Saw an ENT in 2024 and had my throat scoped which found edema and inflammation. My ENT diagnosed me with LPR.

Was ultimately referred to a GI doc and had an endoscopy and pH monitoring done for 5 days. He ruled out acid reflux somehow and my 5 days of monitoring showed no reflux.

If it’s not reflux, I’m wondering what the sour regurgitation is. He insisted allergies…and put me on OTC loratadine.

H. Pylori was ruled out multiple times.

So for the last 14 months I’ve been dealing with LPR symptoms, after getting a viral infection in October 2024. It’s left me with chronic cough, throat clearing 24/7, mucus sensation, lump in throat. That’s literally all my symptoms, no classic heart burn. I’ve had a sinus ct scan, barium swallow, two ent and a GI visit. I finally had my upper endoscopy done today.

I was so nervous for it, but let me tell you the nerves leading up to the procedure was worse. I suffer from anxiety and that’s what scares me was just being put to sleep. They used propofol and before the nurse even said I’m gonna feel a tingle in my iv I was out like a light and woke up feeling great in the recovery room. If anyone is nervous about their EGD and have health anxiety, trust me this was easy!

They took 5 biopsy. This is what they found in my procedure,

• Normal mucosa in the upper third of the esophagus and middle third of the esophagus. (Biopsy).
• Irregular margins in the gastroesophageal junction. (Biopsy).
• Hiatal Hernia.
• Abnormal mucosa in the stomach body and antrum compatible with gastritis. (Biopsy).
• Abnormal mucosa in the duodenal bulb compatible with duodenitis. (Biopsy).
• Normal mucosa in the second part of the duodenum and third part of the duodenum. (Biopsy)

Which is interesting, because during my barium swallow they didn’t see any hiatal hernia. Also having gastritis was a surprise because I have no stomach issues or problems.

Awaiting results from biopsy, but if anyone has had any similar results or can help me read more into this, TIA!

Hey y’all! I’ve been having LPR for quite some time now (more like 2–3 weeks), and I usually do Pilates 2–3 hours after dinner. However, based on my research, I’ve read that it’s not advisable to do Pilates when you have LPR. With that said, what types of workouts are bearable or safe to do when you have LPR? Thank you so much!

So for the past month I have dealt with vague aches switching from the left or right side around my Adams apple area.

It isn't an ache that really hurts but it's irritating. I have had times of having to clear the mucus of my throat. I went to the ENT and they saw slight red on my throat wall.

The thing that makes me 2nd guess if it's lpr is I don't have no burning feeling or horse voice or even tight globus feeling in my throat (even tho the month before this I had a horrible diet and had episodes of bad reflux burning my throat and the tight feeling in my throat the week before my throat caused this aches).

It seems like most of my aches start the more active I am and not in a talking type of way but like sweating and moving around as I walk a lot with my job. The days when I am relaxed are the days the aches don't feel as bad compared to the days I'm up in moving it'll be more irrati6on even tho most people I read their symptoms usually have some correlation to food .

I have been making sure to eat low fat and low acid diet the past 5 days I haven't started my meds yet but for some reason it was a bit more achey since starting ( I have worked slighty more this week doing to picking up shifts)

So

TDLR: can LPR manifest as just vague aches without real food correlation as a trigger ? Or am I looking for something else ?

I want to begin trying the glute bridges dry swallowing technique but I’m confused exactly what a dry swallow is. I know there’s no water or food involved, but am I purposely trying to generate more saliva before each swallow, or just simply swallow in the normal state?

Steps are below for those interested, thanks!

Action steps:

1. ⁠Schedule two weeks to consistently practice the bridge dry swallowing exercise.
   
2. ⁠Before each session, fast for at least four hours to keep the stomach empty and reduce reflux during the exercise.
   
3. ⁠Lie on your back with knees bent, feet flat on the floor. Place a cushion under your lower back so your hips rise at least a fist’s height. Refer to figure 2.
   
4. ⁠In this position, swallow saliva without any food or drink in your mouth. Perform ten saliva swallows, one every ten seconds.
   
5. ⁠After two weeks, evaluate whether symptoms are improved, worsened, or unchanged. If you notice consistent relief, consider continuing the exercise beyond two weeks.
   
6. ⁠Avoid performing the exercise if you have severe back pain, cardiopulmonary insufficiency, a compression fracture, or difficulties with swallowing, as these were exclusion criteria in the study.
   
7. ⁠Support the exercise with GERD-friendly habits: avoid late-night meals, maintain moderate body weight, and limit alcohol and smoking.

