Last Modified on Apr 17, 2014
Holistic treatments can help to ease the symptoms of LPR. Natural remedies such as aloe vera and peppermint help soothe inflammation of the esophagus. Lifestyle changes, such as modifications to one's diet, are important components in the treatment of this condition.
What is LPR?
Similar to gastroesophageal reflux disease or GERD, laryngopharyngeal reflux disease is a condition that results from the contents of the stomach backing up into the throat. However, the symptoms of laryngopharyngeal reflux disease or LPR are different from that of GERD. As such, LPR can be difficult to diagnose or even identify – a reason for which it is also called silent reflux.
The symptoms of LPR typically range depending on the age of the affected individual. LPR in infants and children typically includes symptoms such as hoarseness, a chronic cough, asthma, interrupted breathing, trouble feeding and poor weight gain. Adults are more likely to experience heartburn or reflux apparent in the throat; however, symptoms are often vague. Common symptoms may include throat clearing or coughing, hoarseness, the feeling of a lump in the throat, postnasal drip, trouble breathing or swallowing and a sore throat.
Remedies for Laryngopharyngeal Reflux Disease
While laryngopharyngeal reflux disease is often difficult to diagnose, it is typically fairly easy to treat. Many acid reflux remedies are just as effective for treatment of LPR. Aloe vera, chamomile and peppermint help soothe inflammation of the esophagus and treat LPR. Apple cider vinegar and baking soda can also be used to neutralize acid and prevent reflux. Other options include marshmallow root, B complex vitamins, vitamin C, digestive enzymes and essential amino acid complex. Watching the diet, maintaining a healthy weight and getting plenty of rest can also support treatment of laryngopharyngeal reflux disease.
10/15/2011: Motormouth from Charlotte, Nc: "To Ted,
This is my first day trying aloe vera for LPR. There were so many in the store I didnt know which one to get. I got one for digestion. It also has anise, chamomile and pepermint in it. It says to take 2 tsp to 4 tsp but I took one to see how I would react. Immediately after drinking one tsp., I kept bringing and coughing up clear mucus. Is this normal? Is this part of the Aloe vera trying to rid the body of the bad? or is this something to be worried about?"Replies
11/22/2012: Cathyr from Sandbach, Cheshire England replies: "I constantly bring up clear gel with LPR. It s one of the worst symptoms I have."
Apple Cider Vinegar
[YEA] 05/10/2006: David from Thousand Oaks, CA: "Went to 6 different ENTs (sad but true). Finally 1 good ENT knew what my problem was when I described the symptoms to him (globus or feeling something stuck in my throat, dry mouth, white tongue, etc.). He performed a flexiscope and found I have LPR which is form of "Silent Reflux" where acid flow up past your Upper sphincter and inflame your vocal chord causing irritations. He immediately put me in 2x PPI Nexium, it helped reduced my symptoms but I still get regular irritations in my throat. I decided to try ACV mixed with Raw Honey after each meal and it greatly reduced my symptoms. I feel better and is revisiting my ENT and should reduce to 1 PPI/day. Not good thing to do PPI if possible. Lots of side effects and long-term health risks.
Side-note is that if you have heartburn or throat lump problems, make SURE you get a good GI or ENT to diagnose. Don't go to a GP (General Practitioner) or FP (Family Practitioner) or Internist, they are not usually good and don't have expertise or equipment to diagnose your problem. They can make things worse by guessing your problem and misdiagnosing. Dr's. are people too and they're good and bad ones everywhere. It's up to you to find out and do your home work.
People that have LPR like me don't have heartburn because the acid does not stay long enough in the Esophagus to cause irritation. I did Esophogram and Barrium Swallon test and found don't have Esophagitis."Replies
01/27/2012: Josene from Port Douglas, Australia replies: "Hi David, I have been diagnosed by and ENT specialist and he says I have LPR. I seem to have the symptoms you describe plus I cannot wear anything firm around my waist or chest etc. I was given 40mg somac tabs to take twice a day. After one week they made me very dizzy and depressed so I stopped taking them. I do not have dairy or soy or sugar, tomatoes and onions. I am happy to try apple cider vinegar or bicarbonate of soda. Do you recommend either of these.
To make matters worse I have been left with vertigo. It can be very debilitating as can the coughing from LPR."
