LPR/Silent Reflux - desperately in need of a miracle. Has anyone recovered from this?

Posted , 270 users are following.

Hi - I'll be as brief as possible. For almost a year I have had symptoms which have worsened, starting with throat clearing and progressing to regular spiting out of white, frothy stuff, post nasal drip, lump in throat or sharp sensation, streaming or blocked nose and hoarseness. These are all unpleasant and irritating but because I talk for a living my work is becoming badly affected so it is now making me depressed and anxious as well. I was referred to ENT, had the camera up the nose and down the throat to rule out anything sinister and was given Omeprazole and Gaviscon Advance. No advice, no explanation. I had to find it all out myself. (and I'm not confident/assertive with docs, either).

The drugs haven't helped, I'd go so far as to say the reflux significantly worsened. I had faith in the Gaviscon Advance having read how it works but that hasn't made any difference either. I have monitored everything I eat and drink and can't find anything that triggers it with the possible exception of bread, and I may be grasping at straws there. Certainly coffee, alcohol, spicy food etc don't trigger it and ginger, acidophillus, apple cider vinegar don't help. It does seem to be cyclical - I'll have a week or so of decreased symptoms then it gradally works up again to two or 3 weeks of hell. No heartburn, and the reflux is almost always upright, no problems sleeping...just the other 17 hours a day! The ENT was brusque on my return visit and said that, aside from speech therapy, there was nothing more he could do for me. This can't go on, though. At it's worst it makes me tearful and desperate at work and speech therapy isn't going to stop me spitting up into a whole toilet roll each day, or reduce the other symptoms. I'm also worried my teeth will rot and I fear for my job. Has anyone experienced this with the same pattern/lack of triggers etc? I would love to hear any positive experiences that don't just repeat the same old same old, ie, raise the bed 6 inches, dos and donts with food etc.

28 likes, 899 replies

899 Replies

Prev Next
  • Posted

    Alex hi I have been waiting for you update. I have had a blood test unfortunately I have forgotten the name its been a while now but there was no indication of anything. On 23rd of April I am having a Gastroscopy which I was promised last year and is now being purchased for me in a private hospital and it has become clear to me why it took so long. If they had just told me I would have paid for it myself if it will reduce my suffering. I will update you with the results in the meantime I will share with you the things that I have found helpful through trial and error over the past 2 years. I am still off all medication as advised.

    Getting any form of relief is hard work but achievable with serious sacrifice. My problem now is not being able to follow the strict routine all the time because I have a young toddler. Bending down causes the acid to come up but I often have to do it to pick up my son. If you need to bend down use your knees don't bend your waist. There is a marked difference during the weekend when my husband is around to pick him up for me.

    Getting a lot of rest is necessary as it seem like tiredness makes it worse. I understand you when you say you felt suicidal. That's how I felt especially when I was pregnant I used to sit there wishing someone would come and kill me. I have felt very depressed at times but my beautiful son has kept me going. I used to hack on my throat so much my son learned the behaviour and started doing it every morning. I started paying for my son to go to a childminder twice a week and that helped as I could concentrate on myself those two days. I have now stopped this because of the money situation but it gave me time to come out of the depression and re-energize to fight the condition.

    Being unhappy seems to make it worse as well because my marriage was on the rocks during the time and every-time there was an issue my symptoms would spiral so if you feel low please look at getting that sorted.

    Eating in time is also very important because an empty stomach also gives the same symptoms with a very full stomach. Try not to over fill your stomach eat only small portions at a time. Initially I could not take any coffee or tea without really bad symptoms but lately I have improved and a week cup of tea or coffee is alright

    For you to get any hours of relief from this condition you have to abstain from many food items at the same time all the time. Some of the foods worsen reflux some increase the mucus so you have to to do it all at once.

    Fat in any form is an enemy of this condition. Avoid anything fatty including nuts and fruits like avocados. All forms of sugar must be kept to the bare minimum. Dairy is a definite no no and so are soya products they increase the mucus production. I understand meat also increases the mucus production but I am not a vegan I am anaemic and I have chosen to eat the best source of iron red meat. If you can go vegan its best for you because you will reduce the thick sticky mucus production. Do not eat and fruits or drink fruit juice on an empty stomach.

