cheap oils) like those found in cookies, cakes, breads etc., the problem comes roaring back. I've dealt with this and conquered it and dealt with it and conquered it over and over and over. It's the same pattern every time - at least for me.
@@nancyj795 I used Manuka honey once before just a couple of times and I can’t say for sure if it helped or not. You did give a lot of insight. You have me thinking differently about my own personal situation with this. I am not active like I used to be. Honestly, this condition along with a smell sensitivity (hyperosmia, heightened sense of smell) I developed led me to resign from my job. It flipped my life upside down.
This is great. I want to go back in time, go to Med school, become an ENT doc, and join your practice!
🤣
@ronakvyas once you are established, please help people who has Acid Reflux and Esophagus , because this is two health issues, that needs 100% help . I am so serious. I have no clue how to heal Erosion Esophagus and Acid Reflux .
I have been to many Specialists and they wasn't much help , which is very sad .
I don't want to end up with Barrett's or Esopheal Cancer ... All I am asking , what do I take to Heal to get better . I can see how stress and anxiety plays a part .
I know someone who's a doctor now , and I wished he would have went to become a G.I. ( lol ).
I know that will not happen.
an ENT told me I had silent reflux after putting a camera up my nose & into my throat - the only symptom I had was occasional heartburn usually in the evening & usually from eating certain foods & sometimes when I when to bed (ie lying down) a reflux pain at the entrance to my stomach - they gave me a PPI to use which Ive decided to take for a while mainly to see if it helps clear up my sinus issue which is the far more significant problem I have as its stoping me sleeping - I dont want to get addicted to it though so wont take it for months on end
This is really eye opening video for me regarding my symptoms really thank you so much for this video
You are very welcome
I hope someone sees this and can help me… I’ve had acid reflux in the last few years, and I’m sure it started with stress. Then it kind of went away and I started coughing at night, sometimes almost strangling out of a sound sleep. I have been literally exhausted for the last two months which is adding to stress.
Not only am I not getting enough sleep I have been choking on water, food, sometimes it seems like I choke on air. I cannot live like this. What can I do to help myself without running to a doctor?
I have started using bicarbonate of soda and alkaline water sprays into my sinuses for the post nasal drip and am losing weight- mainly because I’m afraid to eat anything. I’ve choked in restaurants, in grocery stores and at home while eating a meal.
This is rough 🥺
You need to get to a gastroenterologist immediately for an upper endoscopy. Your throat may need dilated. I had this. It’s awful. Don’t t use scented laundry products they can make it worse by creating inflammation in the digestive tract. No scented stuff. Just get rid of it. No harsh cleaning chemicals either. Go eco friendly everything.
@@johnjohng668is RIGHT! A good friend of mine just went through that exact set of symptoms and had to have her esophagus dialated
@@johnjohng668its crazy u say this bc alot or scents irritate my nose and throat and chest. Its hard to explain but yeah colognes and everything bothered and bother me till this day.
I am torn between copd as I have lung damage from a child, and reflux. My cough is so frequent and exhausting. Ultra sensitive to everything and a mouthful of cold water sets me coughing as does simply steam from the kettle, cold air/ wind.Teethbrushing makes me foam at the mouth so I use hot water only several times a day. I think I have Laryngeal hypersensitivity too.
Try apple cider vinegar diluted in water. Helps a little. It is a very tiring annoying disease sadly.
Acid watchers book by Dr. Aviv seems to be helping me. I have listed all low-acid foods I can take and so far, it's helping.
Thank you so much for this video. I have been suffering for the past five months with post nasal drip, sore throat, a tickle that makes me cough, hoarse voice, thicker mucus inside that causes me to have to clear my throat that is so bad it causes me to choke. Spicy foods do make me cough more. But I'm finally going to go to an ENT after making my appointment 5 months ago. 😅
Your problem is solved or not
@Rusha Mainali no when I went to the doctor he didn't help me at all, he said to stop clearing my throat and he gave me a phone number to go to a voice coach.
you have same thing as i am, pls you need to make endescopy, not ENT doctor, i did it and they took biobsy and found i ve Barret disease, first it was Gerd then turn to Barret's which has to be under observation. dont wait pls. just ask for endescopy very easy short procedure.
@@susanchandler2317 I have heard of that , this doctor in NYC , had the same thing as you . He's an expert on all this stuff , we all have going on. I wished he lived close to my region , I'll would already visit him. He's on TH-cam and plus I have his book.
i recently heard, post nasal drip could cause decay teeth . As crazy as it sounds.
