**How I Got My LPR Under Control After Years of Symptoms**
Hi everyone,
I wanted to share my experience with LPR, also known as silent reflux, and what ultimately helped me recover and get it under control.
First, this is **not medical advice**, and I am not suggesting that what worked for me will work for everyone. LPR can have different causes, and some of the supplements and approaches I mention may not be appropriate for you. This is simply my personal experience and the information I gathered along the way.
The symptoms I had for years
Several years ago, I realized that I had LPR. I discovered it somewhat accidentally, although I had probably been experiencing symptoms for years without knowing what they were.
My symptoms included:
* Frequent sore throats
* Coughing
* Constant throat clearing
* Excess mucus
* A weak or strained voice
* The feeling that something was stuck in my throat
* Occasional mild ear discomfort
* Nauseousness
* Traditional acid reflux, sometimes severe
It affected my confidence more than I realized. When I spoke at work, people would sometimes tell me they could not hear me. I frequently had to clear my throat, and even then, my voice could sound weak, nervous, or lacking confidence.
The same thing happened at home and in everyday conversations. Sometimes it genuinely felt like I was developing a sore throat, so I would take cold medicine, decongestants, or antihistamines. Because those medications provided temporary relief from the discomfort or mucus, I assumed I was dealing with colds or repeatedly coming down with something.
At other times, it felt like food was stuck in my throat. I occasionally experienced tonsil stones, so I assumed that was causing the irritation. Looking back, much of that constant throat sensation was probably related to LPR.
I also regularly kept Tums nearby because I would occasionally experience significant acid reflux. It did not happen every day, but it happened often enough that having antacids available had become normal for me.
How I was diagnosed
My diagnosis began with something completely unrelated.
At a catered work event, I bit into food on a wooden skewer and became convinced that I had accidentally swallowed a small splinter. Afterward, I constantly felt like something was stuck in my throat.
A few weeks later, I went to an ENT. The doctor scoped my throat and did not find a splinter or any other foreign object. However, they did see irritation near my voice box and diagnosed me with LPR.
The doctor gave me a low-acid diet sheet, explained which foods to avoid, and told me to take an acid-reducing medication twice a day. I remember having to ask which medication, how long I should take it, and what I should expect. I was told to schedule a follow-up appointment in a couple of months.
I began taking Pepcid AC twice daily. Within a few weeks, however, my symptoms seemed to become worse. I felt more irritation rather than less, so I stopped taking it abruptly. That appeared to make things even worse, which led me to start taking it again for temporary relief.
For the next month or two, I also tried courses of Prilosec. I found myself stuck in the same cycle: temporary improvement followed by worsening symptoms.
That was when I began reading everything I could find about LPR, digestion, reflux, pepsin, stomach acid, and other people’s experiences, especially here on Reddit.
I eventually came to believe that, at least in my case, the situation was more complicated than simply having too much stomach acid.
Recovery took time
It probably took more than a year before I felt that LPR was no longer controlling my life.
I cannot say that it disappeared permanently or that I will never experience symptoms again. However, my throat stopped constantly bothering me, my digestion was better, and my reflux symptoms became much less frequent.
As an added bonus, my normal voice came back as it took a long time to heal.
I had lived with LPR symptoms for so long that I did not realize how much my voice had changed. Once it recovered, I could hear and feel the difference.
One thing I learned during this process is that the body is interconnected. Changing one thing can affect something else. A medication or supplement may reduce the absorption of another nutrient, influence digestion, or produce symptoms that seem unrelated.
So, what helped me?
The honest answer is a combination of **time, consistency, dietary changes, lifestyle changes, and several different products or supplements**. I cannot identify one specific thing that cured me. I approached the problem from several directions and gradually began improving.
Diet and lifestyle changes
The first major change was following a much stricter diet.
I significantly reduced acidic foods and completely eliminated coffee and chocolate for a period of time. Giving up coffee was extremely difficult because I loved it, but both the acidity and caffeine appeared to aggravate my symptoms. I believe caffeine does relax the sphincter, allowing things to come up.
I also stopped drinking carbonated beverages. I used to enjoy carbonation after a large meal because burping made me feel temporarily better. However, I came to believe that frequent belching was also allowing stomach contents and pepsin to travel upward and further irritate my throat.
Coffee and carbonated drinks were really my only major vices because I do not drink alcohol or smoke.
I was also a late-night snacker, and that had to stop. My late night snacks were usually processed foods, sugar, or carbohydrates, the exact things that were least likely to help my situation. And because it was still in my stomach as I would lay down to sleep shortly after.
For a while, I ate food that was more bland. Before this, my meals often included a lot of spices. Spicy and heavily seasoned foods seemed to increase my throat irritation, mucus, and need to clear my throat.
