Am Fam Physician. They work to neutralize stomach acid and relieve symptoms of GERD with salts and hydroxide or bicarbonate ions. The allergic reaction causes mucus to accumulate in the throat, which results in pain and inflammation. It can make you feel like you have a lump in your throat or like you always have to clear your throat. You can even have GERD without having heartburn. This allows acid from the stomach to rise back up into the esophagus.
Many people with throat discomfort are surprised when they are told by their doctor that they have laryngeal pharyngeal reflux LPR. Gastric acid can cause significant inflammation when it falls on the vocal cords. If this happens repeatedly, a person can be left with a number of bothersome throat problems. Examples include. There are individuals with gastroesophageal reflux disease GERD who have throat discomfort. People with GERD have gastric reflux into the esophagus. This typically causes heartburn and regurgitation a sense of fluid coming up.
Sometimes acid reflux presents without heartburn, causing what is known as silent reflux. The condition, which causes throat irritation and pain, is referred to as silent reflux because it often lacks the hallmark symptom of GERD and typical acid reflux — heartburn. Despite the absence of heartburn, many people with LPR report a wide variety of symptoms due to the damage the acid causes to their voice box, respiratory system, teeth, and throat. It’s not really silent, [but it is] presenting atypically. If your doctor suspects LPR they may order some tests to confirm their diagnosis and determine which treatment option is best for you. These tests include. Silent reflux is most often treated with proton pump inhibitors such as Nexium esomeprazole, Protonix pantoprazole, Prevacid lansoprazole, Aciphex rabeprazole, or Prilosec omeprazole.