Tonsils.? I had mine removed in quite a course manner when I was 3 in 1948( Uk). Can remember it clearly .just had a thought could this lead to LPR in later life.i am now 79 znd suffer greatly with all the symptoms particularly excessive coughing and globus. I like to try and connect any dots.
I have severe fatigue and just got diagnosed with this thinking it was throat cancer. Do you have any ideas of anything else that it could be or additional testing?
Recovering from this right now. I’m making videos on it. The key is time and discipline. It takes a lot longer to heal then people think.
how long should a person expect?
It cannot be healed on its own surgery is necessary
@@addictive7019 yes that is correct. To be healed 100%. I had surgery about 6 months after my post. Still takes time to heal even after surgery. All the damage that was done from the reflux if you had it for a significant time like me just doesn’t disappear overnight. Atleast in my case.
Simple excercises to strengthen esophigeal sphincter heals this
Hello doctor silent reflux can affect foliate papillae and throat pain?
Thank you. Very helpful....how long does it take to get better with medication and change life style.?
This was very informative and helpful! Thank you so much 🙏
Would you address esophageal dysmotility further? Is it the cause for LPR or the result?
THE NICE DOC WITH GLASSES DESCRIBING SORE THROAT. JOARSE VOICE. ALLERGY & CONSTANT CLEARING THE THROAT IS MOST USEFUL, AS OVER THE PAST 3 YEARS I HAD ALL THOSE.
Excellent information! Loved the panel format. Thank you!
Thank you for listening!
I've been managing my gerd for months and just a week ago. I suspect that my gerd was turned into a silent reflux now. Because my usual symptoms were almost gone and turned into shortness of breath, clearing of throat in the morning, sour/bitter taste, burning throat, chest pain. Before I take my iron supplement and dealt with constant stress and anxiety. My gerd symptoms was the typical I have been dealing with for months which we bloating, indigestion, lump in the throat, heartburn, dizziness, dry mouth which I can easily managed back then. Now it's a different scenario and it's freaking me out. 😢
Same here
same here i had gerd and after 6 months it turned to become silent reflux all those throat stuck shortness of breathe 🤦🏻♀️ but acupressure is helping me out i advise you to look for acupressure videos on youtube for acid reflux indijestion constipation it will help you alot
@@SouthKorea_Borahae thank you . I’ll
@@SouthKorea_Borahaethank you for sharing that info!
We're you waking with a sour taste spit? I can't even sleep it's scaryv
Can this cause dizziness feeling 24/7?
I thought I was coughing from long Covid… I was coughing and clearing my throat, once in a while I’d lose my voice saying a word my voice would fade out or the word would be lost. I did have a slight ear ache a few times nothing major… only to learn a few days ago I have this diagnosis 😑 thank you!!!!
Feel better!
Since i got bile reflux my throat is sore..i had a nissen surgery before bile problem because i had acid reflux now i don' t know how to control lpr at night..still waiting to see GI
Thank you for sharing your knowledge on this concept.
Very helpful, thank you Doctors💥🤍✨
why do doctors recommend PPIs? Reflux is to little acid in the stomach, a PPI doesn't help this problem. It excerabates the problem.
PPIs often help, but may not help non-acidic reflux
You’re absolutely correct!
@@ReddySinusrefluxed pepsin is activated by acid. If the LES relaxes, the acid backs up the esophagus to the throat.
That's the theory
@@Fetherko absolutely this is the common theory. I think the thing to remember with this is that it is very multifactorial and quite honestly. It really is a pain in the ass. I’m a singer, and this has absolutely positively negatively affected my voice. It’s absolutely horrendous. And it’s some thing that comes and goes. The lower esophageal sphincter seems to be the issue not so much acid production in the stomach. And the pepsin is supposed to be the biggest issue here in terms of coming up and irritating the voice box, which creates inflammation and significant mucus production.
they suggested dietary changes, sleep arrangements, time of eating, over the counter acid treatment as first steps. The PPI were down the list. Maybe they suggest these because they know noses.
Great video, thank you guys 💪
I have this persistent cough due to a hiatus hernia and have been on ppi for over 20 years now, currently on Esomeprazole 40mg per day, I’m 65 years old and live in the UK, I would like to come off ppi as I read that they are not good for you long term, What would you recommend?