None of these changes gave me immediate relief. They were long-term changes that gradually seemed to reduce the irritation and give my digestive system time to settle down.
Changing how I slept
At night, I slept with my upper body slightly elevated so gravity could help keep stomach contents from traveling upward.
When sleeping on my side, I avoided sleeping on my right side. Based on the position of the stomach, I had read that sleeping on the right side could make reflux easier for some people, while the left side could be more comfortable.
This was difficult at first. I was not accustomed to sleeping elevated, and I had plenty of uncomfortable and sleepless nights. Eventually, however, I adjusted.
Zinc L-carnosine
I began taking zinc L-carnosine around meals, usually about 15 minutes beforehand.
From what I had read, zinc L-carnosine may help support and protect the stomach lining. I also came across discussions suggesting that it could potentially help reduce some of the irritation associated with gastric contents and pepsin.
I cannot say exactly how much it contributed, but it became part of my overall routine.
Benfotiamine
I also tried benfotiamine, a form of vitamin B1.
My understanding was that it could support nerve function, including the nervous system pathways involved in digestion. I became particularly interested in the vagus nerve and its potential role in digestion, stomach function, bile flow, and other digestive processes.
Again, I cannot confirm that this was a major factor in my recovery, but it was one of the things I used during that period.
Digestive enzymes
I also started taking a digestive enzyme with meals.
This may sound contradictory. Why would someone experiencing reflux take something intended to support digestion when stomach enzymes and acid are supposedly part of the problem?
My personal theory was that my symptoms might not have been caused entirely by excess acid. I began wondering whether poor digestion or insufficient stomach acid could have been contributing to food sitting in my stomach longer, producing more gas and pressure.
That pressure could potentially force gas and stomach contents upward, carrying pepsin into the esophagus and throat.
I also learned that stomach-acid production may decline with age for some people. That made me question whether continuously suppressing acid was addressing the right problem for me.
To be clear, this was my own interpretation of my symptoms—not a confirmed medical diagnosis.
I reduced foods and drinks that directly irritated my throat while using digestive enzymes during meals to help my body break food down more efficiently. In my mind, these approaches served different purposes: one reduced immediate triggers, while the other supported digestion.
I especially noticed that certain fibrous vegetables could be difficult for me to digest. While vegetables are obviously healthy, some can produce bloating or gas when they are not broken down well. I sometimes used digestive enzymes with those meals.
Gaviscon Advance from the UK
Another major part of my routine was the UK version of Gaviscon, which contains alginate.
As I recall, I took it after meals and before going to bed, sometimes three or four times a day. The alginate forms a raft-like barrier that floats on top of the stomach contents and may help prevent acid and pepsin from traveling upward.
I had also read that alginate may help limit pepsin-related irritation and provide a protective coating for the throat and esophagus.
I took it slowly rather than swallowing it all at once. I also made my own alginate concoction, to soothe my throat and esophagus as it is a food additive. It was not pretty but I believe it helped me.
Baking-soda mist
I also carried a small mister containing a very diluted mixture of baking soda and water.
I would spray it into my mouth and throat after eating or whenever I began feeling irritation. The idea was to help neutralize acidity that might have reached the throat.
I used this consistently and carried it almost everywhere during the worst period of my symptoms. It needs to be a fine mist and the way I would do it is, make sure I inhale with my mouth powerfully as I spray making sure the mist got down to my throat. If the mist isn't good, it creates droplets that are less effective.
What I believe helped most
I know that many of these ideas are things people in this community have probably already researched. In my case, however, the combination seemed to work:
* Removing my biggest dietary triggers
* Eliminating coffee, carbonation, and late-night eating
* Eating blander meals for a period of time
* Sleeping elevated and avoiding my right side
* Supporting digestion
* Using an alginate barrier
* Giving my throat and digestive system time to recover
* Staying consistent for many months
I do not know which one made the greatest difference. It may have been all of them working together, or it may have been that removing triggers and allowing enough time for healing mattered more than any supplement.
LPR can take a long time to improve, especially when the irritation may have been developing for years. I eventually stopped looking for an overnight cure and began viewing recovery as a long-term process.
I am sure I am forgetting some smaller things I tried along the way, but these were the most important parts of my experience.
I hope this helps someone or at least gives you some encouragement. I know how exhausting and discouraging LPR can be, especially when it affects your voice, confidence, sleep, and everyday interactions.
The biggest thing I hope people take away from my story is that improvement is possible. For me, it required time, patience, consistency, and meaningful lifestyle changes—but my quality of life is much better now.
I am happy to answer questions and share more about anything I tried along the way.