Not So Silent Symptoms
If you have LPR you may experience:
- Hoarseness. As stomach acid comes up onto your voice box, or larynx, you may find your voice sounds more hoarse or harsh than usual. This symptom may be particularly noticeable in the mornings, since acid is often more likely to move up the throat when you are lying down.
- Throat problems. Acid reflux into the pharynx, or back of the throat, can also cause atypical symptoms. You may feel as if you constantly have sore throat, or always need to clear your throat. Additionally, it may feel as if there is a lump in the back of your throat that won’t go away. Other symptoms include frequent hiccups, trouble swallowing, or a nagging cough.
- Respiratory problems. People with silent reflux can experience wheezing or difficulty catching their breath as a result of airway irritation due to acid reflux. LPR can often exacerbate underlying asthma and make it more difficult to treat.
- Tooth decay. Stomach acid that backs up into the mouth can erode or eat away at the protective enamel of the teeth, causing teeth to become fragile and discolored.
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Eat regularly throughout the day. Overeating is never a good idea, but an empty stomach can cause problems, too. Go more than three to four hours without chowing down and stomach acid collects. Eat small meals and drink water throughout the day.
Dont eat before bed. Nocturnal acid reflex is a real concern. Normally, someone who is sitting upright will swallow saliva and neutralize that acid, Ergun says. But if youre sleeping, it could be sitting in your esophagus for a while. Wait at least two to three hours after eating before you go to bed. And watch how you sleep. Liquid and gas want to go to the path of least resistance, Pichetshote says. If youre lying flat, it can easily go up toward your head. If youre sleeping a little more upright, it has to fight gravity.
Elevate your head six to eight inches by buying a wedge pillow or slipping a wedge-shaped piece of foam underneath your mattress. Some research suggests that lying on your left side can reduce acid reflux. Theres a pocket in our stomach that has a little more acid than the rest of our stomach, Pichetshote says. When we sleep on our right side, the pocket becomes closer to our esophagus and that can give us more reflux.
Advanced Acid Reflux And Fasting
Travis from Katy sent us this question: I have Barretts esophagus. I do intermittent fasting, but I notice that in the periods I dont eat I get a burning sensation, why is that? Thank you.
Barrett esophagus indicates stage 4 GERD. Patients with stage 4 GERD have a very weak or no acid reflux barrier. Since acid is always present in the stomach, stage 4 GERD patients experience acid reflux related symptoms independent of food intake.
Acid reflux is a direct consequence of a weak anti-reflux barrier. It is a common misconception to attribute acid reflux to food intake. In the presence of a competent anti-reflux barrier, heartburn and food regurgitation dont occur whether you feast or fast.
The treatment for stage 4 GERD relies on re-establishing the anti-reflux barrier. The most reliable solution for stage 4 GERD is Nissen fundoplication and hiatal hernia repair.
Nissen fundoplication and hiatal hernia repair, when properly performed, stops all reflux from stomach into esophagus. Surgery success rate is 100% in properly diagnosed patients. Complication rate is less than 1%. Recovery is fast because surgery is done through tiny incisions resulting in little pain and discomfort.
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Heartburn No More Review
Today our focus is on how to get rid of heartburn without just treating the symptoms like most prescription and over-the-counter heartburn medicine does. Were going to be looking at Jeff Martins Heartburn No More, a step-by-step guide and home remedy for heartburn.
As always, I should warn everyone: this is a review site. My only goal here is to help you make an informed buying decision about a particular product or service based on my own research.
I will be showing you both the pros and the cons of Jeffs heartburn home remedies. If you want to know more about Heartburn No More from the man himself, I suggest you visit his website by > > clicking here. Otherwise, continue reading for my review!
Im going to be honest with everyone here: I am not a lightweight. Im not obese either, but I certainly have a bit of spare tire around the midsection.
As Ive gotten older this has led to problems with heartburn, reflux, and GERD. Ive been on Prilosec for years, and while it does provide relief for the symptoms, once the heartburn medicine wears off Im back to square one.