I was constantly clearing my throat and especially during vigorous sports. GERD was suggested by a friend of mine. I also have sleep apnea and am a mouth breather and snorer when I sleep. In my quest to avoid CPAP and improve my sleep situation I started mouth taping. I can tell you that within 2 weeks my throat clearing disappeared. (My sleep apnea also went from severe to mild on my next sleep test) So it wasn’t reflux. This one is tricky indeed. Good luck everyone.
did you tape your mouth , so you stop clearing your throat ???? ?thank you
@@debbiec6216 Hi. No I taped my mouth shut at night to stop mouth breathing. Sleeping with the mouth open allows the tongue to fall back into the airway more easily and also contributes to snoring and can contribute to sleep apnea events. I taped my mouth shut in an effort to reduce my obstructive sleep apnea severity. It worked for that and a side bonus was the throat clearing went away. I suspect my throat was getting so dried out at night while breathing only through my mouth that it irritated it and led to my throat clearing.
@@elp2689 sorry for the misunderstanding :( .
Thank you! What is postnasal drip?
when it drips behind your throat . Sinus causes post nasal drip , you need a sinus meds to stop the drip .
Thank you so much i hav all this going on please keep making videos thanks for the help
Thank you for this information. Very useful. ❤❤
Hi docs,I.have Silent reflux and a hiatial herniaas well as primary hyperparathyroidism,I am trying to eat alkaline food to not trigger the lpr,but what I would like to know is what foods can I eat that won't trigger the lpr yet provide adequate calories and nutrition.Thanks.
Yes, I would like to know this too!
Food that doesn't trigger me are, soaked almonds, walnuts, roasted pumpkin seeds, sunflower seeds, fruits like mango, watermelon, cantaloupe, muskmelon, apple, banana (see if it suits you). Boiled legumes. Oil and sugar to be eliminated. If you can get hold of pure extra virgin olive oil, you can have it. Green leafy vegetables, cucumber, carrots, broccoli. Avoid spicy spices. All these don't trigger me, u try some, and see if it suits you, coz everyone is different. All the best, yeah, I also have roasted flax seed and Nigella sativa seeds. Good luck. Dairy, sugar and seed oils as well as non veg trigger my LPR. So you do what doesn't trigger you.
Also, try alkaline water and pure baking soda gargle before and after eating. That does help me denature the pepsin in my throat. All the best.
Thanks @@shaikhfaridabano6281
can you guys talk about Barret's acephogas? thanks
Anyone experience palpitations on left side with SLR? I have all symptoms, along with palpitations, but no heartburn. Been taking Betain/Pepsin and seems to help. I've been to ER many times and all checks out (3 previous heart attacks due to CAD, been diabetic type 1 for 42 years and am on WFPB No SOS or oils). I also have sleep apnea. After extensive research, I basically have figured it out on my own...
What is the figured
Whats the solution for you?
@@magiermexico I had an acid test done and I have low stomach acid not too much so the beta /pepsin helps. They are always too eager to prescribe meds that may not be necessary!
I been having Palpitations yep on the left side , what's is the cause of this ??/
What are you taking for Heart Palpitations????
How can zi find a doctor like them please !!
Im praying someone could answer me this question. I took clonazepam for a whole year for anxiert and while I was on it I was fine but after a month of taken my last dose I develope a feeling of something stuck in my throat. In the morning is ok but after my first meal I feel discomfort and slowly starts getting better until the next meal. I dont have a cough and Ive had many tests performed including 2 barrium swallos 1 upper endoscopy and laryngoscopy and others as well. The barriums and the upper endoscopy came back negative to gerd. I do play saxophone as well. Ive read that clonazepam could cause the les to relax and cause lpr. Could the benzodiazepams cause a permanent les disfunction?
I've had constant clearing of my throat for 4 years, along with sticky mucus, hoarse voice and cough. It used to be just ar night but now it's during the day and night. I have a tickling cough, and what looks like spots on the back of my mouth. I am beginning to think it silent acid reflux. It tastes bitter, often exacerbated after eating and lying down. I thought it was just something l would have to live with.
Really enjoyed this clip. Exactly what I needed. I even subscribed.
Thank you! Keep a lookout for more!
hello i have excessive saliva and sometimes i get heartburn, Its annoying having to spit all the time you can't go out, what is this help.
It is body reaction,You can swallow the saliva it helps to heal reduce the heart burn
It is body's natural reaction. swallow the saliva to heal or reduce the heart burn B coz of the acid reflux
What a great, comprehensive video. Exactly what I was looking for. Thank you, gentlemen.
