Laryngopharyngeal Reflux :: Throat Clearing, Hoarseness, Swallowing Difficulties
Mar 8, 2016
I was initially diagnosed with LPR for my symptoms, which were constant post nasal drip, hoarse voice, and a click when I swallowed. I have since figured out it wasn't LPR at all, and that all the protocols for LPR only make things worse.
I came here to hopefully help others who may have been told they have LPR when really, they have something else.
The symptoms of LPR are exactly the same as the symptoms of nutritional deficiencies of B vitamins, vitamin A, and iron.
In particular, a riboflavin deficiency will dry out the soft tissues of your throat so that you feel every tiny drip of what is actually normal mucus. Riboflavin is a B vitamin that is not stored in the body and you must eat it every day. Dairy products, something many of us with mucus are told to avoid, are very high in riboflavin, and one of the best sources. Stress, illness and certain chronic conditions can increase the body's requirements for riboflavin, causing deficiency symptoms, like a dry, post nasal drip in the throat. (In my case, I became deficient due to an undiscovered thyroid issue. When the thyroid is not functioning properly, you do not metabolize riboflavin.) Mild riboflavin deficiency will also cause dry, itchy or burning feeling of the eyes.
Other B vitamins which affect the throat are niacin and folate. Iron deficiency causes tongue and throat swelling and can even cause webbing of the esophagus. Vitamin A and zinc also affect the mouth, tongue and throat. Iodine is essential for the salivary glands.
Certain health issues can affect the metabolism of nutrients. You can be deficient even though you get plenty of it in your diet. Your genetics, your diet, and your current health conditions all affect your nutritional status.
Proton pump inhibitors and acid reducers can make things worse by reducing your absorption of nutrients.
If you want to try some vitamins to see if they will help, start with the water soluble B vitamins. I recommend taking coenzymated sublinguals which melt under your tongue, so that you don't have to worry about whether you are digesting and metabolizing them properly.
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My symptoms are constant throat clearing throughout the day and sometimes feel a very slight hoarseness / slightly sore throat and sometimes spitting white bubbles and the feeling of clogged throat. I've tested positive for high pepsin levels and am using alkaline water , and cutting out certain foods but it doesn't seem to work..im taking lansoprazole and also gaviscon but symptoms remain :-( ...I'm ok in bed at night but it's the rest of the day ..many on this discussion tend to talk about normal reflux instead of LPR , silent reflux any advise on this subject welcome...
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Have been doing this for a while - I went to ENT Friday - was worried because 3 of my friends were diagnosed with throat cancer....she looked down with a light - and she said she didn't see anything other than some mucus...on vocal cords - gave me a sheet with several options to try.....I am getting very irritated with this throat clearing and hoarseness - do I'm not sure what way to go - nasal spray, and Zyrtec or Mucinex - I wake up ok and then it starts!
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I am 16 years old and have been experiencing my latest (and worst yet) bout of tonsillitis for the past 4-5 days. I have been taking soluble aspirin and paracetamol, and today my GP prescribed me some soluble penicillin antibiotics to help fight it off. However, I am experiencing lots of thick green mucus in my throat and a yellow-greenish coating of mucus on my tongue that just will not go away no matter how many times I spit it out. The mucus is causing many difficulties for me in terms of swallowing food and drink, as (with drinks) either I swallow some of the mucus with the fluid or the drink mixes with the mucus and ends up stuck in my throat.
I am going on holiday to Egypt for a week on the 26th June so I really need to get this cleared up before then! Does anyone have any suggestions as to how I can alleviate the pain and get rid of all this mucus?
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I am quite tired of my sore throat. It's not a pain like when you get a cold. It just feels like I have a bump and it feels irritated. It's mainly on my right side. This has been going on for almost a full year. I thought I had hurt my throat while singing because once I sang really loud and harshly, and that's when the pain began. But I mentioned this to three different ENT doctors, and all of them said they thought that wasn't it. The first ENT checked my throat with a little mirror, and he said I had LPR. I've read about it and I feel like he's right. Certain foods like fatty, acidic, and overly processed foods trigger these throat symptoms. Another reason why I think I do have LPR is because I burp A LOT and really loud. I always feel like burps are getting stuck in my throat and this is very painful Anyway, I don't know how to solve these problems. My throat can be unbearable sometimes. I am going to start on over-the-counter Ranitidine to see if this helps. Another thing I want to mention is that when I laugh My throat burns as well. Also when I sing or talk a lot without stopping. Any suggestions? Anyone with a similar story or diagnosis? I would like to hear anything anyone has to say about this.