Ive been looking for cures for heartburn for as long as Ive been on Prilosec, and only recently did I come across something I felt was worthy of writing a review on.
This is the point where Jeff discusses his home remedy for heartburn, and the amazing part of it is the lack of prescription medication in the equation.
Roger Molina,New York
Could Your Sore Throat Be Caused By Acid Reflux
Have you had a cough, tickle in the throat, itchy throat, or raspy voice that will not go away despite not having a cold or feeling sick? Is excess mucus causing you to clear your throat so often that it is annoying and, at times, embarrassing? Many who suffer from these symptoms are treated by doctors and urgent care physicians with allergy medications, nasal sprays, decongestants, and even antibiotics. Despite this, symptoms do not get better. Often these symptoms are not caused by allergies, a sinus infection, or a cold, but by laryngopharyngeal reflux . Also called airway reflux, reflux laryngitis, or atypical reflux, LPR is one of the most common diseases of the 21st century. Unlike gastroesophageal reflux disease , which primarily affects the esophagus, LPR will affect the larynx and pharynxyour voice production system. Lissette Giraud, MD, provides insight into and answers common questions about this widespread condition.
What causes LPR?
It is commonly accepted that this condition is caused by reflux of acid or bile. GERD symptoms like heartburn are not typical of the condition but may appear. The most common symptoms of LPR are hoarseness, sore throat, excess mucus in the throat, persistent cough, asthma-like, symptoms , postnasal drip, sensation of a lump in the throat, difficulties swallowing, and ear pain. However, LPR presents differently in each person.
When should I see a doctor?
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What Treatments Are Available For Heartburn & Acid Reflux
Most treatments revolve around lifestyle changes as your symptoms are likely to lessen if you take measures to reduce the amount of reflux that you have. For example, stopping smoking and drinking less alcohol can all make a big difference to the discomfort you experience. Some foods are more likely than others to trigger reflux symptoms so you may find it helpful to look at how you eat as well as what you eat. Avoid late night, high fat meals so you dont go to bed with a full stomach. Propping up your head when you sleep may also alleviate symptoms. Eat little but more often if necessary. Try to avoid bending forward or wearing tight clothes as this can put extra pressure on your tummy.
There are also a variety of medicines you can buy at your local pharmacy to help lessen your reflux symptoms.
Antacids: alkaline liquids or tablets that reduce the amount of stomach acid. They work immediately and last for four hours. They are best taken after meals and before going to bed.
Acid-supressing medications: capsules or tablets which reduce the amount of acid produced by the cells in your stomach.
These are split into 2 groups:
- Histamine H2-receptor antagonists . These include Ranitidine, Cimetidine, Famotidine and Nizatidine. These can be taken prior to bedtime.
- Proton pump inhibitors . These include Omeprazole, Pantoprazoleand Esomeprazole. These are best taken 30 minutes prior to breakfast or evening meal.
How Is The Diagnosis Of Reflux Laryngitis Made
1. Patient History
- A history of symptoms and how the voice fluctuates in relation to eating patterns is key to diagnosing reflux laryngitis.
2. Symptom Severity scales
- The laryngologist may use a questionnaire that asks questions about reflux symptoms in order to determine if the patients symptoms are abnormally high, indicating possible reflux.
3. pH Probe Monitoring
- In persistent or severe cases of reflux laryngitis, the patient may be asked to undergo a procedure called a pH probe monitoring. During this procedure, the patient wears a monitoring device that captures the backflow of reflux into the throat area. Treatment Role of Medical Treatment First line of treatment for reflux laryngitis involves using medicines that reduce stomach acid secretion. In addition, lifestyle and behavioral modifications, termed reflux precautions, are recommended.
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Are There Any Complications From Oesophagitis
- Scarring and narrowing . If you have severe and long-standing inflammation it can cause a stricture of the lower gullet . This is uncommon.
