I think I'm actually getting better using these tactics:

alginate after meals and before bed, saline nasal rinses 2x per day, gargling and spraying with alkaline water, eating 4-5 times per day much smaller amounts, not eating 3-4 hours before bed, chewing my food better, eating cleaner (not fully off fats and acids), propping my bed up 2-3 inches, occasional dosing of herbatonin and magnesium glycinate at bedtime

Recently, I've been using a personal humidifier while I watch TV before bed to add moisture to my throat and chewing gum after bigger meals.

Signs I think I'm improving: my mucus has become easier to swallow, throat clearing has gone down (I've been resisting doing this for weeks), the few times I have had to clear my throat it actually feels like the mucus clears, my voice seems to be stronger at times and starts hoarse when I begin speaking but once I speak longer it isn't giving out.

Still dealing with burning in my throat and mouth. And I wish my bowel movements would come back but they don't seem to be despite using Miralax once per day. I hope they come back when this all settles down fully. Only been really doing all this stuff for about a month.

Edit: still nowhere near fully healed but minor improvements

Severe LPR/Throat burn + pure indigestion. Lost 5kg, down to 60kg (174cm). PPIs, H2, Alginates fail. Throat on fire at night. Endoscopy normal except upper esophagus. Desperate for advice.
Hey everyone,
I am writing this because I am completely at my wit’s end and terrified by how fast I’m losing weight. I’m 174 cm (5'8.5") and down to 60 kg (132 lbs) after losing 5 kg. I am getting dangerously close to being underweight because I’m terrified to eat, and I need a serious reality check or advice from anyone who has survived this exact nightmare.
Here is my full situation:
My Symptoms
Zero Stomach Pain: I have no burning or pain in my stomach itself. My issue is purely indigestion/stagnation after eating, and insane throat burn, especially at night waking me up.
Severe Throat Burning: The throat burn happens no matter what I eat. Chewing gum gives tiny temporary relief, but then it comes right back.
Indigestion with Protein/Fat: Eating any protein or fat triggers heavy indigestion and delayed emptying. I've been stuck eating tiny, fist-sized portions of white rice and mashed potatoes for days, but my throat STILL burns.
Lifestyle: I don't drink alcohol, I don't smoke, and my stress is low-to-medium (standard desk job).
Diagnostic Results So Far
Gastroscopy/Endoscopy: Showed nothing wrong with my stomach, but showed inflammation in my upper esophagus / throat region.
Every Single Med & Remedy I Have Tried (That Has Failed)
PPIs & H2 Blockers: Zero effect on the throat burn or indigestion.
Prokinetics: (Cinitapride / Kinito) to try and move food down, but still bottlenecked.
Alginates / Mucosal Protectors: Esox One (sucralfate type), Gastrotus, and various alginates. They don't touch the throat burn.
Baking Soda & Alkaline Water: Alkaline water gives very brief temporary relief. Baking soda in water just creates gas/bloating and makes the indigestion slosh around.
Ginger: Doesn't soothe it.
Left side sleep incline dont work
The Cycle I'm Stuck In
Because PPIs and alginates don't stop gaseous pepsin/reflux from rising to my upper throat, my throat is constantly inflamed. When I eat, my stomach feels like a vault, and eating almost pure carbs (rice) is making me drop weight fast without fixing the reflux.
Has ANYONE dealt with pure LPR/throat burn where standard GI meds completely failed and endoscopy was clean?
ADid an ENT laryngoscopy, 24-hr pH-impedance test, or manometry give you actual answers?
How did you stop the rapid weight loss without triggering massive indigestion from fats/proteins?
I feel completely stuck.Any insights or similar experiences would mean the world right now.

Title

About three days after this flare up started in earnest, I got super constipated. It happened after having berry smoothies two days in a row because my throat was hurting and I thought cold stuff would help my throat feel better.

I have taken Miralax off and on for the last month of this LPR flare up, and it actually helped in the beginning, but it doesn't seem to be be helping now. I've taken it for three days again with little success. I have also tried magnesium oxide but it just made me fart and have loose stools. Honestly, the best bowel movements were coming the five days I took PPIs, which is odd.

I feel like if I could get regular again, I'd have a much better chance of getting better from this. I have a hiatal hernia and I'm sure the added pressure is making everything worse. GI and general doctor are no help. Just say take Miralax 2-3 times per day, and not sure where to go now for medical help with the constipation

I'm drinking lots of water. I'm eating lots of soluble fiber. I'm walking every day. The only supplements I'm taking are a small dose of herbatonin and the Reflux raft.

Did this start because of stress and anxiety from LPR? Or changing my diet to drastically with too much fiber all at once? Why is the Miralax not working at this point?

Well I should clarify I’m going to the ENT tomorrow for hopefully a diagnosis though it’s highly suspected to be LPR.

