Acid Reflux, LPR (Silent Reflux) & GERD: Causes and Treatments

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Learn more about Acid Reflux, LPR (Silent Reflux) and GERD in this educational video by Dr. Pasha.
Gastro esophageal reflux disease (GERD) is acid reflux that enters into the esophagus and is often associated with heartburn. On the other hand, Laryngopharyngeal reflux (LPR) occurs when contents (acid and enzymes) from the stomach enter the throat and is not associated with heartburn or a “burning” sensation in the chest, earning it the nickname “silent reflux.”
Treating acid reflux, especially LPR, begins with behavior changes. Dr. Pasha feels that most cases of LPR can be treated with behavior changes alone, avoiding the potential complications of medications.
For persistent problems, Dr. Pasha may send you to a surgeon that performs surgery for acid reflux. One such procedure is called a fundoplication, which involves wrapping the upper part of the stomach around the lower esophagus to create a stronger valve between the esophagus and stomach. It can be done laparoscopically (with small surgical incisions) or as a traditional open operation with a larger incision.
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5 окт 2021

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Комментарии : 102

@blackswan859 Месяц назад

I came here to say something about my recovery from GERD and LPR..I have been suffering for 6 years , couldn't sleep for nights and always felt uneasy in the stomach,hardly ate anything..The culprit is refined sugar...Throw it out of your pantry and see the difference..Donot eat anything with added sugar for 15 days ..and see difference.I have totally recovered...Hope this helps someone who is suffering.

@TheVoyagersBlueprints 9 месяцев назад

I've been struggling with LPR for a year and i've finally found relief...This is what you should do (in addition to cutting out the foods he mentioned: for me it was caffeine and dairy)....Use a sterilized spray bottle or neti pot, add alkaline water and sodium bicarbonate...I use the neti pot and add just a tiny pinch of sodium bicarbonate, and I get instant relief in my nose and throat. I will also gargle with this several times a day.

@ananyarashimusic3823 7 месяцев назад

Hello..plz help me..i am suffrng from the same problem

@oneseeker2 7 месяцев назад

Relief.as in no symptoms?

@KARIS1961 5 месяцев назад

I’ve been going through this on and off since 2022. I dropped Diet Pepsi and sprayed my nose and throat with ph water and baking soda. That worked. Last week, after 5 months, it’s back. I took out dairy. Now all I eat is meat. No smoking, drugs, alcohol, just meat and water. I’m now up typing this with only 1 hour of sleep. I don’t know what else to do. Stop eating entirely?

@stebbey6006 5 месяцев назад

@@KARIS1961 hows it going now? silent reflux is usually caused by too low stomach acid levels (like any reflux). for instant relief you could try the baking soda spray but you eventually need to get your stomach acid levels back to normal. (To get an indication if your stomach acid is too low try the baking soda burp test) and if it is too low try supplementing with betaine hcl + pepsin during meals and drink 1 glass of diluted ACV with water every day.

@Aki2024. 4 месяца назад

@@stebbey6006how is the spray solution would get relief for people that has low acid? I mean sodium bicarbonate neutralize acid in stomach right?

@johnmarkeusebio2541 2 года назад

Very informative and helpful. Thank you.

@prasadduggina7688 7 месяцев назад

Good medical video thanks

@jjns3324 Месяц назад

As someone who suffered from LPR for at least 2 years, the DR is spot on. The worst symptom I had was coughing after a meal of any size. I chew sugarless gum (no minty stuff) with sodium carbonate as an ingredient for about 30 minutes. My cough is gone. This is anecdotal, but it does work for me. My voice has never come back yet, but compared to the cough that almost drove me around the bend, it's ok.

@_THUMPR_ 7 месяцев назад

Perfect thank you. I'm not exaggerating when I say the episode I had last night nearly killed me. I can usually cough like crazy to clear things up and start breathing again but it wasn't working and for a good 30 seconds I was panicked and started seeing lights. I thought for sure I was done. I cleared my through for 2 hours and inhaled so much air I burped terribly for 30 minutes. That night I ate a big meal and ice cream just before bed. Never again .

@irenekakanou2295 7 месяцев назад

I had exactly the same symptoms seeing flashing lights. I explained to my gp but they wouldn't believe me. I am to know that someone else as experienced the same symptoms as me . Its really scary though

@oneseeker2 7 месяцев назад

Omg why didn't u call 911! I! Afraid not rest ice cream or a big meal!

@oneseeker2 7 месяцев назад

Find another Dr!

@_THUMPR_ 7 месяцев назад

@irenekakanou2295 that's weird that they didn't believe you. If you aren't breathing eventually weird things happen.

@debbiec6216 24 дня назад

Avoid sugar , you have to change your diet . Ice cream causes a lot of throat clearing . It's Dairy , Gluten are 2 big issues. I avoid both of them . Actually I void over 80% of processed foods and stopped drinking soda in the last 16 years.