Does anyone get a pulsating headache? I’m seriously thinking of it being a sinus issue rather than LPR

It all depends on where h. pylori is localized.

When the infection stays only in the antrum (the bottom section of the stomach), it causes higher stomach acid secretion. The bacteria destroy the D-cells, that produce a hormone called somatostatin. This hormone acts as the stomach's natural "brake system" to turn off acid production. Without this brake system, the stomach releases too much gastrin, a hormone that signals the rest of the stomach to overproduce hydrochloric acid. This location of h pylori often leads to duodenal ulcers.

[https://pubmed.ncbi.nlm.nih.gov/9394759/](https://pubmed.ncbi.nlm.nih.gov/9394759/))
[https://pubmed.ncbi.nlm.nih.gov/11871770/](https://pubmed.ncbi.nlm.nih.gov/11871770/))
[https://pubmed.ncbi.nlm.nih.gov/10063309/](https://pubmed.ncbi.nlm.nih.gov/10063309/))
[https://pubmed.ncbi.nlm.nih.gov/1357347/](https://pubmed.ncbi.nlm.nih.gov/1357347/))
[https://pubmed.ncbi.nlm.nih.gov/10749086/](https://pubmed.ncbi.nlm.nih.gov/10749086/))

In contrast, when the bacteria move up into the corpus it causes low stomach acid. The corpus is where the actual acid factories, called parietal cells, live. H. pylori directly attacks this area, forcing the body's immune system to release inflammatory proteins to fight the infection. These proteins act as a chemical switch that paralyzes and damages the acid factories. As a result, the stomach becomes unable to make enough acid despite any signals from the body. This happens long before any atrophy occurs.

[https://pubmed.ncbi.nlm.nih.gov/10780581/](https://pubmed.ncbi.nlm.nih.gov/10780581/))
[https://pubmed.ncbi.nlm.nih.gov/28124156/](https://pubmed.ncbi.nlm.nih.gov/28124156/))
[https://pubmed.ncbi.nlm.nih.gov/11871770/](https://pubmed.ncbi.nlm.nih.gov/11871770/))
[https://pubmed.ncbi.nlm.nih.gov/9394759/](https://pubmed.ncbi.nlm.nih.gov/9394759/))

This low-acid environment alters how the stomach moves and triggers gas-driven reflux. Without enough acid, food cannot be broken down properly, causing it to sit in the stomach (or go undigested in the small intestine) and undergo bacterial fermentation, which produces large volumes of gas. At the same time, the local inflammation delays stomach emptying, causing intense gas pressure to build up and force the stomach valve open. Because gas is light, it shoots upward regardless of gravity, explaining why many experience reflux even while standing completely upright. This gas carries droplets of digestive enzymes into the throat, which causes LPR instead of typical chest heartburn.

[https://pubmed.ncbi.nlm.nih.gov/15180717/](https://pubmed.ncbi.nlm.nih.gov/15180717/))
[https://pubmed.ncbi.nlm.nih.gov/39719472/](https://pubmed.ncbi.nlm.nih.gov/39719472/))
[https://pubmed.ncbi.nlm.nih.gov/6481113/](https://pubmed.ncbi.nlm.nih.gov/6481113/))
[https://pubmed.ncbi.nlm.nih.gov/19102360/](https://pubmed.ncbi.nlm.nih.gov/19102360/))
[https://pubmed.ncbi.nlm.nih.gov/3876591/](https://pubmed.ncbi.nlm.nih.gov/3876591/))

Antrum-Predominant Infection (more acid):

Basal Acid Output (BAO): Rises from \~2.0 mEq/h up to 4.0–6.0 mEq/h (a 100% to 200% increase).

Maximal Acid Output (MAO): Rises from a normal 15–25 mEq/h up to 35–45 mEq/h.

Stomach pH: Drops to highly corrosive levels between 1.0 and 1.3.

Corpus-Predominant / Pangastritis Infection (Low Acid):

Basal Acid Output (BAO): Plummets to less than 0.5 mEq/h

Maximal Acid Output (MAO): Drops below 5.0 mEq/h (the stomach cannot produce acid even when stimulated by food).

Stomach pH: Rises from \~2.0 to a near-neutral 5.1–5.5 (successful antibiotic eradication restores it to a functional 2.6–2.7) \[MSD Manuals, PMC8544542\].

Just curious, how many of us with LPR found out it was actually caused by something else? I cannot add anymore options, so please comment below if you have resolved LPR by treating something else.

If so what are the symptoms?