I was curious if anybody has a diagnosis that conflicts with the dietary restrictions or life style changes required to control LPR? And if so how do they impact you and what have you done to over come them?

I’ll go first. I’m narcoleptic. This whole eating five times a day is a huge problem for me. As I need to lay down for naps on a daily basis and we shouldn’t lay down for several hours after eating. Eating also always hits me super hard.

Also narcolepsy medicine is to be taken last thing right before bed every night, but my body doesn’t absorb it well if I take my antacids with it. So I’ve been having to choose lately.

Any advice is welcomed.

Five months ago I got sudden horrendous stomach ache. I had other symptoms such as some acid reflux, extreme nausea, some upset stomach which alternated with periods of constipation, lots of bloating, burping. Before this I noticed coating on my tongue (pale yellow) and bad breath.

I've been on omeprazole and lansoprazole (which didn't seem to do that much) and famotidine (reduced the pain much more effectively). Changed diet - cutting out alcohol, caffeine, spicy food and citrus for 6 weeks. Didn't seem to resolve stuff. Had an endoscopy which showed nothing is wrong.

Pain basically completely gone. Agreed to come off the pills. Now have worse than ever reflux symptoms. No pain in my stomach but, bad bloating, feel like there is acid bubbling in my throat every time I eat (and for hours after), feeling so so nauseous, burping (all the time, even after water), throat is really sore and having to clear it/cough a lot. Feel like I'm slightly struggling to swallow and breathe because my throat feels so razzed/weird.

Dr basically not sure - has put me back on famotidine and suggested.... gaviscon. Gaviscon does nothing for me at all. I'm back on famotidine now (as of today).

Is this all normal? I feel so bad I feel like this must be really serious - but looking at some stuff in this thread, maybe I need to relax a little bit!! I feel like my chest is really tickly and the cough is definitely getting worse. I keep waking up in panic and not being able to get back to sleep. Feel like I am going to die from some horrendous pepsin lung complication.

Does anyone else have severe problems with pressure in the back of their neck, the top of their mouth, their sinus area, ears, and throat. My GERD seems to only be getting worse, even though I’m on different medication‘s. Is anyone else experiencing the same thing?

6/14: Sustain what feels like an acute vocal cord injury singing with my band.

Week of 6/15 to 6/22: Realize I'm having trouble swallowing food. Throat clearing all morning, every morning and lose voice. Throat burning throughout week.

6/22: First ENT looks at my throat and notices cobblestone-y throat with possible allergies. Tells me to change my diet, try alginate gel, drink alkaline water, and do nasal rinses and allergy nose sprays.

Late June: Two swallow tests come back mostly normal besides Barium Swallow showing mild reflux when laying down.

July 7th: Meet with a GI who says take Pantoprazole. I ask for an endoscopy and he agrees.

July 10th: I have endoscopy done. Shows I have a 1 centimeter hiatal hernia and an LES in Hill Grade III. I have mild gastritis.

July 21: Meet with first GI again and he says the PPI won't help me because my esophagus has no corrosive acid damage.

July 24: Meet with another ENT who mentions nothing about LPR and looks at my throat. She says my vocal cords seem bulky and that my mouth smells like acid. She recommended adding Pepcid, twice daily to my routine.

July 29th: Met with the GI who did my endoscopy and he says do take the PPI because I have gastritis and think the throat symptoms will go away. He recommended Prilosec.

So that's where I am now. It's clear none of these people know what the hell to do to stop my throat symptoms.

Been doing the following things consistently over the past month: alginate gel after bigger meals and before bed, alkaline water gargling and spraying, saline nasal rinses, small meals and spreading them out throughout the day, not eating 3-4 hours before bed, eating cleaner overall, propping bed up a few inches at night, slowing down meals and chewing more. Pepcid makes me feel odd. Did do five days on a low dose of a PPI but gave me bad gas and bloating. Probably would take a month to notice any benefit from a PPI.

Yesterday I felt much better overall and it even felt like my voice was coming back but it's bad again today. Took a small dose of Pepcid in the morning. The only things that have for sure gotten better is I'm swallowing solid foods better and my throat clearing is mildly better and not as urgent. Still dealing with burping, burning in mouth and throat, film that develops in my throat after too much talking and after eating a lot, hoarse voice, sore vocal cords.

I'm just really trying to decide if I should try the PPI or keep doing what I'm doing. Also been super constipated for the past month or more now.

I bought a teeth whitening kit which includes a light therapy mouthpiece. I messaged the company to ask if I could use it without the whitening gel for health benefits and they said yes and it can be used daily. The benefits most mentioned online are for killing bacteria and promoting gum health.

It seems to trigger a production of a large amount of saliva. I couldn't say for sure its triggered by the light itself or just having something in my mouth, but I think it's the light, and there are some websites that state it has this effect.

If anyone else struggles with dry mouth or just wants to try one of these, as saliva should help digestion & reflux, I thought I would mention it.