- Barrett’s oesophagus. In this condition the cells that line the lower oesophagus become changed. The changed cells are more prone than usual to becoming cancerous.
- Cancer. Your risk of developing cancer of the oesophagus is slightly increased compared to the normal risk if you have long-term acid reflux.
It has to be stressed that most people with reflux do not develop any of these complications. Tell your doctor if you have pain or difficulty when you swallow, which may be the first symptom of a complication.
What Lifestyle Changes Help Gerd
Here is a list of lifestyle changes that may help your GERD:
Stop smoking if you smoke.
Don’t drink alcohol.
Lose weight if you’re overweight.
Eat smaller meals.
Avoid eating and drinking about four hours before going to bed.
Avoid lying down within three hours of a meal.
Raise the head of your bed by putting blocks of wood under the bedposts .
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Find Out How Acid Reflux Can Cause Throat Symptoms Without Causing Heartburn
Yes, indeed, its possible for acid reflux to make its way into the throat and cause its typical throat symptoms such as cough, without causing any heartburn or chest discomfort.
Not everyone feels esophagitis, even if present, says Jonathan Zinberg, MD, chief of gastroenterology at South Nassau Communities Hospital, Oceanside, NY.
Occasionally there are no significant findings in the esophagus and only in the throat, adds Dr. Zinberg.
Perhaps their esophagus is more resistant than most. Sometimes what looks to the ENT doctor like reflux-induced changes actually are not.
Can’t I Just Take Over
The amount of medicine in the over-the-counter drugs for heartburn is lower than the amount in the prescription form of these medicines. And before you try an over-the-counter medicine, it’s important to see your doctor. Your doctor will help you get a medicine that works well for you.
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Treatment For Silent Reflux
At UT Southwestern, we typically begin treatment for LPR with lifestyle/dietary modifications and sometimes medications that reduce the effects of stomach acid, such as:
- H2 blockers
- Alginate therapy
More specifically, our laryngologists recommend the following lifestyle changes to help reduce the chances of reflux occurring, such as:
- Weight loss
- Avoiding acid-producing foods such as chocolate, fried foods, citrus fruits, spicy foods, and tomato-based products
- Stopping eating at least two to three hours before bedtime
- Elevating the head during sleep
Is Gerd Dangerous Or Life
GERD isnt life-threatening or dangerous in itself. But long-term GERD can lead to more serious health problems:
- Esophagitis: Esophagitis is the irritation and inflammation the stomach acid causes in the lining of the esophagus. Esophagitis can cause ulcers in your esophagus, heartburn, chest pain, bleeding and trouble swallowing.
- Barrett’s esophagus: Barrett’s esophagus is a condition that develops in some people who have long-term GERD. The damage acid reflux can cause over years can change the cells in the lining of the esophagus. Barretts esophagus is a risk factor for cancer of the esophagus.
- Esophageal cancer: Cancer that begins in the esophagus is divided into two major types. Adenocarcinoma usually develops in the lower part of the esophagus. This type can develop from Barretts esophagus. Squamous cell carcinoma begins in the cells that line the esophagus. This cancer usually affects the upper and middle part of the esophagus.
- Strictures: Sometimes the damaged lining of the esophagus becomes scarred, causing narrowing of the esophagus. These strictures can interfere with eating and drinking by preventing food and liquid from reaching the stomach.
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When To See A Gastroenterologist
Sometimes its difficult to know when your symptoms are severe enough that you need to make an appointment with a gastroenterologist, and we understand that. Here are some indications that its time to call a gastroenterologist:
- Symptoms that continue for more than two weeks
- Heartburn that persists after taking over-the-counter medications
- Heartburn episodes that change in frequency or intensity
- Nighttime symptoms that affect your sleep quality
- Acid reflux that interferes with your daily activities or affects your quality of life
- Unexplained weight loss or decreased appetite
- Pain or difficulty swallowing
- Heartburn accompanied by nausea or vomiting
- Unexplained weight loss
- Chronic hoarseness or wheezing
If you experience any of the symptoms above, its time to see one of our gastroenterologists. After performing a complete medical exam, your gastroenterologist may recommend that you undergo an upper endoscopy to evaluate your symptoms and see if you have suffered any damage to your esophagus, or provide you with the peace of mind that everything is all right. During your visit, the doctor will examine the lining of your esophagus, stomach and duodenum to determine the cause of your digestive symptoms and the appropriate treatment.
