How To Fix LPR (Silent Reflux) - LPR Diet that Stops Reflux 

Main cause is stress in any form.. It's linked to brain.. 1.Sleep by 11pm(If have disturbed sleep or dreamy state sleep can take medication in initial stage) 2.Dinner by 8pm 3.Morning yoga /breathing exercise 3.Morning detox drink(boiled Cumin, coriander, Fennel seeds) 4.Morning fruit salad+mixed seeds 5.Go for outing 6.Dont sit continuously 7.Walk for 10-15 mins after every heavy meal.. 8.Discard proton pump inhibitors + prokinetics..

And yeah... Belly breathing is a instant stop for reflux. Anyone can try. Do belly breathing, especially long and deep, holding the breath. This causes the diaphragm to squeeze the LES valve and you feel quick instant relief.

Thank you. I read the same meta-analysis and systematic review and am floored at how my GP and Gastroenterologist keep trying to push PPI’s even though I have reported improvement with dietary changes. Thank you for more advice, which I am going to try. So good to have a voice of reason helping those of us with this issue.

This is a GREAT video introduction and a FANTASTIC approach to dealing with LPR. I went on the Fast Track Diet almost a decade ago and completely reversed a serious struggle with GERD that was wiping out my voice, causing constant throat clearing, and regular reflux. I got so much better I eventually moved away from the diet and 10 years later I started becoming overwhelmed with the symptoms again. I remembered your name and pulled out the books and app again and am throwing myself back into it. I KNOW it works and I'm ready to get healed again!!! Thank you Dr. Robillard.

You are 10 years ahead of the industry, Amazing.

What an impressive summary of the causes of LPR and treatment options! I have always suspected carbs were the big enemy. I did carnivore diet for 4 weeks and lost all my bloating for the first time in years. Now after a few years of a relatively healthy diet but one that has included carbs, I am suffering with bloating, constipation and debilitating LPR. Time for another huge diet overhaul! As a side note, I have also found that short fasts really help...I guess for the reason that I am simply starving the gas producing bacteria? (I have battled SIBO on off for a few years)

Fantastic video, please make more videos on LPR.

Thank you Dr Norm for this great video!

Thanks for this concise review of treatment options for LPR.

Thank you very very much... This is a life saving video...God bless you.

Thank you Dr Robillard for making these videos. I purchased your book a while ago wanting to find answers to my problems, but for no good reason I haven't picked it up and read it as of yet. But after watching some of your recent videos, I am about to dive in and excited to read it now that I have a face and voice the words. I can tell you are sincere from your videos and truly care about what you are doing. I also plan on reaching out to schedule a consultation after I've read the books because I can really use your help. I'm 40 and have been on PPI's almost 20 years. I desperately want to get off them, but could use some guidance from someone I feel is honest and sincere with the help they provide. These videos are very important for people like myself, and I am glad you created and shared them. Talk to you soon -Brian Taylor

This makes so much sense

Great info again

Definitely RIGHT ON! Great ;video Norm and as always VERY complete. And yes, LPR for me took many weeks to lose voice hoarseness but with consistent low levels of fermentable carbs it FINALLY went away! Brilliant plan is the Fast Tract Diet!

Thanks doc. I drink red wine every day and today I had an episode. Bloating, insufficiency respiratory, gasses and coughing. Thanks to you now I know what to do 💪💪👍👍👍❤️❤️

Your theory is the most logical one I've heard of ! I've been dealing with this problem for 5 years now ! I had a Nissan Fundoplication procedure done in may of 2022 and it worked for 3 months and it's now worse than before ! I'm going to try your diet theory. I know this,if I avoid coffee ,sugar, alcohol the condition improves greatly !

Thank you so much for making this video! This was the key video that connected my LPR to SIBO and an imbalance with my gut microbiome. Today I received a formal diagnosis for SIBO! After almost 2 years of not knowing why I was sick, I finally got my answer. I hope others have a chance to see this video and learn about a new way to look at their acid reflux / LPR symptoms with the help of their doctor. Thank you again for all your help! I am eternally grateful!

I believe you! Great answers.

Thank you very much!