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i was diagnosed with LPR in December 2013...the ent did an endoscopy of my throat and it showed arytenoid cartilage reddening...my symptoms started on November 10th 2013 after a viral infection...earlier the symptoms were very severe and i could hardly eat...i was prescribed Rabeprazole 20 mg (PPI) for 6 weeks , and called for f/u after 6 weeks...the ENT said there was not much change and i needed to continue with the PPI for 6 more weeks...
my main symptom is sore throat that is nagging me a lot...i have gone into severe depression and i m on anti depressants...sometimes i also have pain in the ears and neck...when i look in the mirror i feel my throat is all granular and red...
can someone please help me with any suggestions as to what helped your LPR symptoms especially sore throat
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After suffering with reflux for the last 10 years, With diet change and Nexium it's all under control apart from the constant throat clearing.
Has anyone made headway with this part of it all?
Whilst it not as serious as other people symptoms, I have just been through a divorce after 17 years and i'm not sure any woman is going to want a man who clears his throat every minute!! lol
I do have a small lump sensation in the throat with it. The biggest thing I had to cut out was bread, it used to get stuck and make me bloated. I do miss a nice thick piece of white bread and butter though
Anyway, back on track to the constant throat clearing. Anyone had any luck?
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So for the past 5 years or so, I have been having trouble with throat clearing.
I often get a strong urge to clear my throat. The urge is increased after eating and in even moderately stressful situations. In addition to the urge, if I do not clear my throat my voice comes out sounding quite/wet. This may very well run in my family as I have seen at least one member of my family have the same symptoms as I.
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For the past while I have been experiencing issues after eating. After eating it feels like something is stuck in my throat and I constantly have to clear my throat. This lasts about 20 minutes and it slowly goes away. However, in addition to this I also experience my voice going hoarse while it is occurring. This only happens after eating, not during. I have no issues during meals, but about 5 minutes after I get the sensation in my throat and my voice will go in and out. It bothers me and causes me to avoid going out to eat because I feel rude constantly clearing my throat. It is quite irritating, but I am unsure if it is something I should bother my doctor about. For the record, I am 25 and I have been experiencing this for 1-1.5 years.
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So I've really been through it with my GERD and I've had a year and a half of hell. I'm just starting to see some improvements but now I've got this thick mucus at the back of my throat that gets stuck there, I can't swallow it as it doesn't move much but when I cough it does come up, then slips back down.
I'm constantly having to cough and clear my throat, the mucus tends to sit right near my gag reflex so it's always uncomfortable!
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For the past while I have been experiencing issues after eating. After eating it feels like something is stuck in my throat and I constantly have to clear my throat. This lasts about 20 minutes and it slowly goes away. However, in addition to this I also experience my voice going hoarse while it is occurring. This only happens after eating, not during. I have no issues during meals, but about 5 minutes after I get the sensation in my throat and my voice will go in and out. It bothers me and causes me to avoid going out to eat because I feel rude constantly clearing my throat. It is quite irritating, but I am unsure if it is something I should bother my doctor about. For the record, I am 25 and I have been experiencing this for 1-1.5 years.
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Although my throat spasms have now stopped I have started to have problems with my larynx.
Mucous seems to be trapped underneath it and collects at night. I wake up with a swollen larynx but no pain. Now my lymph nodes in my neck and the back of my head have swelled.
I also wake up every morning feeling unrefreshed, groggy and depressed.
I am still unable to swallow food.
Surely this can't be GERD?
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I was suffering from almost 8 years from chronic throat clearing and cough I have tried everything acid reflux medicine and allergy medications but nothing work for me I did all kind of tests but nothing comes up all comes later negative my problem was clearing the throat after eating and sometimes even without any warning I was clearing my throat and coughing it was ruining my life and I was having like a sensation in my throat back in my throat that I know I have to clear my throat and instant all of a sudden I was coughing did everything but nothing work home remedies everything but then in the end up my doctor prescribe me amitriptyline 25mg from taking the very first day I start feeling better like 60 to 70% I want to say everyone who is suffering from my kind of problem must ask your doctor about sensory neuropathy chronic cough and throat clearing to give it a try of amitriptyline 25 mg
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My 6 year old has had chronic sinusitis, recurrent pneumonia, lots of infections, tonsillectomy and adenoids removed @ 3 yr. because the tonsils were so infected. We had a scare in July where he was believed to have either a very serious infection or leukemia (due to blood work being so off and neutrophils dropping way below normal levels). We have been through the ringer with him since he was 6 months of age!!! He's had CF tests done, bone marrow biopsy, tons of chest x-rays, immunoassays etc. He's never had a CT of his sinuses but will soon. Now that he's been cleared from everything we are thinking it's laryngopharyngeal reflux, aka Silent Reflux, w/o heartburn. Anyone have a child with this that can help me? Should I push them to test him or just go along with the diagnosis w/o testing.