Apple Cider Vinegar and Baking Soda
03/16/2010: Sasha from New York, Ny: "I am told I have silent acid relux.. no heartburn, but tightness in my throat, esophogeal spasms, excess mucus, hypersalivation, and anxiety from all of the above. Difficlut to belch, but when I do it seems to relive the symptoms a bit. It's as though its gas not acid that is causing the problem. It began a few months ago after a bout with bronchitis and asthma related symptoms. I used an albuterol inhaler and not sure if that inflamed my throat / esophogus. (not using anymore, no asthma symptoms) Was put on Prilosec by the ENT (didn't work), Acipehx by the GI (made the symptoms worse) and digestive enzymes by a homeopathic doctor (felt some burning in my tummy) I have given up coffee, wine, citrus, chocolate, tomatoes etc. Would like to know how I can determine if I have too much or too little acid? Is there a home PH test I can use? With the symptoms I described, do you think ACV with baking soda would work? Is aloe vera a good remedy (it has citric acid??) Look forward to some guidance here. My daughter is getting married in June and I really want to feel good by that time. Thanks in advance"Replies
03/17/2010: Michelle from Germfask, Mi/usa replies: "I also have silent reflux and have most of the above symptoms but I also lose my breathe when laughing. The doctor tells me it's just acid reflux. I don't get heartburn so it's the silent type. I would also like to know if I should use ACV or baking soda? Thanks everyone this is a great site."
07/30/2010: Lee from Loxahatchee, Fl replies: "I too have had similar problems and just went for a test called a manometry test. It measures the amount of PH being produced."
08/18/2010: David M from Putnam, Connecticut, United States replies: "To-Michelle from Germfask, Mi/usa, I am having the EXACT same issues as you I was wondering if you've gotten any relief or figured it out at all yet? I've started using just ACV, probably going to try it with baking soda as if the problem is LPR more acid is probably not the best option."
08/24/2010: Nina from London, On, Canada replies: "I have been recently diagnosed with LPR that I am not clear about. The issue is too little or too much acid. LPR meds block acid, but if someone has not enough acid, that would not be good. A home test with baking soda indicated that I have very little or almost no stomach acid, and I have been taking HCL supplement. My throat mucus is significally reduced (even though I am not clear on what brings the results), but my doctor claims I have LPR due to a loose tube. I am very confused as what is best to do (continue hcl or take the doctor's meds). If anyone knows, would appreciate your feedback."
08/25/2010: Msg from Somewhere, Europe replies: "What kind of home test did you do?"
Black Seed Oil
03/15/2014: Enid from Santa Barbara, California: "I just learned about Black Seed oil. Supposedly one teaspoon works miracles for digestion, nausea, allergies etc. I am hoping it will help me with LPR. has anyone tried it? I am feeling terrible right now with that nausea feeling In my throat. I ordered the oil. Thanks, Enid"
09/04/2010: Jody from Fredericton, Nb Canada: "Laryngopharyngeal Reflux - I see no one has offered a lot of help for this one. I intend to pursue a hormone related cause to this problem, namely hypothyroidism. There is also a possible low testosterone connection which I, as a man, am very interested in as well. I'll let you know how it goes."Replies
10/26/2011: Macky from New Iberia, La replies: "Slippery Elm is a great remedy for this. It helps the entire GI tract."
[YEA] 03/17/2014: Wendy from London, England: "Lemon for LPR: Going on the description of the symptoms I have deduced I could be suffering from LPR. I was interested in drinking alkaline water what has been suggested. I also read you could add lemon to the water to make it alkaline.
After doing this, the change was amazing. The coughing stopped along with the excess mucus and wheezing. I put one tablespoonful to a tumbler of water and drank first thing in the morning and would drink more if coughing was a problem (hardly ever).
My question is this. On another site they have said do not take lemon as it can damage the throat or the pepsin (sorry not quite sure what they said now) and it will cause trouble. Can anyone clarify this for me? I cannot believe that something that has done so much good is possibly causing harm."
06/19/2012: Christine from Nottingham, England: "I have suffered from this condition for three years and have tried many remedies including cider vinegar, l gluthamine, slippery elm, liquorice, enzymes, and limonene. I started taking Marshmallow root two days ago. I am taking two capsules opened in a small amount of water three times a day, and it is working very well. My congestion and throat restriction is much less. And my stomach feels so much better. It is the best thing I have used. So for anyone suffering with this condition it may be worth trying it. I know it is a nasty problem, but do not give up. Best to everyone Christine."Replies
07/28/2012: Beckymessage from Shoreditch, Other, United Kingdom replies: "Hi! I believe I have LPR. My GP didn't give me an examination or anything, just put me straight on PPIs. Previously I've had a GI ulcer (about 10 years ago), so I'm nervous about stomach-related probs. Also a singer so laryngyal probs are a worry too!