I just found your video this morning and I’m reading people’s comments to help understand this condition which I think I have. A few months ago I took a medication, a combination of Aleve and Nexium, to help with the pain of OA in my hip. I truly believe that is has changed my gut micro biome. I recognize that I have the symptoms of silent reflux. I will look into your book and try the APP. I’ve even considered trying the FODMAP diet which is very strict and possibly undoable for me. I have considered that I have SIBO since taking that OA med. Is there a difference between SIBO and H pylori? Also, I’m sure I have a hiatal hernia. Tia.

I just purchased your app. I eat pretty healthy, but i had no idea i was eating some foods with a high FP. Noted. I usually go to extremes so ill probably only eat foods at 4 FP or less. Edit: 2 days in and I can already tell a huge difference. I always thought caffeine was my main trigger, but come to find out it was the high FP foods that I though were actually non-acidic. I've had a cup of coffee both days with no side effects. This diet does take a lot of discipline, but if it's important enough for you to get rid of LPR, you'll do it. I've kept my FP # to less than 20 both days. I'll probably stay at this level, and never over 25. The other benefit of this is I'm sure to get ripped with this low carb approach. Thanks for creating this app and diet!

Hi Dr. Robillard, A few days ago, when I did a search for GERD SIBO diets, I came across your book and ordered a copy, and am really looking forward to reading it. I’ve also downloaded and have been using the app, which I am really enjoying. Needless to say, I am suffering with GERD, which has been slowly getting worse for over a year. Before that, I never noticed it, or at least not as often, maybe a little heartburn once in a while... Today, I have not slept due to the reflux. I’ve tried but haven’t stuck with any diets, such as carnivore, GAPS, keto. I entered my food into the app the other day and had a total score of 24. I thought I made good choices, but my body seemed to disagree bc I wasn’t able to fall back to sleep, & now today, I am exhausted bc I could not sleep at all last night (the 2 Tum’s didn’t help much). I ate a 0% Greek yogurt w/ hemp hearts and a little honey for dinner, thinking that would be easy on my stomach, and that was 4.5 hrs. before bed. I feel like I can’t digest anything and am very frustrated. I tried boiled chicken thighs with salt yesterday but that felt like it wasn’t digesting well, so, I haven’t been eating many calories the last 2 days. Do you have any suggestions in the meantime while I wait for the book? Would you recommend Mylanta or something else to help me sleep? I’ve always been hesitant to take products like that but I am feeling desperate for some relief. Over the last 2 or so years, my nervous system seems to have gone back into freeze, and funnily enough, I also stopped working out over those 2 years. I relocated, lost my connection to place, to my therapist, to my job which was meaningful to me.. I am wondering if your book discusses the vagus nerve at all, or how nervous system dysregulation may contribute reflux? For example, the lack of desire to move your body when your nervous system in shut down, with a lot of stored stress underneath, and how that affects posture, muscle tension, which might in turn lead to weight gain, which in conjunction with the poor posture and tension, might put pressure in the LES and also the vagus nerve? Or somehow cause it stay open? Anyhow.. Thank you kindly, Briana

I just found your channel! I need your book . I have a hard time swallowing , feel like I get my pills stuck in my throat for hours . I did a swallow test and it was good . I look pregnant after I eat . I have celiac and slow digestion. No thyroid and can’t loose weight to save my life. Now starting menopause and I’m falling apart . ☹️

It sounds about right. When I do keto diet, it fixes my acid reflux. Amazing the correlation between carbs and the gas producing bacteria in our intestines. 😮

You are the FIRST person to say that SIBO probably caused my lpr. What diet should I follow?????

Personally for me, GERD started after i recovered from my Hepatitis A when I was having repeated IBS issues. He is absolutely right that GERD gets triggered by bad bacterial action..in my case it was through infection.

I always know when mine is acting up bc I feel exactly like I did when I was pregnant. It's not really a nauseated feeling. It's more like a hot bubble at the bottom of my sternum, I feel hungry constantly, even as soon as 5 minutes after eating, I feel like there's a cat hair in my throat, I regurgitate food without heartburn, and I have a hoarse voice. Coincidentally, I recently got diverticulitis and had to go on Augmentin. During my antibiotic treatment, I also took 1 Florastor I'm the AM and PM and a probiotic blend (different lactobacillus strains) in the evening. I continued the probiotics after I finished the antibiotics. My symptoms seemed to subside and I thought I was in the clear. That is, until I got food poisoning and all my symptoms came back. I got diverticulitis AGAIN and had to repeat the antibiotic, and again my symptoms went away. I will again continue with the probiotics indefinitely and will also add an alkaline throat and sinus rinse to my daily routine.