@stephenjones6030 Год назад

Pausing 30 seconds into the video to post this comment: I'm grateful that Dr. Pasha took time out of his day to make the video. I'm not sure if I have LPR or GERD, even though I have ALL of the symptoms of LPR. I've had a nagging cough for years, made much much worse after a major exposure to mold for over a year in my home. I moved out over a year ago and the cough still persists, off and on. I don't think LPR or GERD is causing my cough but I'm starting a 14-day antacid regiment today to see if there is any change. I am also quitting coffee, at least for the short term, and following the dietary suggestions given here; I also read these on-line, with the exception of CHOCOLATE. Yikes...I've been eating a LOT of chocolate lately!

@utkarshsharma3730 Год назад

did your symptoms go away?

@lambda_tubes 10 месяцев назад

I believe I have the exact same issue. Unsure if it's lpr or an infection but chronic post nasal drip for a couple years now. Started after a mold exposure. Did a long detox and still have the issue. Got scoped and definitely have gerd, at least down low. The symptoms are constant regardless of what I eat or when. Azelastine nasal spray provides temporary relief. This is a tough boat to be in, I feel your pain.

@IreneYoungFoto 6 месяцев назад

Mold? Try Toxaprevent.

@JeanthelAlkonga-tz2mn 5 месяцев назад

@@lambda_tubes same. You may want to try ginger tea? and gargling baking soda. It helps

@randydueck6870 5 месяцев назад

Mold? Hmmm, I had a similar timeline with living in a moldy house and developing LPR. A year later and I still have it, but not as bad. I've also been trying everything I can find on the internet. There are big claims about the carnivore diet curing acid reflux, but very little info on LPR specifically. I heard a few people say it took longer to resolve LPR....8 weeks seems to be the magic number. This video is missing a major item that seems unanimous in the "enlightened" health circles: that most gerd cases are due to LOW stomach acid rather than high. This is why Apple cider vinegar helps relieve heartburn for many. ...too much more to say on this topic.

@DK-tj8nm 2 года назад

don't eat oily spicy outside food don't eat chips popcorn etc Gargle with salt water 3 times a day atleast Don't eat citric fruits like orange lemon grapes Don't eat tomatto and never eat raw onion Don't eat masala product like maggy pasta etc Elevate your head side 6 inches atlease so create a slop so acid don't come up Observe if diary milk curd lassi creates problem or not if do than leave them also Never sleep or lay down after meal always lay down after 2-3 ours of sleep Take dinner early and don't sleep before 2-3 hours after that Take small meals 4-5 times a day don't take large meals only eat 60% of your capacity Eat soft spiceless fruits Take 1/3 little baking soda and drink when you feel irritation and drink every 3 days if possible only little soda not more It will kill acid in your throat I am suffering from LPR from one year so I have tried and observe every thing Also consult ent doctor Take 20 minute walk after dinner Don't do hard exercise gym or weight lifting it will create more acid reflux Don't clear your throat distract your self in some work Drink small sips of water when throat stuck feel because clearing throat will irritate it further if you don't clear throat and sip water than your throat will heal in 1-2 day Also don't drink too much water at a single time it will create more acid reflux Remember this tips will greatly help but going to ent doctor is also required Because many illness have same symptoms and all parts are deeply connected so you may never know your disease without doctor

@ZayedAbdillahAziz Год назад

I've been to the ENT 6 times with 2 different doctors and each of the 3 visits they all say it's due to acid reflux where it affects the throat, nose and ears … is it ur comment can help me?

@ZayedAbdillahAziz Год назад

If yes i want contact u to ask detail,i really need help for this iam 17 and i think i have them 1 year now this lead me to health anxiety

@sarsvfx Год назад

@@ZayedAbdillahAziz hi am the same age as you too omg

@5ermad 11 месяцев назад

@@sarsvfx are you all good now? any updates? i am 23...

@gkcyber22 7 месяцев назад

@@ZayedAbdillahAzizsame here i have been clinically diagnosed with health anxiety disorder 3 months ago and I really don’t know the cause of it. I observed myself on a daily basis and my symptoms are palpitations, dizziness and shortness of breath. I realized these symptoms are triggered if I have mucus build up because I kinda hear that I am wheezing or like a whistle tone thats coming out of my mouth. Also, sore throat and something that’s stuck on my throat and cough. If I am starting to have these my health anxiety kicks in and I am already fed up. So I started a less but frequent meal a week ago. So far, no flare ups at night and I can peacefully sleep. I think I would have to follow this routine and see if this symptoms would go away. Best of luck!