    If you eat bread go for the farmhouse loaves which have no added vitamins because some of those vitamins aggravate the condition. Before a dietician told me this I had realised because I take suplements and it was always worse after taking my supplement.

    Spices may also make you feel a heat in your chest but if you can take black pepper or chillies they help thin the thick mucus stuck on your throut and you can spit it out and get relief for few hour.

    Before going to bed take a hot shower and spit out the mucus in the shower as it gets thinned. If you listen to the advise not to deep throat it in the morning you have such a buid up in the morning which makes you unable to cope at work.

    Try to keep a tooth brush, toothpaste and mouthwash with you all the time. When you go to the toilet give your mouth a quick brush and rinse with the mouth wash it will get rid of the bad smell and taste and give you confidence. You need a mint free toothpaste and mouth wash because mint aggravates the condition.

    The best results for me have been going to bed empty. I eat my dinner by 6 pm and drink only water and in morning the build up is manageable I can remove it during brushing my teeth and have breakfast and be free of symptoms until mid afternoon.

    After speaking to my GP I have chosen not to try the alkaline water. I feel that I am already suffering from a horrible condition I do not want to start nasty side effects with solutions that are not scientifically proven and may not work and end up worse off.

    Lets keep communicating and updating each other. If anything seems to be helping me I will always tell you and you can try it out for yourself. I have found one person who suffered with this for 5 years then one day it disappeared just like the way it had started so lets not loose hope yet.

    • Posted

      have you found the information you were looking for? are you feeling better?

      I had the same symptoms, how ever I'm feeling a little better. I'm still working on getting better. I know what to do...i just need to continue the process.

      This is what I did. I learn this process because I am going to a holistic person who is helping me.

      -Do a stomach cleanse

      -Protect & heal your throat , esophagus, and stomach lining with marshmallow root tea or powder, DGL deglycyrrhizinated licorice root extract chewables, Slippery elm pill, fenugreek & thyme pills . (nature's sunshine brand)

      -Proper nutrition, with BEE POLLEN pills, b complex, magnesium complex

      -avoid- mint tooth paste, use baking soda instead. buy a tongue brush & brush after meals to remove the stomach acid from you mouth, tongue, avoid oily food, spicy food, process food, don't use microwave, no sodas, no sugar, no fried food, no onion, no tomatoes,.

      -blow your nose often, & possibly use saline to get the stomach acid from your nose, do deep breaths, exercise, drink lots of water, reduce stress, get some sun, drink green /veggie shakes

      LAST STEP I'M TRYING TO DO IS . FIND YOUR AGGRESSOR FOOD. If you can find your aggressor food you will complete your treatment. what I am currently doing is (I bought a glutometor like the diabetic people use) and I will test my self in the morning when I wake up, then after breakfast and check how high my glucose is. until I find the food that shoots my glucose to the roof. that will tell me WHICH FOOD IS MY AGRESSOR FOOD. Once I find my agressor food I can stop eating it and my treatment will be complete.

  • Posted

    Hi Mandi

    It certainly sounds like you’re having a rough time with it as well.

    As you can imagine, many of the things you talk about I have already tried and/or am doing. I’m a great believer in ‘research and empower’, always looking for information and knowledge and willing to try almost anything. I find that not all the things that apply to some people are relevant for everyone and I also suspect that many people have this as a symptom of something else that has not yet been diagnosed. It’s cited as a symptom of many things, as you obviously know – from adrenal glands under-functioning, to thyroid problems, menopause, liver problems and many others. It’s also significant that drugs seem to work for some people but not many and I’m constantly scratching my head when I read forums and people are talking about managing it ok, being on PPIs for years but obviously still not well. Some of the things that you say are triggers for you don’t have any effect on me. It’s interesting that you mention spicy food because if I eat curry or chilli I do feel better. Certainly they aid breathing and I have never noticed a worsening of symptoms that I could attribute to eating those things, yet on every information page/site you look at, they are no-nos.

    I am on strict instructions from my dentist to stop brushing my teeth so frequently but to rinse the acid from my mouth with water only through the day and brush only twice a day. I also have to use repair and protect toothpaste as a cream, applied to my teeth and gums morning and night

    I also understand what you mean about stress and unhappiness. I’ve had a very difficult couple of years but have no way of knowing if that’s contributed as the reflux began a year ago.