Dr. Robillard, how does one know exactly what one has? How do we find out, as regular physicians don’t usually test for these things

I initially went to a gastroenterologist asking for Sibo testing and neither me nor his PA will even talk about it. I’m glad I went in bc I learned I have a hiatal hernia which gives me more reason to further treat what is obviously Sibo. Also, this gave me more of an incentive to lose abdominal fat.

I said to a gastroenterologist I thought I had sibo and lpr he said ibs and i never listened to him and fixed myself, use high pH water and bicarbonate of soda in a spray bottle and spray in throat and breath in also use a pipette to get it in your nasal cavity to stop sore throat and nasal cavity hope this helps

Due to autoimmune conditions (psoriasis and psoriatic arthritis) I've been low carb for ages, and now have basically gone carnivore, minus a bit of berries or maybe a banana after dinner to ensure sleep. I now know I've had LPR for over a year after going to ENT, but the globus sensation has only just begun. The cough and throat clearing and globus are just awful. All day... I hope symptoms will subside after cutting "healthy non starchy veggies and carbs" out, I understand it can take time.

I don't have a cell phone anymore. Is it possible to geta hard copy of the fast tract diet? I am a sufferer of LPR. So I could really use your list. Thank you

What about a hiatal hernia? Could a tiny one could cause lpr? Would the diet help?

Norm! Bought your book and loving it so far! Using the recipes and still in the first week. I’m a creature of habit. Could I theoretically just grill about a half a pound of chicken and small amount of broccoli everyday for a few weeks after I use up your recipes consider my FP would be way under that 20-30 theshold?

This is great video and good comments from people. I read people say their symptoms are worse laying down but whenever I lay down everything improves and I sleep fine. Wake up feeling good and then about 10am the burning starts. Every single day. All day. Until I lay down and/or go to sleep. Everyday is a mirror image of the day before.I have been dealing with upper mid-back pain that often feels like a burning sensation, radiating throughout my upper shoulders. My stomach feels good, but the burning sensation is in my esophagus, start from sternum to the throat and sometimes in my ears. I had Hydrogen SIBO and took some supplements.

Just downloaded your app. Very hopeful. What I can't find is the ideal total daily number range to aim for regarding the FP number score - especially for the first few weeks. Any advice would be helpful. Thanks.

Hi I have Lpr acid reflux for last 10 to 15 years. I don’t drink alcohol, not much coffee/tea, just a cup of tea day the second cup I have is decaf one. After eating I have to clear my throat a lot, have cough and loads phlegm. Could you please advise what should I take. My ear feel full as well some times. Thank you

I would like to suggest a quick & easy alternative approach that might work for you. Just drink a couple glasses of water and jump up and down for a couple minutes to jiggle the stomach back down to its normal position. No harm or cost in giving this approach a try. You should know quickly, in a couple days, if this approach helps. Forty years ago, I did an activity which forced part of my stomach up through or past the diaphragm. It was a couple months later that I suddenly started having severe stomach pains. I was initially misdiagnosed by a doctor as having ulcers. It was a couple of years of misery before I realized that the doctor was wrong and I had gastric reflux disease, or GERD. GERD often happens naturally without a clear cause, especially with older people. Normally, the esophagus sphincter and the diaphragm sphincter muscles line up and reinforce each other. If part of the stomach is pushed or pulled up through the diaphragm, the two sphincter muscles don’t line up and stomach acid can more easily leak into the esophagus, causing GERD. Other people suggest drinking warm or hot water to relax the muscles, I would suggest cold water so that the heavy water will stay in the stomach longer. I would also suggest doing it first thing in the morning so the volume of water won’t dilute the digestion process of other food. It may take a repeat on a few successive days for the esophagus to adapt to the new longer length for the stomachs to stay in its new proper position. I would repeat the process anytime I got heartburn or acid taste in my mouth. I have been trouble free for over 35 years now, and can eat anything I want and take no meds for anything. I later learned of a gastroenterologist in Michigan who recommends this process also; maybe others now also. The body needs strong hydrochloric acid in the stomach to trigger the esophageal sphincter to close, to break down bulk foods generally, and to separate protein into the amino acid components to be effectively absorbed from the small intestines for use to make new proteins our body needs. Most or all GERD medicines block the production of or neutralize the hydrochloric acid which then interferes with protein digestion and interferes with esophageal sphincter closing. Both of those actions are counterproductive.