Oh my gosh!!!! This is exactly what I have. Post nasal drip, feeling something in my throat, appetite loss, and now I’m having random acute abdominal pain.
@ I love that line! I have bone cancer, but as long as I look healthy, that’s all that matters.
Hi, i was just diagnosed with ge junction cancer. I have had these symptoms for years. I firmly believe that LPR has contributed to this cancer.
What is ur age when u have start thease symtoms
I don’t think there’s proof it causes cancer
You are probably 100% correct! Gastric acid is very caustic and will cause damage to the lining of your GI tract, including throat and mouth, your sinuses, and even eats the enamel off of your teeth, causing irreparable damage. It can absolutely cause cancer to those areas
So how are you doing now, is it treatable? Wishing you speedy recovery.God bless you dear !
Please help , ready top myself ,getting no were fast
What about nausea soon after finishing the meal, burping, then vomiting and constantly having hiccups in days and weeks? and sometimes burping even hours after the meals?
I forget what the actual diagnosis was but my 24 hour Ph monitor test and endoscopies all pointed to upper esophageal reflux with esophageal rings whatever they are and functional esophagus whatever that it. I was sent to voice doctors and they took high resolution video of my vocal cords in action which was painful. My vocal cords are very stained with edema and the area around them are pock marked with white blobs. One of the vocal cords has a small white things sticking out and the cords smash together and stick together. What's more is my pulmonary function test showed stage III I think COPD yet my VO2 Max is superior and all my fitness activities show high functional capacity, low breathing rate and low resting heart rate. I run out of breath when talking sometimes just a few seconds in. I can go all day at max incline on a treadmill and not even breathe hard. My voice sounds raspy and harsh and it hurts to talk and sometimes to swallow. It's been like this for two decades with no improvement except for a period of time when I was on nexium. Now the HMO wont authorize nexium and my throat and esophagus are swollen and it triggered Afib recently when swallowing too much of a smoothie after working out. My voice sounds a little like RFK Jrs at times. It hurts to talk and I run out of breath and energy doing so. Some docs said this is anxiety other said it is GERD and LPR and others have said it is COPD. Not a smoker. Grew up around it though. When I was kid my heartburn was daily and always up in my throat not my chest area. Now it doesnt burn up there it just hurts.
So is nexium good for you? Has your shortness of breath gone or eased?
@@emrr9955 Once I had some docs ho put me on 40mg Nexium twice a day and my speech returned to normal and shortness of breath disappeared and my percentage of body fat got down to 9% and my fitness testing was all top 1%. Then a few year later a new doc said the HMO doesnt authorize nexium except for special cases and you arent special. Too me off it and my problem returned a couple years later. Right now back on nexium but hasnt been long enough to see if it is helping. Hoping I dont have throat cancer. The voice and throat docs said I had to be on a good PI but the primary care docs over the years change out every time I go and they dont buy it.
Very informative 👍
I have constant feeling of something stuck in my throat like lump feeling, a lot of burping the minute I drink or eat something and also a mild chest pain. My doctor said it was Gerd and prescribed me Omeprazole which help somewhat with lump feeling, but 2 hours after I take the meds I feel as if my right side of throat all the way to my ear is clogged, like I have something there. Can this be more LPR or Gerd?
Those med wiil make you worse
garge with salt warm salt water .
Try eating more slowly. It was simple as that in my case to stop the burps and silent reflux!
Are laryngospasms a result of this?
I get like an asthma attack type sensation when I eat.It attacks my breathing from the pepsin being activated by the acid in my stomach causing aerosols to rise into my respitory tract.I do have a 2cm hiatial hernia and Primary Hyperparathyroidism. Can either or both of these conditions cause LPR.?
I've had hiatal hernia since childhood, and yes, it can cause
I have the same thing and a hiatal hernia so I think so!
Had sibo test ,had hydrogen sulphate ,negative ,had linx op , had camera down ,had camera in my nose ,windpipe , had liquard diet , 8 weeks ,had fodmap diet . Still ive got acid in my throat not windpipe my throat ,please please help , tried garggli g bi soda salt , on ppi ,still have sore throat please please help
When I was studying in 8th/9th grade , after having a heavy lunch,I had a nap. And all of a sudden,I woke up gasping for breath and trying to cough out the regurgitation. Until recently I didn’t know it was acid reflux…..I’m scared of laying down after eating something.