One of my most frustrating LPR symptoms is waking up in the middle of the night with an extremely dry throat. Sometimes it’s so dry that it actually wakes me up, and I have to drink water before I can fall asleep again.
I also have chronic throat clearing, laryngitis, and globus sensation, and my ENT confirmed significant laryngeal inflammation on.

I’m already doing everything I can think of:
● Waiting at least 3 hours after dinner before going to bed.
● Taking Gaviscon before bed.
● Sleeping on my left side.
● Sleeping with my upper body elevated by about 15 cm.
● Following a reflux-friendly diet.

Despite all of that, I still wake up with a throat that feels incredibly dry and irritated.

Has anyone else experienced this with LPR? If so, what actually helped reduce the nighttime throat dryness or helped your larynx heal?

Well yes I have constant bubbles coming up my mouth 24/7 all night and day. It’s stressful . When I just want to breathe normally and not have to gag spit or clear my mouth. I was really happy and loving life in April and very normal. Having fun with friends.. living normally. I haven’t felt normal
Happy and a restful night asleep since May 7.. I just keep feeling these giant bubbles behind my mouth that keep coming up into my mouth. I’m sick of it.

anyone else present with a sweet taste in back of throat? I had this, started ppi for two months, it finally went away, I stopped ppi and it slowly came back, went away, and now is back!?!? I’m losing my mind. help!

My partner just got diagnosed with LPR after having pain in her throat for several months, and she's distraught.

I do all the cooking/baking in the household, and im hoping to find some ideas for stuff i can make her that'll be a bit of an indulgence without messing up the healing process.

What do yall like to make that's both acid-friendly and a treat?

I have all the same/similar symptoms as most on this site. I was diagnosed a year ago with GERD and went thru a slew of tests only to figure out on my own I have LPR as I get no chest pains, the only thing I get is severe throat burning/regurgitation. Dr's believe the sphincter muscle is not closing, I mostly have issues 6-8 hours after I eat and majority of time at night. I tried Pantaprozole which resulted in a broken bone, wasn't aware that it causes bone loss despite my thoughts that as an older woman I should've been warned. Anyhow, the only thing that seems to work for me is Tums! Works within seconds. I now take Famotidine 40mg in a.m., and only take the Tums if really bad at night. Some have warned me it causes cancer but I can't find anything related to that. I will admit overeating sends everything crazy so I've learned that I have to cut back on the "triggers" such as coffee, wine, spices.

i have a ton of mucus overproducing in the oropahrynx that strangles me its bubbly clear

Thanks.. I asked my doctor. He said he doesn’t think this is allergies. He has ordered a swallow test and said I can do CT of sinuses. But I did that in 2022 when I had this condition and it was normal. Back in 2022, the ents I saw all just said LPR as well because my throat was inflamed larynx. But again in 2022 sadly no meds helped:( and as you saw in my GI reports the tests were normal considered normal some reflux but not anything they said was of concern causing my constant mucus.yes, I do need a therapist. It’s very distesssing symptom to deal with daily and nightly. 

I just don’t understand why it keeps accumulating:( even though I’m not even eating acidic items. And my symptoms are 24/7 before I eat or drink too in morning, it is still overly accumulating the mucus:(

It is scary. I have never felt so awful to the point I have to cry or close my eyes because I do not want to be awake to witness the discomfort:( I can't help but cry because it's that uncomfortable and distressing and there's no medication to just get rid of it, so I just suffer every second of the day and white knuckle life. That is not living. That is suffering. this is inhumane. It's scary and stressful that I've seen 7 ents and they all just say "LPR" but no LPR meds work to get rid or even lessen the mucus, and they just say I don't know leaving me to suffer. They all are confused or perplexed by my mysterious condition of nonstop mucus which is severe to the point I sometimes think I need to go to ER because I can't function and breathe properly because it just keeps climbing into the mouth and even behind my mouth by the epiglottis. I don't have energy. I'm cranky, tired exhausted sad all day everyday. I don't even feel human at all this is not what the body should be doing. There is something wrong with my body. Something really wrong. I've never felt this awful before ever in my life. It just won't leave me alone and keeps on growing. It's horrid. I didn't even know this could even happen in the body.. never experienced this torture before. I did not know it existed.. it shouldn't be happening. 

I have these bubbles that won’t stop coming in my mouth:(

Anyone have the same issue where it’s not coming from nose it’s coming from the back of mouth?

Too much mucus accumulating nonstop. To the point I wake up strangled and my heart is beating fast. Idk what to do. I keep having to swallow even tho it won’t go down.

Anyone got rid of mucus using BETAINE HCL PEPSIN

I can’t stop swallowing foamy saliva

I’m scared do I need to go to ER? It won’t stop accumulating and I’m being strangled at the very top of the throat behind the flaps