Hi doctor, I am taking oxycodone, can this cause lpr,I also have a 2cm hiatial hernia and hyperparathyroidism, could these cause lpr.? I get a lump in my throat, sore throat dizziness,could any of these cause lpr,I am also constipated.

so what is the fix?, what specifically is the diet to follow?

I have been looking into it and believe sibo could be an issue for my lpr. I have these burp like hiccups because I typically don’t have the ability to burp. I also have flatulence,bloating, mild constipation which was very terrible last year( a round of antibiotics helped reduce it). I have the frequent bad taste in my throat which is worse the spicier food I eat. I’m really hoping treating sibo would cure it.

Do you also have information about bile reflux? (My gallbladder is unfortunately removed)

I have chest tightness, raspy voice, burning in my throat.. These are the symptoms i have left.. I fix my diet, supplement. It seems help little bit but it still there.. I dont know what else to do..

Hi Norm, thanks for the video. I have a very weird variation of lpr where whenever I drink water only do i show the sings of GERD, with the acid reflux reaching my throat causing irritation all in that area. Looking to get some tests to understand why and what this is? Did you ever consider surgical options and if not what were the reasons for this? For me I am not keen to be taking medicine for the rest of my life.

I am having sometimes on one side and sometimes on both sides, hoarse voice, breathless one side of nose and cough after eating Sometimes I take antibiotics for throat infection.. My tonsils got white

I wake up every morning with a blocked throat. I drink warm liquids to clear it but it takes ages. I start teaching at 9.00 in the morning but need to get up at 5.30 to get everything clear without embarrassing myself in front of my students. Bloody sick of it! Will try anything. Going on a dream holiday in August. Want this resolved ASAP.

Isnt garggling with sodium Bicarbonate a worthwhile approach as this will neutralise any acid that gets past the LES. Also sodium bicarb will prevent pepsin working that is stuck in the throat due to reflux.

Where can I get the diet?

Lpr caused burning mouth syndrome for me.

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.

I have hand issues and unable to squeeze lemons. What lemon juice do you recommend?

Without stress or THINKING too much I have no LPR. but I don't know why. I love your theory about too much gas. I found that too much gas is the reason for my apnea so by not eating foods 3 hours before bedtime It is not an issue anymore. But Maybe stomach muscles movements because of too much stress can push the acid into the throat.

Is it possible to run as an exercise when having lpr and neutralizing it?

what is the difference between your approach and FODMAP diet?

I hope you can help me sir I'm suffering LPR and Gerd😭😭😭I feel anxiety everyday because of it I can't sleep early everyday I woke up my sinus trigger and can't breath normally next I feel palpitations sometimes I'm panicking because I can't breath normally

Where do I get the book? Does it have the full list of foods? Is it better to get the app? Many thanks, Claire (United Kingdom)

What type of multivitamins are ok to take?

SIBO makes sense. I suffer from severe breathing issues all day and it becomes worse at night. I feel a lump in my throat, which feels like there’s food stuck in my esophagus. I often will regurgitate a little food when burping. This constant lump causes low oxygen and wheezing all night long. Taking antibiotics used to give me a little bit of relief to where I could eat almost anything. Now it does nothing. Going on the carnivore diet seemed to make things worse. It made my bloating much worse which in turn worsened my breathing. Going carnivore also caused severe diarrhea, along with very painful rectum spasms and colon inflammation. One of the hallmark symptoms that I have is painful burping. When my oxygen gets low, and my wheezing is bad, if I can release a painful burp, I will sometimes I get relief with my wheezing. My oxygen will go back up temporarily. Please help.

I have it. The constant post nasal drip without sinus inflammation, throat clearing, occasional aspiration, drive me crazy. I need acid drinks to aid digestion.

I've been dealing with post nasal drip the worst of all kinds of symptoms. It started off only an issue if I blew my nose, but now it's whenever it feels like it. Eventually my symptoms turned into a almost constant chronic cough. Once I started dieting and cutting acids out it turned back to just the nasal drip. I dunno if this is a good sign and I'll keep getting better or not. Do you have any advice. I will try what you suggested in this video though!