    Rest is probably an issue for me. I don’t sleep well. If I do manage to sleep early for a change, I’ll wake up in the middle of the night. But I think the lack of sleep & reflux are self-perpetuating problems and a chicken/egg situation.

    I’m curious that you say you benefit from not eating after 6pm yet during the day you can’t have an empty stomach. Why do you think that is? I have tried alternate day fasting (well, 2 days out of 5) and am giving it another go now. Sometimes I find it causes bad reflux but today, for example, I haven’t eaten since 10.30am and that was just 2 peaches. The reflux has been less severe today and I drank milk last night, too. However, out of desperation I started taking Ranitidine (Zantac) two days ago so it’s possible that it might be having some effect. I’m taking at a dosage a doctor would prescribe and it may be of some benefit. It’s certainly not having the negative effect that Omeprazole did. PPIs are supposed to be the bees knees in drug treatment for this but I decided it was worth trying the Ranitidine. At least when I return to the GP I can ensure I don’t waste time being prescribed a long course of something I’ve already tried.

    I’m trying the alkaline water, too. If nothing else, the science about the pepsin seems plausible so if it stops the pepsin causing any more tissue damage and maybe protects my mouth and teeth as well, it’s worth a try.

    You sound like you’ve had some very low moments and I really do feel for you. As you say, let’s keep in touch here. I am about to try something called D-limonene as well. Probably more expense with no outcome but if I don’t try I won’t know.

    • Posted

      That is interesting, curry seems to settle me too, and chilli.

      Home made curry, rice and green beans with a yoghurt and a little mint dressing sits so well, balmy this is.

      Hope your ok

      Regards

      Gwen

  • Posted

    Re fasting - I meant 2 days out 7, not 2 out of 5 - not as full on as the actual alternate day fasting. It's not a weight loss diet but weight loss seems to be a benefit for many people. I'm not very overweight but dropping a few pounds can't hurt. I've stopped all exercise since this began because it makes it worse (as you know from problems simply picking your son up) and some days I feel so ill I can't even walk the dog so I have put a bit of weight on.
  • Posted

    Hi Alex good to see an update from you I have just been to the dentist and my teeth are still fine. You are right about the foods just being trial and error. There is no one solution and sometimes what works for another person may not work. I would appreciate any solutions that you find so that I can try them out to see if they will work. I am still patient with medical science and everything they are trying out.

    You asked a question about the night time empty stomach. The symptoms for an empty stomach are the same for both night and day but at night I don't feel it because I will be asleep. If I have disturbed sleep and I wake up its usually just the same. The difference is if my stomach is empty the re-flux is not so bad when I lie down so I don't wake up in the night coughing with a tickle in my throat I wake up in the morning with a bitter taste and bit of congestion which I clean out whilst brushing my teeth and get on. When I used to sleep with a fuller stomach coughing an spluttering woke me up and in the morning I had so much mucus stuck in my throat I would need an hour to clear it out.

    Its nearly 3 years now since this problem started and now I am managing to get some normal hours in between. The strict eating regime had enabled me to loose a stone even though that was not the intention I think it is helping to make things slightly better.

    Ranitidine for me only worked for two weeks and then after that it was ineffective.

    JPT my doctor did not scare me he just told me that he had no information on that in his medical journals and I should ask the specialist when I see him if he knows anything about it. As personal advice he said that whatever I choose to do I must always let him know and we discuss it because some things may interfere with prescribed treatments and if there are any side effect he would not be able to detect them in a treatment which is not in medical journals

  • Posted

    I read this with interest as my grandson 2.5yrs suffers from silent aspiration. He is on

    Losec once daily but the biggest thing with him is that we do not let him drink until

    20minutes after he has eaten because as he enhales small amounts of liquids go back into his lungs.. He does not have milk because of the reflux action sending the milk in dribs

    and drabs into his lungs. His appetite is VERY good and he is very active.

    I am not sure if this will help with your condition but it is what we do and seems to be very

    successful.

  • Posted

    Alex,

    I have been suffering from reflux for many years. It improved after I got treated for the hechilobacter infection. However lately I needed to take nexiun as the reflux come back. I got very sick with my lungs last week. I am still sick. I had a CT my lungs have been affected by the silent aspiration. I was lucky enough To be seen by a respiratory especialist today. He diagnosed the reflux was due to loose muscles in the stomach. Esophagus and the hiatus hernia which is only mild. He said is the menopause. Lack of hormones. The stomach is distended. I am having high amounts of different anti acids today. The only solution to prevent further silent aspiration is surgery. Other wise my lung will get more damage. Ill keep you post about the outcome.