@CavalierNSN 9 месяцев назад

Hello! For me, I coughed and wheezed over a 4 - 6 hour period at a time. Sorry to go long, however, it's never ONE thing, is it? Two things confirmed for me were Small Intestinal Bacterial Overgrowth (SIBO) and low-potency stomach acid. SIBO would produce gases that would build up from my intestines and carry pepsin from my stomach to my breathing pathways because my stomach acid wasn't strong enough to trigger my Lower Esophageal Sphincter to close. The result is asthma like wheezing and coughing. I acidified my stomach with Zypan, while undergoing an elimination diet. It turns out that I was eating foods that neutralized my stomach acid!! Bread, grains, high fructose corn syrup to name a few. In fact, acidic preservatives in bottled tea and seltzer drinks like Bubli would activate pepsin wherever is was located in my soft tissues (sinuses and esophagus). All of these foods caused indigestion for me. When I eliminated these foods with low carb, sugar/sweetener-free and whole food diet, something changed. Although I still have to induce burping to relieve build up periodically (especially before bed), for having eaten only one meal per day, I don't cough nearly as much anymore!! Runny nose is a symptom for me still because it will likely take time to recover from SIBO. Otherwise, I feel no burning or other acid reflux symptoms. Just the cough, asthma and bloating.

@lisak5804 7 месяцев назад

Omg! You described my symptoms so well and I thought I was crazy! I wheeze too and cough a lot ..sometimes it's painful and Ive been tested for allergies,, asthma, pneumonia when it first started and nothing came up so I've been living with this for years trying to figure it out in my own because I haven't heard anyone having issues like mine. It's worse on my exhale or if I inhale too quickly. I thought it was good related because the symptoms fluctuate between mild to severe and maybe thought stevia...cut that out and helped a bit but not that much. If I have a bad spell for some reason hit peppermint tea works. But I'd really like to fix it completely. I guess I'll have to change my diet now! I'm not happy someone else suffers with this cough and wheezing (as my chest hurts at times) but I feel better knowing I'm not the only one and have a starting point. Thanks for sharing!

@CavalierNSN 7 месяцев назад

@@lisak5804 **UPDATE** Hello again! Thanks for your kind words! These symptoms are a bit of a struggle, aren't they? I have new information! Cold dry air and cold beverages can cause my events also. Reactive Airway Disease came up in discussion with my Doc. Therefore, I had to make a few modifications to my routine: -Gut bacteria balance means no processed foods or excessive carbs and I now eat only in a four-hour period between 11:00 and 15:00. This gives my system time to digest and recover. I've acidified my stomach with zypan and I use bile salts to aid flow. -NO COLD LIQUIDS! They may aggravate the vagus nerve, which triggers phrenic and other spinal motor nerves related to a cough your body may think is a foreign body or obstruction of the wind pipe. The reaction is inflammation which leads me to believe it's an allergic reaction by food or a physical reaction by aggravating the vagus nerve. Science went over my head but I did a cold-water test with immediate regret. Guess what helped me? Coconut milk! I whip it up and serve it slightly warm with a small amount of stevia. I like your tea idea, but water seems to slosh around more, which leads me to my final discovery. -"mild" sliding hernia. I, now, have to perform breathing exercises and avoid flopping down when sitting because my lower esophageal sphincter can crown a little bit and remain open from activities like over-eating, too much to drink (water while eating) and prolonged sitting. I've been doing better, but this is a long fight. Hang in there and be well!

@CavalierNSN 7 месяцев назад

Oops! 1100 and 1500 is military time, not a reference to a point in the video. My apologies won't make that mistake again!

@anusharani2695 5 месяцев назад

Hi can you tell me what to do even I have the same pbm I don't know about sibo but lot of gas that pass through the LES and feels like asthma lot of cough what to do done with endoscopy found acid reflux

@debbiec6216 5 месяцев назад

I need to know, what kind of Specialist do I visit ?? I also have Erosion Esophagus and what kind of specialist do I, see ??? It can become confusing . I know I don't get burning in the throat , I have throat clearing , feel like something stuck in throat . I have NEVER had a detail check with any G.I. Those I went too , didn't explain anything to me, nor did they take any test. To see how audacity to my throat. I need to get this acid reflux healed and my esophagus , because I am worried about Barrett's Disease and Esophageal Cancer .

@genevieveedwards6303 24 дня назад

I'm experiencing the same Months now

@rel375 4 месяца назад

Yes Doc, that was very helpful. Thank you so much. 👍

@ArthurGeorge-eu9fq День назад

Words can't express my gratitude for all you've done and will continue to do Dr Emovon, you are truly an amazing and dedicated doctor, keep saving life my Doctor, for helping me get rid of my bad breath and acid reflux..❤

@Romeo-mg4kr 4 месяца назад

Doc, where can u contact

@donnaroberts4209 11 месяцев назад

Can you have both at the same time?