I live in Canada and we don't have many healthcare options here because we get put on waiting lists. I have LPR and can easily control it with Ginger or Quercetin supplements (both work well), but the problem is that I get a very dry nose when I take supplements.

Link to book?

Do you have a video for pancreas issues ? Enzymes’ my son has a enlarged pancreas and his dr hasn’t even sent him to a dietitian or given him enzymes. Just omeprazole ! Which I refuse to give him .

I am looking to found out how to HEAL my GERD and Erosive Esophagus. Thank you

From my experience, PPIs make LPR worse. My LPR was always the most extreme when I was on PPIs.

What should our goal number for a day be? I can’t find that on the app.

What about having 1 gallstones and gallstone sledge olus SIBO and LPR. I am a mess. Very depressing. Decided ro remove my prebiotic 1st, anyone help please

The constant lump sensation and never-ending phelgm is unbearable. I would give anything for a cure for this horrible condition. It's so debilitating and I have yet to find a Dr that can help me without wanting to write an RX. I downloaded your App. Evidently, I ordered 2 of your books in 2015. I guess I will have to go back and read them again. 2015 is when this started for me. Thank you.

Can this make also eyes dry and "burning"?

2:47 did not know this. PPIs only reduce acid not pepsin etc Limit carbs

Hi Dr Robilard,I have a hiatial hernia and high blood calcium,which is causing the lpr, which is affecting my breathing,what foods would you suggest I eat that won't upset the lpr yet give me adequate calories and nutrition,thankyou.I find it hard to get deep breaths at times.

I was on lanzaprazole for a year in 2020 along with naproxen,is it possible that my lpr was triggered by them,I do have a hiatial hernia too,could it be that causing lpr

Mine is all in my throat and ears. My ears ring and feel full all the time. I also have mucous draining down my throat which makes it sore.

I started having horrible problems 10 days after Double Hernia Surgery done by Laparoscopy. Wondering if something in the surgery could have triggered this. I can only eat a handful of things now, oatmeal, eggs, bananas, turkey sandwich on wheat toast, wheat toast and a few other things but thats it. This just keep the pain to a normally livable level but never complete goes away. I will have 2 or 3 days a week where the pain gets bad at night and makes it difficult to sleep. definintely not a way to live, its miserable.

Doctor ive been diagnosed with gastritis during the beginnning of the year. Only a few days ago i experienced sore throat (a litle burn), ear aches (Like a spicy effect). Coupled with dry cough that comes sometimes and throat clearing with mucus. Im on pantrapazole for my gastritis and probiotics to improve my stomach lining. But now im concerned that I may have LPR. Could this be a possibility of LPR? Ive never experienced this or have any heartburns before. i read through forums, it seems like that there may not be a cure for it but just ways to manage the symptoms. Im concern that my health could spiral with this condition.

Hello Dr. Norm! I have gotten migraines in the past when eating Erythritol-even in small amounts. I do, however, do very well with Allulose. Since it is said to be low-fermentation, as well as excreted in the urine, and is not considered a 'sugar alcohol', could you please share your opinion on Allulose specifically?

Interesting theory. Unfortunately, for me, I've tried low/no carb diets, but my reflux becomes 100 times worse, especially with higher fat-comprised meats like beef. High protein seems to be an issue too. That said, I'm quite sure I have lower gut issues besides GERD, but it's not SIBO. What clearly does help, though, is eating low fibre vegetables that are cooked well enough that they are digested easier. Fermentable carbs are, indeed, a nightmare for my gut. I just need to figure out why I'm not digesting fats, as is evident due to the steatorrhea.

I like the way he never mentioned it costs about 8 dollars for the app.

Hi Doc, Do you know if LPR can cause patulous eustachian tube? Its when the eustachian tubes dont close enough and you experience autophony when talking. When my patulous eustachian tube started, thats also the time i had the severe onset of globus and gastritis. The patulous eustachian tube hasnt healed for over 2 years. Im only just now realising that i have LPR and that i need to manage that, and already my singing and speaking voice have improved tenfold. Just wondering if you know about Patulous eustachian tube and if there may be a connection?

do you have any paid one on one advice sessions?

Can I use an albuterol inhaler if I get asthma like symptoms?? My throat started closing once and it was one of the scariest things ever. I got an inhaler prescription but I want to know if it can help?

