LPR any suggestions on how to stop it?

What is LPR? I wish people would say what they mean in words in stead of this annoying American way of just using letters. I may be able to help, so please tell me what the symptoms are. People go on about PPI. What is it, when it isn't Payment Protection Insurance?

lanzoporazole didnt help me, nor did omeprazole, but esomeprazole - otherwise known as nexium really did.  sorted my tongue out a huge amount.  its a slightly newer and more effective version.  ask your dr to put you on it, it really has made such a difference

i get all the issues u do, including the throat lump and mucus feeling, try the esomeprazole honestly, in a short time its helped massively.

Hello Relly, lansoprazole caused the intolerable dryness side-effect for me, so an alternative as JMCG suggests is worth looking into.

Not sure why you've gone for a low carb diet. I have three bananas, six to eight slices of wholewheat bread, two lots of wholewheat cereal and so on, for gastritis. Just in case anything I do that helps me a bit might be of use to you, I'll put the details below. Excuse the long-windedness, but it's all about the possibility of anyone getting some ease from these blasted illnesses. Best wishes.

Several small/medium meals per day (I have seven medium, one every two hours or bit longer), rather than fewer bigger ones, so you don't overfill your stomach. Eat relaxed, chew well. Be sat upright for and after meals, not bent or reclining, so you don't squash your stomach and press its contents upwards.

Fried foods, high-fat foods/meats, dairy, high-salt foods, spicy-hot foods, tomatoes, carbonated drinks, caffeine, alcohol and chocolate can all impact on stomach and reflux troubles for some people, so personal experimentation is key. Minty foods relax the lower oesophageal muscle, as do some of the above foods and drinks, which can let acid up easier, so they are bad. I use a fruity toothpaste, and strawberry gaviscon tablets for the now only occasional acid burn.

Wholewheat bread, cereals, bananas, hardboiled eggs are a few of the foods that suit me, but there are pulses, rice, various beans (not kidney beans apparently) and many other things to try. Chicken is one of the best meats due to its lower fat content, though even that can hit me and is not eaten lately.

Stress, excercise and bending activity that pressure and squeeze the stomach are also to be avoided. Be as calm and stress-free as you can.

Having your last meal a few hours before bed can prevent or lessen reflux at night, but I found that waiting to be too empty caused hunger discomfort, assorted spasms and kept me awake. Because of this I lie down about an hour and a half to two hours after last meal, and this is much better. I lie raised a bit on three pillows, on my right side, which is best for me, but the left side is  recommended as best following tests carried out with sufferers. Other people raise the bed-head itself about 6 to 8 inches or use a wedge affair..

Another thing that helps me greatly is to not burp after ten minutes after eating, as this can bring acid up and cause heartburn. I get the swallowed air out gently just after the meal, sittiing a little forward, then don't burp till after the next meal.

Water triggering heartburn is common. It can happen even with non-ill people. I learned that the best way to get my daily requirement is to drink around 130 ml or bit more with each meal, which, in my case, is added to by some sips of a nutrition drink. So generally I don't have to drink between meals,

In tests there was an indication that some people with reflux suffer heartburn through drinking water in several gulps because their lower eosophageal muscle doesn't open and close correctly when doing this with fluid, and so acid can escape upwards. But just adding water to your stomach between meals, when there is still food and fluids in there, will increase its volume and raise it nearer to the top where the muscle is, the pressure of which, if too much water is drunk, can then cause the muscle to open and let stomach fluid up. Cold water can also cause spasms, so sips of usual water is best.

Some say to drink water only between meals at points when the stomach is empty, but that cannot always be done easily - certainly not in my case where I need to eat every couple of hours or will lose more weight. I can't have between-meal water slowing things down. So I find that a little drink of water with each bite of food that gets well chewed, then a few more af the end of the meal does the trick. I also have water with two cereal meals, which may sound utterly bland but is fine to me, as I avoid dairy milk and have yet to try my cereals with the likes of oat, rice, almond or soya milk. But they are good milk substitutes for people who don't/can't have dairy, unless a person has issues with them.

Hi Relly and thanks for the reply, Many years ago I was training at the Guildhall School of Music and Drama in London. I was my teacher's last student of the day and we would walk to the tube station together. He would buy his treat of the day, a Mars bar. He told me not to drink milk or eat anything with milk in it, especially milk chocolate, as it causes the body to make too much mucus, and thick mucus at that. The food bolus then sticks with the mucus, much like pushing a nylon stocking down from the top, forming a plug that can't get through the sphincter and into the stomach, so lay off milk products. The teacher, by the way, was Bryan Drake and he died on Christmas day, some twenty years ago. His obituary is on google, and if you read it you will see he was a highly respected opera singer and knew what he was talking about. I used to get very painful blockages with the food sticking, to the extent that it caused a hernia just before the stomach, making the oesophagus narrower and exacerbating the problem. Another thing that has helped me enormously is advice given by the great botanist David Bellamy, who had his own fascinating series called Bellamy on Botany on TV many years ago. His advice was that to reduce the amount of mucus made by the body, make an infusion of thistle roots, when you can find some, a bit later in the year, or keep digging until you find some in the garden or fields. Cut the cleaned roots into small pieces and crush them on a board or using a mortar and pestle. Boil them up and take a few sips when it's cooled down. How it works is beyond my knowledge, but it has worked for me, is free and has no bad side effects, unlike the rubbish peddled by the pharmaceutical companies,  who have no interest in curing anything and couldn't care less if their garbage works or not or even if it kills people. which it does by the thousand. Good luck and let me and me know if it helps. It keeps for years and has little or no taste, so make up a few jars in the summer when thistles are common and the roots are thickest. Best regards, Chris10905