@oneseeker2 7 месяцев назад

Yes

@ufwa1637 2 месяца назад

I don't know why i just have throat symptoms its just something inside the thraot when im clear its also mild painful i have visited several drs some said tonsils some said pharygitis and gave antibiotics but no sypmtoms improved i have sudden pressure that comes and goes

@landshark616 2 года назад

I have lpr diagnosed by ent my problem is I have a lot of saliva coming up my throat ??

@mikunmeher4194 2 года назад

Hii

@mikunmeher4194 2 года назад

Kon sa medicine li apne

@droneggiando7764 Год назад

How you doing? I’m having it too… Tons of mucus … clearing throat. I’m going crazy

@TheVoyagersBlueprints 9 месяцев назад

Yes, this is a symptom. Gargle with warm water and sodium bicarbonate a few times a day. You can also add a sprinkle of sodium bicarbonate into a neti pot, and rinse your nasal cavity with that.

@oneseeker2 7 месяцев назад

Same

@OsasuStella-hw9lk 4 месяца назад

Your generosity towards my bad breath is incomparable, you assured me of getting healed just within 2 months and it was so. Thanks a lot Dr Emovon on RU-vid I will keep letting the world know about your good work and about your RU-vid channel..................

@EugeneRizCrispo 10 месяцев назад

Does lpr cause tonsillitis?

@oneseeker2 7 месяцев назад

Yes/swelling of, inflammation of

@JamesRobert805 4 месяца назад

Thank you so much Dr Emovon on RU-vid for your treatment and your consultations. I'm forever grateful to you. You've been such a kind and caring doctor for me during my hard time of bad breath. Thank you for doing everything that you do and helping me during a hard time. I'll definitely spread this to the whole world, I'm totally free from bad breath #dremovon..

@markpartoza7959 Месяц назад

How does long throat pain in LPR?

@Mentesestoicas_ 5 дней назад

"Pain" comes and goes, and the throat adapts with time. It's not that bad for me, at least. I felt "pain" for about 2, maybe 3 weeks at the beginning of my symptoms, and then I have been feeling "discomfort" for the last 7 months. There are days when I don't feel a thing and others when it comes back. In general, it's not "painful" after some time but "uncomfortable" since your throat is irritated 24/7. As I speak, it's very bizarre because I have a cold or something like that, so it gets even worse.

@stephenjones6030 Год назад

Is chronic coughing a symptom of LPR?

@NickNack229 9 месяцев назад

Yes, from personal experience.

@nathanwood5977 8 месяцев назад

Yes and its a vicious cycle. The more you cough, the more you will bring up acid which then make you cough and so on. Best to try and stop the cough. I have a cough at the moment and the acid goes so high, it affects my ears. sad face

@Pennscreekforge 4 месяца назад

@@nathanwood5977yes you are right it effects the ears , i have got tinnitus due to LPR

@nathanwood5977 4 месяца назад

do you get it in one ear? I sleep with my right ear down on the pillow and I tend to get it in this ear, probably due to gravity. Although, I do get allergies on top so its probably a combo of the two. @@Pennscreekforge

@m21sup 2 месяца назад

@@nathanwood5977 This, try to meditate or to not panic when you cough because it also triggers the throat to close. Stress management is a huge improvement

@Sunshine-vz2on Год назад

Does lPR cause ear clogging ?

@hindustanmemesandnews590 Год назад

it does for me always

@zayedabdillahaziz3151 11 месяцев назад

@@hindustanmemesandnews590for me yes,how r u now guys?

@magic_fruit_bat5003 11 месяцев назад

Do you mean ear wax build up?

@zayedabdillahaziz3151 11 месяцев назад

@@magic_fruit_bat5003 no

@cissem4025 9 месяцев назад

well i have that and sometimes ringing, along with low grade fever which i don't know if its caused by lpr but it usually occurs when my throat is irritated from acid reflux

@trinal2299 10 дней назад

Does anyone have symptoms/issues with their ears as a result of silent acid reflux?

@subodhkandel1454 4 дня назад

Yes.

@charlesjohn3018 3 месяца назад

Having you as my Dr Emovon on RU-vid is also a positivity that I don't really have to bother about any sickness or virus, because your herbal medication of bad breath has shown not only me but the world how good your products are and I' I'll keep recommending you, thank you for curing me from bad breath and acid reflux.

@AuroraCalvo970 16 часов назад

Thank you so much. I am so grateful And I pray that God continues to bless you I really appreciate you Dr Emovon on RU-vid for restoring my health, for giving me a permanent cure to my acid reflux and bad breath..👍

@appengr3278 2 месяца назад

Cantaloupe saved my life.

@sobhagya 7 месяцев назад

Can you please add script so non english audience can understand properly

@user-ms5ex9oy2r 3 месяца назад

Thank you drohanon for your kindness towards humanity am very grateful that i was able to get rid of my bad breath problem with the help of your supplement i really appreciate your kindness😇🍂