Posted on February 6, 2010.
The signs and symptoms of acid reflux Silent Choking often occurs with acid reflux at night, but silent acid reflux can also cause choking, coughing, throat and other related issues. Although commonly called reflux silent, the actual duration of this particular form of acid reflux is Laryngopahryngeal reflux (LPR).
What is LPR? laryngopharyngeal reflux disease is similar to gastroesophageal reflux disease (GERD) in that it occurs when the lower esophageal sphincter (LES) weakens and opens, allowing acid reflux into the esophagus. However, the main difference is that the main symptom of GERD is heartburn, while the primary symptoms of LPR typically occur in the throat.
Most people are aware that acid reflux usually occurs when the LES, the lower esophageal sphincter between the esophagus and stomach, malfunctions. However, it is not as well known is the esophageal sphincter was another called the upper esophageal sphincter (UES). The UES is located where the esophagus meets the throat. When the LES and UES fail, silent acid reflux is the result.
What is the difference between LPR and GERD? As previously mentioned, LPR results when stomach acid makes it past both of your sphincters and pools in your throat, or reaches your mouth or the back of your nose. GERD is when acid makes it past the LES and remains in the chest and not through the SIU.
The most common symptom of GERD is heartburn, which occurs after a person has experienced repeat episodes of reflux and acid burned the protective lining that covers the esophagus. Although some heartburn LPR patients experience, not a common symptom, because the digestive juices do not remain reflux into the esophagus long and cause damage. This is often why LPR is referred to as silent acid reflux, because most people do not associate the symptoms they experience from laryngopharyngeal reflux with acid reflux.
What are the symptoms of LPR? The symptoms almost always occur in the throat and are usually felt because, unlike the esophagus, there is no protective lining in the throat.
The common symptoms that may be experienced are:
- Chronic cough
- Asthma-like symptoms
- Regurgitation
- Sour or bitter taste in the mouth
- Need to clear the throat frequently
- Under the throat
- Burning sensation or pain in the throat
- Sore throat
- Hoarseness and possible loss of voice
- Difficulty swallowing
- Runny nose Post
- Pain in the ear and / or consistent ear infections
- Nausea
- Heartburn
A person suffering from acid reflux silence may experience some or all of these symptoms.
What should I do if I think I have LPR? If you think you may be suffering from laryngopharyngeal reflux, you should consult your doctor for an examination and diagnosis. Your general practitioner (GP) can refer you to an ENT (a doctor who specializes in the diagnosis and treatment of ear, nose and sore throat, also known as an ENT specialist).
You can expect to have made various tests such as endoscopy, a special test that is designed to display the entire length of the throat and is often used to diagnose LPR. Other tests you may experience for further diagnosis include barium swallow or dual pH probe studies. It is imperative that you have LPR diagnosed and treated because it can cause as much damage severe untreated GERD.
How is LPR treated? Silent acid reflux is primarily treated with the same methods as GERD. The reason is because the goal is to reduce the acid to treat symptoms and prevent acid reflux from occurring. Thus, treatment usually involves lifestyle (IE eliminating foods and beverages that trigger acid reflux, quitting smoking, losin.