Oh my gosh I've had that happen and it truly IS the SCARIEST thing EVER! I have been panic stricken just trying to get rid of what has come up so that I can simply take a breath! This might be TMI but has it ever started coming out of your nose when that happens? It has done that to me on occasion and that acid BURNS the inside of my nose so badly!
Yes ENT doctor must consider GI doctor if symptoms persist
Ppi medication can treat throat pain from silent relux?
what if it's a stomach acid issue? what can come from low stomach acid? Isn't there a connection between low stomach acid and the release of bile/ closure of the sphincter?
Yes I’ve started taking Betaine HCL with meals or even a Tbs or 2 of apple cider vinegar in a cup of water. It was low stomach acid for me. Dr Eric Berg has a great video on reflux and gerd.
@paigen5717 Thanks! I'm leary of "Dr " Berg. He's a chiropractor, but never discloses the nature of his degree, allowing people to believe he is sn M.D.
@@hotwireman49 I believe he has DC after his name corresponding to all his videos. He explains things in so much more detail than any of my PC docs ever have.
@@hotwireman49 Dr Berg is okay for the information, he does research before he even video it for everyone to watch it.
I have learned alot from him. I know what you mean by , him not being an "M.D. There's others on youtube who's good too.
*I have Low Stomach Acid , do you know or suggest , how to fix it ? I can't be taking ACV because I have Esophagus issues* .
*I took a break with dr berg, I noticed different things about him . I have been watching him for many yearss*
I hope you are feeing better . I am taking Zinc Carnosine, DGL and Slippery Elm , so far it's helping .
@@paigen5717 Yes Dr Berg is so knowledgeable!
Hello guys...are there safer alternatives to PPI's? I heard long term use is bad. 5 wks ago i started with a mild cough, got bad, then now its just throughout the day. ENT put me on PPI for a month tonsee if that works? Also i read about LINX Procedure but heard some scary reviews on it. Haven't seen a gastroenterologist yet. BTW, he found one of my vocal cords isn't closing all the way, wondering if that is the real issue. Ugh frustrated and tired
Along with hoarseness and sinus drainage, I also cough up a lot phlegm. I have to sleep sitting up most of the time.
I suffered Global sensation for one year ..then used PPI and then after one year started acid reflux
Now using sporolac and cidar
Slight improvement
Thank you so much!
This is exactly me constant coughing especially after eating and drinking chocolate or tea with milk my ears and nose feels blocked and runny thanks for this a revelation to clean up my diet .
You're welcome!
How did you get relief kindly share
Sodium bicarbonate works for me. 1 teaspoon of baking soda in 250ml water into a spray bottle into the throat or/and nose. Instant relief.
What about H2 Blockers?
Any office in North NJ that address this?
We see plenty of patients from north jersey!
Chest pressure and bteath in problem is main problem for me😢
Any solution
@@seshasai1128 No. You?
Yes me too 😢
Acid reflux? I thought LPR was pepsin reflux. An alginate and alkaline water have helped. Cutting way back on all my faves: coffee, caffeine, dark chocolate, tomato products 😢. Timing of eating and reclining help.
Ive got 2cm sliding hitus herna sour liquid in mouth pain between shoulder blades burping gas nausea fatigue been like this over 3 years tried everything all they tell me you shouldn't be getting systoms had all ppi tablets antibiotics also they said operation would be drastic so am at a loss any suggestions please also tried diet
Isn’t lpr sikent reflux isn’t it the same thing ??
ppi does not work
Could be vagus nerve
Mine turned out to be a neurological disorder, and going on an anti depressant really turned my LPR around. They also did a swallow study on me, and found that I have Esophogeal Dysmotility Disorder.
Hey, hope you are doing well... could you please explain more. I went on anti depressants and now have an issue I don't understand.
Some anti depressants make the LPR worse, but some make it better. You just have to try different ones to find the right formula. Wellbutrin seems to exacerbate my LPR, but Cymbalta 30mg, has made it way better. Good luck!
@@tammymcdaniel6254 Hey, Thank you 😊 understood!
@@amritagautam24how r u now
What was the neurological problem you had?
I have tremendous dry mouth and was recently diagnosed with LPR.
My Dr originally thought it was Oral Thrush. Is dry mouth a common symptom of LPR ? Or do I have something else going on?