Hello Dr., would you suggest doing your fermentable carb diet concurrent to antacids like omeprazole or only the diet and no medications?

You need your add keto foods into your app. Just a suggestion

Can you eat a regular diet again once the LPR stops? Or is it it important to make the diet your new lifestyle. I was diagnosed this year and changed many of my eating habits already. It's already a challenge without any of the carb fermentation things you mentioned.

started having horrible problems 10 days after Double Hernia Surgery done by Laparoscopy. Wondering if something in the surgery could have triggered this. I can only eat a handful of things now, oatmeal, eggs, bananas, turkey sandwich on wheat toast, wheat toast and a few other things but thats it. This just keep the pain to a normally livable level but never complete goes away. I will have 2 or 3 days a week where the pain gets bad at night and makes it difficult to sleep. definintely not a way to live, its miserable. Reply

Sugar substitute erythritol, common in keto foods, may increase your risk for stroke

Different doctors have different theories...very confusing and frustrating.

Hi Dr., I’ve hd chronic irritation in my nasopharynx for 4 years. I’ve been to countless ENTs and tried all kinds of diets, I have not found a cure. Can LPR cause problems in the nasopharynx rather than in the larynx?

Neutralise the pepsin in your throat twice daily by inhaling alkaline water from a facial streamer. It works brilliantly! I have tried everything and done a huge amount of research into LPR over the years.

Thanks for this information, i just subscribed to your channel. Important question : In spite of anti acids not being ideal for LPR, wouldn’t it be a good idea to try them out as a litmus test anyways ? For instance could someone who benefits from anti acids realize that it is acid related as oppose to SIBO?? or contrarily could someone with Sibo who take anti acids see a improvement of symptoms? Which moreover could reinforce the idea that the root cause is high acidity being the issue rather than SIBO? Basically my question is ; would taking anti acids provide any deducing answers ? Please respond

Pls how do i order tge book here from Nigeria. Even if its tge soft copy. I need it for myself, daughter of 10 years old and son of 12 years old. Pls help.

I have had a chronic cough for two years now. I am on Omeprazole, but this hasn't helped. I have had endoscopies carried out. The last one showed that I didn't have acid reflux. My lungs 🫁 appear healthy. What is your solution, because what you say about the voice is happening to me. What should I do?

At 4:19, you started talking about food as a trigger and later pointed to your book with diet recommendations. If it is indeed undigested carbs that feeds the gas-producing bacteria, what about occasional prolonged fasts (24/48 hours) to allow the digestion of carbs to complete for relief of symptoms?

Very interesting. I've been through a lot of videos and I'm trying quite a few things now, including carnivore diet. I'm not seeing much improvement in LPR symptoms, but perhaps a little. Theoretically, if the mechanism you are proposing is accurate in my case, the carnivore diet should eliminate/reduce my symptoms within a month or a few, right? At that point, I could follow your Fast Track diet. Make sense to you?

What do you do when the Fast Tract Diet doesn't work? I have eliminated sugar, grains, and even all fruits and veggies (body can't tolerate fiber), and still have the almost constant throat-clearing. I had an endoscopy and have a minor hiatal hernia (hill grade 1) and a bit of inflammation, but I've had the throat-clearing for years and years. Thoughts? I'm a long-time low-carber, having started in the late 1990s. Started a carnivore approach last August.

Not sure I am convinced. I have LPR and lifelong Noburp (Retrograde cricopharyngeal disfunction) at the same time. My UES simply doesn’t open up no matter how much gastric air pressure I have.

Hi doctor Robollard,can a hiatial hernia cause lpr?I also have hyperparathyroidism can that cause lpr,thankyou.

Given up alcohol, carbonated drinks and sugar. Cannot give up my coffee. I’m trying apple cider vinegar before meals and before bed. Only just started.

I have a hiatal hernia 3cm and silent reflux. I rarely get heartburn so i dont feel the reflux. But i always have mucus in throat and i have refluxesophagitis

Hello Dr. My symptoms seem to be only on one side. I can sometimes taste a bitter hot fluid coming up in the right side of my throat, I have thick mucus, one swollen tonsil and a plugged nose all on that side. Does that sound like LPR? I cannot get into the specialist until December this year and I have been suffering for almost two years. Any thoughts would be appreciated. 🙂