How To Diagnose Laryngopharyngeal Reflux (silent Reflux)
My 6 year old has had chronic sinusitis, recurrent pneumonia, lots of infections, tonsillectomy and adenoids removed @ 3 yr. because the tonsils were so infected. We had a scare in July where he was believed to have either a very serious infection or leukemia (due to blood work being so off and neutrophils dropping way below normal levels). We have been through the ringer with him since he was 6 months of age!!! He's had CF tests done, bone marrow biopsy, tons of chest x-rays, immunoassays etc. He's never had a CT of his sinuses but will soon. Now that he's been cleared from everything we are thinking it's laryngopharyngeal reflux, aka Silent Reflux, w/o heartburn. Anyone have a child with this that can help me? Should I push them to test him or just go along with the diagnosis w/o testing.
View 1 RepliesLaryngopharyngeal Reflux (LPR) And Sore Throat
I am quite tired of my sore throat. It's not a pain like when you get a cold. It just feels like I have a bump and it feels irritated. It's mainly on my right side. This has been going on for almost a full year. I thought I had hurt my throat while singing because once I sang really loud and harshly, and that's when the pain began. But I mentioned this to three different ENT doctors, and all of them said they thought that wasn't it. The first ENT checked my throat with a little mirror, and he said I had LPR. I've read about it and I feel like he's right. Certain foods like fatty, acidic, and overly processed foods trigger these throat symptoms. Another reason why I think I do have LPR is because I burp A LOT and really loud. I always feel like burps are getting stuck in my throat and this is very painful Anyway, I don't know how to solve these problems. My throat can be unbearable sometimes. I am going to start on over-the-counter Ranitidine to see if this helps. Another thing I want to mention is that when I laugh My throat burns as well. Also when I sing or talk a lot without stopping. Any suggestions? Anyone with a similar story or diagnosis? I would like to hear anything anyone has to say about this.
View 7 RepliesSore Throat With Laryngopharyngeal Reflux (LPR)
i was diagnosed with LPR in December 2013...the ent did an endoscopy of my throat and it showed arytenoid cartilage reddening...my symptoms started on November 10th 2013 after a viral infection...earlier the symptoms were very severe and i could hardly eat...i was prescribed Rabeprazole 20 mg (PPI) for 6 weeks , and called for f/u after 6 weeks...the ENT said there was not much change and i needed to continue with the PPI for 6 more weeks...
my main symptom is sore throat that is nagging me a lot...i have gone into severe depression and i m on anti depressants...sometimes i also have pain in the ears and neck...when i look in the mirror i feel my throat is all granular and red...
can someone please help me with any suggestions as to what helped your LPR symptoms especially sore throat
LPR (Laryngopharyngeal Reflux) Disproven - Still Having Symptoms
I've been suffering from what I believe is LPR reflux for 16 months now, and I honestly can't take another day of it. I've been through everything to try and cure it from day 1. This includes all sorts of PPIs/H2 blockers, Gaviscon Advance, 3 different diets, 3 different antidepressants, alkaline water, raising the bed, vitamin d3 (1000-5000 IU a day) and more besides. Nothing works at all, and I'm not a candidate for surgery. I've had all the tests which are expected to come back negative too; the endoscopy, barium swallow, gallbladder scan, ENT throat scope all came back clear. I also have no new allergies, and my vitamin D3 levels are high enough to satisfy even the "new" research. Personally, I think the whole D3 thing is a hoax, but I digress.
I've also have a number of "Peptest" spit tests throughout the year. In total I have collected 18 samples, and only a single one has come back positive. It was the first one I ever collected, and it was only just in the "low" bracket of pepsin detected. That's just 1 positive sample in 17 though, and I've collected samples right after serious symptoms, or even when I thought I burped up vomit. RD Biomed, the ones behind the test, are questioning my self-diagnosis of LPR, but still my symptoms continue. They include:
- Constant Post-Nasal Drip. It doesn't wake me up in the night but the moment I wake up it affects me all day.
- Throat clearing, usually a result of the above.
- A burning throat sensation. There's no pattern with food, it has even happened when I drink alkaline water.
- Sinus headaches, fatigue and ear pressure.
- Nausea and constant burping.