Do you snore or mouth breathe when you sleep? That can definitely dry out tissues. I had chronic daily throat clearing issues. I was a mouth breather at night and started sleeping with my mouth taped. Within 2 weeks my throat clearing issues vanished. Maybe something to look at?
Can you have swollen throat and swollen lymph nodes??
Low stomach acid. If you have a burning in your stomach when empty get tested for H. Pylori. If you have H. Pylori get this solved first if no H. Pylori then get HCL with Pepsin supplement. Start with low doses. This saved me from major acid reflux, SIBO and candida overgrowth issues. All my health issue started because I drank too much fluids with my meals that diluted my stomach acid and cause dysbiosis. Be safe everyone.
Good advice 👍🏾
*You just Answer my Question, I been waiting for , 3 months and thank you so so much*
I have had a health issue for months. What, I have is an BAD odor , like Sulfur , throughout my body , I smell it, no one else can smell it.
What, I think I have because, I have Low Stomach Acid it was DILUTED and I believe it started smelling after I ate and time later drinking .
I hope this is how it all started. This been going on for months, and for a while, I thought the smell would go away, well it didn't .
*How long did it take you to heal your stomach and get back to normal ?
I am trying to figure out , how to raise my stomach acid or do you ???
@@debbiec6216hi, do you take probiotics at all? Gut health is extremely important. I was a nurse for over 30 years, and we were always taught that bad odors, bad breath, etc comes from the colon...it COULD also be something in your diet, too....but do yourself a big favor....look up info/videos on healing leaky gut, restoring your biome also, there is a wealth of videos right here on you tube. Most of the info is on dietary changes and can be followed simply after checking with your Dr first!
Can a person have both LPR and silent reflux?
Does silent reflux cause tonsillitis?
Yes
I've suffered for 5 years with LPR. Have GI, ENT and Allergist involved but they prefer to treat through meds. Some diet, exercise and lifestyle modifications are helpful but substantial relief of symptoms is elusive. I need to travel to a major med facility for more comprehensive testing beyond upper GI and ENT scopes. PPI's, supplements, gargles, and You Tube advice etc. don't provide consistent day-to-day relief. Good luck, and thanks for your channel.
How was your results? Almost same suffering from LPR almost 4 yrs.
@@melodycristeldelacruz8485
Sorry to hear that relief is elusive. I haven’t found the solution yet. Some things I’ve tried provide sporadic relief but there are always good and bad days. I need to go to a place like Stanford Med or Mayo Clinic for more tests and treatment. 🤞
@@melodycristeldelacruz8485how r u now
@@melodycristeldelacruz8485what ur symptoms
Slower eating and vegetarian (or vegan with just some meat very occasionally) has helped shockingly much for me
PPI’s Don’t work for most people with LPR. This is a fact. They can help a tiny bit in the beginning but they do not help long-term at all and come with a myriad of horrible side effects
Baking soda in distilled water sprayed into nose and throat will allow throat to heal and stop throat clearing. Use 1 Tablespoon of baking soda in 2 cups of distilled water. Use several times a day.
Yes I agree with this.
So what helps ??..i have tried everything
@jakubdekys4799 These docs are typical of the medical establishment. They are all about stopping symptoms through drugs. Indirectly helping the Big Pharma. PPIs are the worst thing that you can take. Very often, you need more acid in the stomach for LES to work properly. PPIs do the opposite and give you polyps in the stomach. Medical profession needs to learn how to heal. They will never consider complementary medicine like fasting which helps the body to heal itself. Surgery is a brutal way to treat patients. Medical profession, whilst no doubt saves lives but for chronic conditions it is overrated along with those who practice it! Poor ignorant patient can easily get trapped by the medical system. Watch out.
@@jakubdekys4799 you need to talk to a GI doctor to rule out H pylori or other conditions in your stomach.
For me I have LPR but a strict low fodmap diet has been working for me. Maximum 6 weeks because you can get constipated. There is also the low histamine diet. As well as the high fiber diet.
In my case the bloating from eating high fiber food which is good for gut health was causing too much gas to be produced and weakened the upper muscle. So that gas that comes up is mixed with some stomach acid.
There is a lot of stuff online that has not been proven medically but may work for some people the apple cider vinegar thing has not been proven but my doctor said it doesn't hurt to try. Gl friend hope you find relief!
I have had silent reflux for a few years now, I now have a very sore, hoarse and quiet voice. It is very annoying. I am on omeprazole, Famotidine and Gaviscon advance but nothing seems to help. I have a hiatus hernia but have waited over a year for an appointment with ENT.