  • Posted

    I don't know if any of you are still on here, but I've been reading these and it sounds like I've been dealing with some of the same problems that you guys have. I've been dealing with what my doctor thinks is acid reflux, but I've never had heartburn, but have so much mucus in the back of my throat that I feel like I could cough it all out, which by the way I can't get rid of. I've been dealing with this for three years now and my doctor has finally prescribed me Omeprazole. It hasn't been working though and I had lost hope for finding out anything until I last week figured out that dairy has made the acid much worse. The weird part is that just by taking one bite of ice cream I completely lose my voice or squeak out words. I just recently got over a two month period of not being able to talk.

    I was sent to the ENT but the doctor there didn't find anything wrong with my vocal cords, but did say that they were red. I don't know if he just thought I was faking, which might have something to do with me being fourteen.

    Do any 0f you think that this could be LPR?

    • Posted

      Hi Breanna, don't know if you still come on here, but I'm like you

      i don't have the heartburn although I do have a mild acid feeling

      in the mornings sometimes.

      My main problem is the thick thick mucus stuck at the back of my throat

      constantly ! Which I can't swallow or cough up, it wears me down and

      i have to stop myself from panicking from the horrid feeling of it.

      food seems to aggravate it, and I love to eat a variety of things, this 

      has totally ruined my enjoyment of eating and takes over my 

      thoughts all day everyday !

      The docs have put me on omeprazole as have had this 4 months

      now, also I have been given a nasal spray to use for 8 weeks 

      and have to take gaviscon before bed.

      Please let me know how you are getting on and if anything you have tried has helped, Sarah13796

    • Posted

      I have similar symtoms to you and have been suffering constantly for 2.5 years now.  Drs are now help.  PPIs didn't work for me.  I take alkaline water regularly now - I buy 8.2ph water from Amazon.  I also try to stick to a fairly healthy alkaline diet and am trying to lose some weight.  Drs at my hospital don't even recognise LPR or silent reflux as a condition and at that point I lost faith in them ever being able to cure me.  I have found by sticking to a high alkaline diet for nearly 5 months now, I have seen signficant improvement, I'm not throat clearing as much as I was but I still have the thick mucus stuck at the back of my throat.  I find DGL liquorice soothese this a bit and I take probiotics regularly along with Vit B complex and Vit D.  Not sure which if any of these are helping my symptoms but it's definately improved since I started watching what I eat and taking supplements but I have lost hope that this will go away one day.  I'm now accepting that it's a chronic condition I'll have to live with but live in hope that it will continue to get a litte better after a few more months.  I also suffered badly from Post Nasal drip for 2+ years but this has finally decreased after I started taking sinus rinse every day with alkaline water and after 3 months causes me less problems.

      Hope this information is of some help.  Lisa

       

    • Posted

      Hi Breanna,

      It's interesting you have mentioned loss of your voice I have all the same systems as everyone in the forum, mucus, chest pain damage to my throat and was told a 5 or so years ago although I didn't feel symtoms My ENT said I had acid reflux and to continue my medication for life as I had been diagnosed 20 years ago with dystonia of the vocal cords. When I first had difficulty speaking very tight vocal cords I was sent for speech therapy for 6 months that didn't help then found an ENT that treated the dystonia by injecting my vocal cords through the voice box with Botox this is something I have been doing now for 19 years every 3-4 months in order to speak. I am only now in the last few months feeling all the systems of LPRD which I suspect was there all along that's why it's called the silent reflux. I am having a a few tests done next month just to see what damage has taken place over all these years.....good luck to you with your voice.

    • Posted

      The natural solutions to acid reflux - such as bicarbonate of soda or cherries work quickly. Then this is all sorted within hours.
    • Posted

      Hi Sarah, 

      I can so relate! I was just diagnosed with Silent Reflux about three weeks ago, but the issues has been going on much longer. It so uncomfortable mostly at night I rarely sleep. I was prescribed some medication and referred to take a sleep apnea test. This condition is some frustrating and uncomfortable to say the least. If you come up with anything to relieve symptoms please do share.

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.