Heartburn And Throat Symptoms Not Always Connected
A burning sensation in the chest, and the various throat symptoms of laryngopharyngeal reflux disease are not always intertwined.
Many sufferers of LPRs classic throat related symptoms do not have any heartburn or upper abdominal discomfort.
You can easily have acid reflux in the throat causing symptoms there. All without feeling heartburn.
So the big question is: How do the acidic contents from your stomach bypass the esophagus and settle in the throat?
As Dr. Zinberg had pointed out, you can actually have an inflammatory process going on in the esophagus due to acid reflux and not even know it.
Or, maybe your esophagus is tough enough not to be so readily affected by the stomachs harsh juices but your vocal cords are more sensitive to them resulting in your annoying symptoms.
Thick mucous is produced to coat the throat when stomach acid goes into the larynx area, says Stacey Silvers, MD, in my article titled Trouble Swallowing, Thick Mucus in Back of Throat: Causes, Solutions.
This is why the acidic juices that make their way up the esophagus can lead to symptoms involving the throat and mouth. The absence of heartburn doesnt mean the absence of acid reflux.
Lorra Garrick has been covering medical, fitness and cybersecurity topics for many years, having written thousands of articles for print magazines and websites, including as a ghostwriter. Shes also a former ACE-certified personal trainer.
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Can Acid Reflux Cause Asthma
Patients with asthma are known to experience GERD and are likelier to develop acid reflux than people without asthma. This is because acid reflux can cause damage to the esophagus, leading to chronic coughing.
Overproduction of acid and constant exposure to stomach contents could also compromise the lungs, making it more susceptible to irritants like dust.
Developing Asthma Due to GERD
Its not just asthmatic patients who can be affected by GERD. Turns out that patients who are non-asthmatic can have respiratory problems due to reflux symptoms.
Wheezing, shortness of breath, difficulty are tell-tale signs of asthma. Commonly diagnosed in childhood, adults can also develop asthma late in their lives due to a variety of reasons. Some patients can develop asthmatic symptoms while others go on to experience chronic asthma symptoms and eventually develop adult asthma.
Asthma can be caused by a variety of stimuli including exposure to allergens and persistent flu. Doctors tend to identify acid reflux, or GERD in particular, as the cause for asthma when:
- Asthma symptoms worsen after a meal
- Asthma begins during adulthood, after the patient experiences reflux symptoms
- Asthma doesnt get better with traditional asthma treatments
Is It Always Serious?
Behavioral And Other Factors
As mentioned above, body weight is a significant factor in promoting reflux of stomach acid, and weight reduction is helpful.
Pregnancy will markedly increase symptoms of heartburn and sometimes throat symptoms as well. This is partly due to the space taken up by the growing infant. One should avoid clothing that fits tightly across the midsection of the body. It is helpful to practice abdominal or diaphragmatic breathing. This means you should concentrate on pushing out the stomach with each breath instead of expanding the chest. Avoid slumping when sitting down. Avoid bending or stooping as much as you can.
For many people, reflux occurs most often at night and sets up the irritation that continues to bother during the daytime. One of the most important things you can do is to elevate the head of your bed. To do this, use blocks, books or bricks underneath the legs at the head of the bed. The elevation should be 4-6 inches or so, but not high enough that you will slide down when sleeping. Professional singers with acid reflux should consider traveling with blocks in their suitcase for use in hotel rooms.
The use of multiple pillows to get the head up is not effective because it causes the body to curl unless the pillows are maintained under the shoulders in addition to the head. Wedge-shaped pillows can be helpful in this regard.
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