I'm havng chronic cough fr 2 years now.. how r your symtoms now
@@Wellness101-cu8nd still the same have seen ENT and they just give speech therapy and GP wants to take me off the drugs, am cutting down but still getting the reflux. Voice is a bit louder but not back to normal
@@paulinewells8323 hope we all get well soon...n never face the same problems again then..
A cup of rooibos tea helps me keep the phlegmmies away after a meal.
Excellent
Slightly blood with throat clearing in the morning
Anyone deal with shortness of breath especially when lying down on back? I have shortness of breath all the time but it’s the worse when I lay down. I like literally have to sit up straight. Could this be from LPR?
Guys before theorizing what you may or may not have go to a gastro specialist and get an endoscopy done. Then you can rule stuff out and get the appropriate treatment for your condition.
PPIs?? Really?
I’ve been suffering from post nasal drip for about two years now. I take linzess for constipation for about 4 years now. I’ve always had sinus/allergy issues my whole life and I’ve had sinus surgeries plus I’ve been getting allergy shots for about the past 4 years now. The post nasal drip only started a couple of years ago and I don’t think it’s caused by allergies, my doctor suggested acid reflux. I’m starting to wonder if linzess is causing Gerd and the Gerd is causing my post nasal drip. I do have a scope scheduled with a GI but I’m curious if anybody has had this issue with linzess?? I’m just trying to connect the dots.
Having the sameeee issue with same duration but never hav had linzess.. i would like to know what treatment u then got and how r your symtpms now
@@Wellness101-cu8nd Hi, I had my scopes done from my GI Doctor, turns out I had an ulcer in my esophagus, an ulcer in my stomach, Gerd, and a hiatal hernia. All the acid coming up was irritating the throat, pharynx, and esophagus and your body reacts to produce more mucus to try to protect the tissues/mucosa lining. I’m on voquezna, sucralfate, Pepcid, and balofen to help heal the ulcers and reduce the stomach acid production. The meds help but they don’t completely stop the mucus in my throat. The amount has lessened but I still have strong episodes still. The only way to stop it and get off the meds is to have surgery to fix the Gerd and the hiatal hernia. A Nissan fundoplication or a toupe fundoplication was recommended to me but I’m scared to go through with the surgery so I’m still taking the meds. If you’ve ruled out Sinus or Allergy issues, I’d recommend going to a GI doctor and get checked out.
Take maximum recommended dose of magnesium glycinate and zinc L carnosine daily for 2 months
What will that do?
I have the Mag Gly supplement at home but I thought it only promoted good sleep and aided with weight loss
What is the cause of “asthma like coughing/wheezing in the chest” after exercising?
How much if you use the camera coz i think is to expensive
What does one do
its the ears i ALWAYS get the trouble with..........
wow! I think this is me!
Thanks
I found this to be disappointing. The vast majority of Acid Reflux patients suffer from low acid in the stomach which causes the lower esophageal sphincter to not close completely. Inhibiting acid production is like putting out a fire with gasoline. Pharmaceutical inhibitors are not the answer. Many people get complete relief by simply consuming a couple of table spoons of Apple Cider Vinegar in a glass of water every day. This brings the acid in the stomach high enough to cause the sphincter to close thus preventing any reflux.
that's one item , I can't have ACV , that would burn my esophagus , pass ! If you can figure another way , to close my esophagus , please let me know.
Thanks !!
I tried to take the holistic path
first, to no avail ...I have it SO bad that acid literally comes out of my nose at night if I eat anything for 3 hours b4 bed or if I sleep flat. It us the scariest thing to wake up literally choking and not being able to get a breath until I can cough and blow my nose....very very scary! I was started on Omeprazole 40mg a day and if I am even late with my daily dose, I start having symptoms. Once it starts, the Omeprazole takes a lot longer to work, and I need to add an OTC pepcid! I don't want to stay on meds,but I think my condition is from having the gastric sleeve, because I had occasional reflux prior to the surgery.....it's more than an inconvenience, I've lost my singing voice, and that has altered my life greatly😢
@@betsyrossispissedoff4259 So sorry to hear that I hope you find a solution.
@@debbiec6216 There are some acid producing pills you can take that do the same thing as ACV. I forget the name. Look up "Dr Berg Acid Reflux" he has a couple of very good videos about this issue.
@@debbiec6216Try ACV capsules