HOW CAN THIS NOT BE LPR?! I have serious anxiety about my health, and the thought of having LPR scares me to death, to the point I have sought assisted "self-harm" to end my suffering. I refuse to live a full life with a chronic, painful, incurable illness, because it's the one thing I've ever been afraid of having. I'm just not strong enough to cope with it. In my desperation, I keep trying to prove if stress can cause all my symptoms. It does not, cannot and will not ever be the cause. I've been told to "stop deluding myself into thinking I'll ever get better" by some people, and told it's "all in my head" by others. Nobody truly believes I'm suffering at all.
Who should I believe? Will I ever recover? What kind of conditions are similar to LPR? Please help me. I want my life back.
A last, important note. I recently stopped taking Mirtazapine after hearing they have anti-acid effects. I refuse to be on drugs for life; I want to cure my illness, not mask it. Since stopping the Mirtazapine my Post Nasal Drip has significantly worsened. I'm not sure if the two are linked, but I've made sure to take another set of Peptest samples to check for LPR, and they're still all negative.
Laryngopharyngeal Reflux (LRP) - Ears Are Blocked
I have LPR and have noticed lately that I have a sensation of blocked ears, well actually just one ear, but it alternates. I have had them checked and there's no wax of blockage. I have read on the forum that LPR can cause blocked ears but does anyone have any recommendations of how to clear them ?
I drink alkaline water, eat the correct foods, knock Gaviscon Advance back like it's going out if fashion( which does help), but I have just noticed the ear blockage.
LPR (Laryngopharyngeal Reflux) Disproven :: Still Symptoms Getting Worse
I just received the results of my rapid spot tests, manometry and impedance tests all at once. They're all clear, but my LPR continues and is worsening greatly. I figured out something important. My symptoms can change in a matter of minutes based on whether or not I use Gaviscon Advance. They're equally distressing, but I keep bouncing between them, I just have no idea why:
With Gaviscon Advance:
- Extremely tight throat (much less mucus)
- More burping
- Hurts/hard to swallow
Without Gaviscon Advance:
- Thick, heavy amounts of post nasal drip
- Difficulty breathing
- Tight chest
- Some difficulty swallowing (no pain)
A single gulp of alkaline water can bring in the mucus/tight chest/breathing problems on in seconds, but Gaviscon Advance sometimes takes a few uses to make things change. Why would 2 things reknowned for LPR treatment make me worse in different ways?!
Also I wake up perfectly fine in the morning, until I swallow, which kick-starts the symptoms. No clue why, especially since the evidence says I don't have reflux.
Laryngopharyngeal Reflux :: Throat Clearing, Hoarseness, Swallowing Difficulties
I was initially diagnosed with LPR for my symptoms, which were constant post nasal drip, hoarse voice, and a click when I swallowed. I have since figured out it wasn't LPR at all, and that all the protocols for LPR only make things worse.
I came here to hopefully help others who may have been told they have LPR when really, they have something else.
The symptoms of LPR are exactly the same as the symptoms of nutritional deficiencies of B vitamins, vitamin A, and iron.
In particular, a riboflavin deficiency will dry out the soft tissues of your throat so that you feel every tiny drip of what is actually normal mucus. Riboflavin is a B vitamin that is not stored in the body and you must eat it every day. Dairy products, something many of us with mucus are told to avoid, are very high in riboflavin, and one of the best sources. Stress, illness and certain chronic conditions can increase the body's requirements for riboflavin, causing deficiency symptoms, like a dry, post nasal drip in the throat. (In my case, I became deficient due to an undiscovered thyroid issue. When the thyroid is not functioning properly, you do not metabolize riboflavin.) Mild riboflavin deficiency will also cause dry, itchy or burning feeling of the eyes.
Other B vitamins which affect the throat are niacin and folate. Iron deficiency causes tongue and throat swelling and can even cause webbing of the esophagus. Vitamin A and zinc also affect the mouth, tongue and throat. Iodine is essential for the salivary glands.
Certain health issues can affect the metabolism of nutrients. You can be deficient even though you get plenty of it in your diet. Your genetics, your diet, and your current health conditions all affect your nutritional status.
Proton pump inhibitors and acid reducers can make things worse by reducing your absorption of nutrients.
If you want to try some vitamins to see if they will help, start with the water soluble B vitamins. I recommend taking coenzymated sublinguals which melt under your tongue, so that you don't have to worry about whether you are digesting and metabolizing them properly.
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