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I have had this problem since November of 2006. I have tried just about EVERYTHING otc all nasal sprays, all antihistamines, zyrtec, mucinex, allegra even the ones you have to show your I'D,neti pot, etc. I have even tried candida and other natural remedies like apple cider and such.I have to constantly clear my throat. I have this thick stringy sticky mucous I'm always hacking up. It seems worse after I eat, exercise, laugh. Also in the morning for the first 2 hours I'm up it's worse. Sometimes I wake up in the middle of the night feeling like I'm drowning in mucous. This irritates all people around me. I've had surgery for my adenoids and deviated septum, before that surgery I could not clear the mucous out, this helped to atleast be able to hack it out. I need someone to be my angel and tell me you have had this same problem and you know the answers since no doctor can help. I feel this is going to be the death of me. I hope I'm not clearing a hole in my throat from doing it so much.
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Has anyone experienced suffering LPR on daily basis and finding out pregnant on the way? How do you handle if you are prescribed to take PPI everyday to alleviate symptoms.
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I've been suffering from what I believe is LPR reflux for 16 months now, and I honestly can't take another day of it. I've been through everything to try and cure it from day 1. This includes all sorts of PPIs/H2 blockers, Gaviscon Advance, 3 different diets, 3 different antidepressants, alkaline water, raising the bed, vitamin d3 (1000-5000 IU a day) and more besides. Nothing works at all, and I'm not a candidate for surgery. I've had all the tests which are expected to come back negative too; the endoscopy, barium swallow, gallbladder scan, ENT throat scope all came back clear. I also have no new allergies, and my vitamin D3 levels are high enough to satisfy even the "new" research. Personally, I think the whole D3 thing is a hoax, but I digress.
I've also have a number of "Peptest" spit tests throughout the year. In total I have collected 18 samples, and only a single one has come back positive. It was the first one I ever collected, and it was only just in the "low" bracket of pepsin detected. That's just 1 positive sample in 17 though, and I've collected samples right after serious symptoms, or even when I thought I burped up vomit. RD Biomed, the ones behind the test, are questioning my self-diagnosis of LPR, but still my symptoms continue. They include:
- Constant Post-Nasal Drip. It doesn't wake me up in the night but the moment I wake up it affects me all day.
- Throat clearing, usually a result of the above.
- A burning throat sensation. There's no pattern with food, it has even happened when I drink alkaline water.
- Sinus headaches, fatigue and ear pressure.
- Nausea and constant burping.
HOW CAN THIS NOT BE LPR?! I have serious anxiety about my health, and the thought of having LPR scares me to death, to the point I have sought assisted "self-harm" to end my suffering. I refuse to live a full life with a chronic, painful, incurable illness, because it's the one thing I've ever been afraid of having. I'm just not strong enough to cope with it. In my desperation, I keep trying to prove if stress can cause all my symptoms. It does not, cannot and will not ever be the cause. I've been told to "stop deluding myself into thinking I'll ever get better" by some people, and told it's "all in my head" by others. Nobody truly believes I'm suffering at all.
Who should I believe? Will I ever recover? What kind of conditions are similar to LPR? Please help me. I want my life back.
A last, important note. I recently stopped taking Mirtazapine after hearing they have anti-acid effects. I refuse to be on drugs for life; I want to cure my illness, not mask it. Since stopping the Mirtazapine my Post Nasal Drip has significantly worsened. I'm not sure if the two are linked, but I've made sure to take another set of Peptest samples to check for LPR, and they're still all negative.
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I have LPR and have noticed lately that I have a sensation of blocked ears, well actually just one ear, but it alternates. I have had them checked and there's no wax of blockage. I have read on the forum that LPR can cause blocked ears but does anyone have any recommendations of how to clear them ?
I drink alkaline water, eat the correct foods, knock Gaviscon Advance back like it's going out if fashion( which does help), but I have just noticed the ear blockage.
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I just received the results of my rapid spot tests, manometry and impedance tests all at once. They're all clear, but my LPR continues and is worsening greatly. I figured out something important. My symptoms can change in a matter of minutes based on whether or not I use Gaviscon Advance. They're equally distressing, but I keep bouncing between them, I just have no idea why:
With Gaviscon Advance:
- Extremely tight throat (much less mucus)
- More burping
- Hurts/hard to swallow
Without Gaviscon Advance:
- Thick, heavy amounts of post nasal drip
- Difficulty breathing
- Tight chest
- Some difficulty swallowing (no pain)
A single gulp of alkaline water can bring in the mucus/tight chest/breathing problems on in seconds, but Gaviscon Advance sometimes takes a few uses to make things change. Why would 2 things reknowned for LPR treatment make me worse in different ways?!
Also I wake up perfectly fine in the morning, until I swallow, which kick-starts the symptoms. No clue why, especially since the evidence says I don't have reflux.
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i have trouble breathing and swallowing well just swallowing can anybody help me figure out whats wrong?
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Over the last couple of years, I have these spells of throat clearing. It usually happens after eating, but not always. Sometimes I also have nasal congestion. It is getting worse. It is annoying and frustrating, but worse than that, it is embarrassing. I know it is annoying to those around me. I would go to see a specialist, but don't know where to go. an ENT, a Gastroenterologist, and allergist?
Does anyone else have these symptoms? What have you done? What medical specialists have you seen?
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