how to diagnose LPR?

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My story started in April of last year when I had cold and right after that I started feeling something on the back on my throat. My primary told me that this is GERD and I need to take Prevacid 30mg for a month. That didn't help, although I wasn't keeping any diet. Then I continue the same course of treatment but with the diet for another 30 days but that didn't work either. Went to see ENT and was diagnosed with LPF. She prescribed double dosage of PPI but my body couldn't take it. It gave me stomach pain and I had to stop. The ENT saw that my vocal cords are inflamed and swollen and told me that this is the result of the back flow of acid to my throat. I don't have much cough like everyone describes. My primary symptoms are something is bugging me on the back on my throat but I don't even try to clear because if I clear it gets worst. Besides I read couple of articles that clearing throat long term can give you irreversible damage. My vocal cords get worst when I talk , I develop pain and have to stop. Definitely things in my throat are worst with passage of food. Last two weeks I came down with sinuses is infection for which I was treated with 10 day antibiotic and now I feel like my symptoms got worst and specially airways when I breath, especially on the inhale. I do whatever I can to moisturize my nasal passages, because it feels dry, drink plenty of fluids but I can't say that i have much mucus to deal with. So some symptoms are the same but some are not so. i was wondering -what if this is not LPR? So, the question is - how do they diagnose this condition and how accurate their diagnoses are? Who can diagnose this - ENT or GI?

I appreciate anyone who can help me with this.

All best.

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  • Posted

    Hello Yasha

    The simplest way of diagnosing Airway Reflux is with the new Peptest.

    Pepsin should only reside in your stomach. If it is found in saliva you have LPR/Airway reflux.

    You book the test online, they send sample tubes in the post.

    You spit some saliva into them. Then send back in a pre-paid envelope.

    I have had several of these to see if my meds were working and following surgery to see how efficient my procedure was at dealing with the symptoms which are many.

    Gastroesophageal Reflux Disease or GERD is known for causing heartburn and regurgitation but when it reaches the throat and beyond it is referred to as Airway Reflux or Laryngopharyngeal Reflux (LPR) Symptoms include: Sore Throat, Chronic Cough, A feeling of a lump in the throat, Difficulty in Swallowing (Dysphasia), Post Nasal Drip, Persistent throat clearing. Voice Changes, Hoarseness, Asthma, Earache, and the loss of dental enamel.

    Any or all can be indicative of Airway reflux (LPR)

    Hope this helps

    If you would like my notes just send me an email.

    Best regards JPT (justpassingthrough)

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  • Posted

    JPT -

    I'm using PH 9.5 - do you think it's safe?

    Also, about Pep test...I found website -'rdbiomed' - they offer Peptest -tm - and it would provide Pepsin readings right away which is very convenient but not sure how accurate that is. The other Peptest I saw on youtube where you buy a special Peptest kit and send your saliva out to the lab and they produce a result by inserting the tube with your saliva into the centrifuge. Which one do you think I should go for or better ask which one would provide more accurate data?

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  • Posted

    Hi Yasha

    Its the same

    It wont be long before the NHS uses this simple test it will save the country milllions

    The video is what they do with the sample in the lab.

    9.5 is probably a little hi.

    You only need to be above pH 8.0

    Regards JPT

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  • Posted


    I have removed the links from the posts above. Please use the message service if you wish to exchange direct links such as these.



    Emis Moderator

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