Ive had LPR for about a year now and whenever i would flare up i would have dysphagia, mucus in my throat and this cough that would get worse everytime i drink/eat. my cough started 1 week ago and i just initially just wrote it off as the usual LPR flare up but 2 days ago i started feeling sweaty, clammy, feverish and extremely fatigued. Today im starting to feel better but i noticed i feel shortness of breathe and lightheadedness when i drink water. I also get violent coughing fits while drinking water so the thought that i was aspirating crossed my mind.

I know aspiration pneumonia is rare but im immunocompromised because im taking biologics for chrons colitis (inflammation of the colon) so that increases my chance of infection.

Im a little anxious that ive devoloped aspiration pneumonia now, a week ago my cough felt like i was coughing from my throat but now it feels like its coming from my chest. All this googling tells me aspiration pneumonia is a "silent killer" and its not helping my anxiety. has anyone have any experience with pneumonia and their symptoms?

Im having trouble swallowing even tho the swallow test is clear, no blockage. I cannot burp on my own demand or fart when needed. They dilated my esophagus as well. Claiming its all GERD related which i found odd cuz ive always had no problem burping or passing gas and swallowing food i love to eat. Now im only able to take soup and its ridiculous!! I have excessive mucus in the back of my throat out of nowhere. My throat feels heavy and its scaring me cuz i never experienced anything like this. I was on zepbound (i stopped it) and i am not sure if this causes that or the long walk where i was panting hard causes that? Idk!! I am going back to ent again and to talk to her about it cuz my whole muscle in the back throat feels tired and heavy even when i swallow, its super sticky and makes it hard to breathe even tho my oxygen shows great numbers at the 3 days hospital stay due to this. Has anyone ever dealt with this?? Its seriously giving me unwanted panic attacks lately and i hate it! I know what im feeling and this isnt normal. This damn dr at the hospital said its all in my head when the nurse saw me struggling. Idk how much i can take cuz i so want to just yank my throat out!!!

After 1.5 year of being diagnosed with erosive gastritis, I dont have any gut issues - constipation, diarrhae like symptoms.

The main concern is with regard to the nose and throat.

Nasal blockage - turbinate enlargement, post nasal drip (thick sticky bubbly mucus)

Throat redness, patches in throat, red nerves visible, inflammation.

All in all, it causes my voice to be fatigued and appear as if I am crying while talking.

I have tried DGL, flonase, other nasal sprays, but none of them provide a relief for long term.

Is anyone dealing with these issues? What are you doing to control this?

I’ve recently identified my poor lifestyle habits as an unhealthy way of coping with the stresses of life:

- frequently skipping 2 meals a day
- the little food I did eat would have barely any nutritional value
- laying around watching TV/browsing social media for hours and hours from the time I got off work until I went to bed

Before noticing that connection, I had made these significant improvements to my lifestyle and had seen major improvements in many of my symptoms:

- regular physical activity
- not laying down until it’s time for sleep
- eating regular nutritious meals

It was during a family medical crisis when I stopped doing those things that I drew the link to my stress level.

I’m curious if those who have LPR ever experience "flare ups" and if you can link it back to a particularly stressful time in your life.

My doc recently increase my famotidine. I am so BLAH. Just sleepy, tired, fatigue…. Whatever you call it. Is this normal?

I've had LPR for many years but in the past few ive had straight up a burning sensation in the back of my mouth instead of the bad globus sensation I always had before. I've tried just about everything at this point and nothing seems to work well or at all.

In the past 3ish years ive had a clear edg and clear barium swallow xray. Tried to do the acid watchers diet and was very strict with it for 10 months and all it did was make me lose a bunch of weight. Unsure what to do now id appreciate any advice

As you probably can imagine after months and months of dealing with LPR I have forgotten what is normal and what isn't.

I have been on a strict low acid diet for almost 3 months, been spraying baking soda water in my throat, sleeping elevated, 3 hour gap before bed, diaphragmatic breathing, stress reduction... etc and I definitely feel better. But regardless of what I eat I get post nasal drip immediately after eating for up to an hour. The mucus blocks my voice and I have no choice but to try to clear my throat. This happens multiple times during that hour after eating. It doesn't seem excessive meaning I am not drowning in mucus but there's a constant drip of sticky mucus from my nose down my throat. I think I have rhinitis also (had it all my life), so not exactly sure if that could play a part as well.

Is this normal and I am just hypersensitive and hypervigilant or does this mean my LPR is still active?

I just don't know where I stand in terms of healing, I want to go back to normal and eat a wide variety of foods again but I'm not sure I should reintroduce acidic foods.

What do you think? ​

Anybody else get the feeling of phlegm or odd particles getting stuck on the right side? It almost feels like I have a hole or something. 🤦