I've been trying probiotics, manuka, mastic gum, aloe, and a dairy and refined food-free diet but I'm still getting bad LPR symptoms.
I'm really interested to find out how the marshmallow root worked for you? Also, what you take daily during cure and if there's anything for maintainance?
Thank you so much!"
[BETTER BUT NOT CURED] 07/29/2012: Christine from Nottingham, England replies: "Hi Becky I am the lady that posted about Marshmallow root having had the same problem for three years. Like you, I have tried many things, marshmallow does help, however the problem is still there. I use two capsules opened and mixed with a little warm water twice a day. It may help to look at some sites that explain how high histamine levels can cause problems like this and how we need to heal the gut also the candida connection, Mine own problem is fermentation in the gut. If you google excessive histamine problems it will explain how some food contain high levels of histamine whilst other are histamine producing. Some food and drinks like alcohol block diamine oxidase which breaks down histamine. Chris Kressers site is a wealth of information on gut problems. Good luck and let us know how you get on. Christine"
07/30/2012: Timh from Louisville, Ky, Usa replies: "Here's a copy/paste from Swanson Foods web-site:
7 Foods That Are High in Histamine
1. Cheese, yogurt, buttermilk and other fermented milk products
2.Fermented meats like pepperoni or bologna
3.Sauerkraut and other fermented vegetables (see a pattern here?)
4. Alcohol, specifically fermented booze like beer, ale and wine
5.Tomatoes and cherries
6.Citrus fruits (oranges, lemons, limes and grapefruit)
7.The spices cinnamon, anise and nutmeg"
01/16/2012: Mark from Newton Abbot, Devon: "Hello, I just wanted to drop by and finally say hello and maybe post a question if possible.
As a lifelong natural health advocate I have been addicted to the is site for many, many months now, a great deal of the info was not new to me, but so much more is, after many months of just browsing I finally decided to register and drop by to say hello, over the next few months I will try to find the time to offer some of my knowledge that should help others to fix various conditions, ( I have read certain posts that I think I can help with)
Right now I do have a question that you may want to post in the above section.
I popped my L5 disc in my back earlier this year from squatting (bodybuilding) and was told I needed surgery to fix it, I refused and decided to help it heal naturally (which it has done) the one mistake I made was to listen to the doc who told me to use ibuprofen for a few weeks to get past the worst of it, like a fool I did and ended up with wheezing / asthma which has passed with the help of a liquorice and a slippery elm supp, but now I have silent reflux which comes and goes throughout the day, I have no doubt that this was caused by the drugs as I have never had a problem with it prior, I am treating it again with the liquorice supp but wanted to ask if anyone knows how to tell if I now have ulcers, I have no stomach pain, I did have gas and bloating a few weeks back but this has now subsided and I am left with the LPR only, I believe I can treat it with the following.
Liquorice 3 - 4 x daily
slippery elm 3 - 4 x daily
high strength probiotics daily
digestive enzymes daily.
No sharp or crunchy food whilst healing to prevent aggravation to LES valve.
Manuka honey 3 x daily to help heal the LES valve
No onions whilst healing (My favourite! they may relax the LES valve a little.)
Liver detox to ensure adequate bile flow for acid formation.
My only uncertainty is whether or not the drugs have caused ulcers or just general damage to my stomach lining, if I have ulcers I can treat them easily but with a different approach (or they may just heal on their own ) to that above and without enzymes, (if I have ulcers they are likely only caused by inflammation and not virus related) does anyone know how to determine if ulcers are present without blood or stomach pain?
Once I have succeeded in fixing this ailment I will put all the info together for all those hundreds of others who are also suffering from the nasty side effects of using ibuprofen and other NSAID,
I have a pretty clear understanding of what has happened due to using the drugs but I am not sure if ulcers are present, other than blindly treating them first (which may be unnecessary) I do not know of a diagnostic method to determine their presence as I have never had them before. I see no point in visiting a GP to be offered more drugs (proton pumps etc. ) often they do no more than look at you with that mocking grin take an educated guess and offer drugs based on that, I can do better than that on my own!
Any tips would be useful, Thanks Mark"Replies
01/17/2012: Timh from Louisville, Usa replies: "Mark, be careful with the Licorice as it can cause HBP. I used to never have any probs with it until just recently and have narrowly escaped two critical episodes of HBP without stroke or heart attack, not exclusively but primarily because of Licorice. I would recommend trading it for DGL form as it cannot cause hyperelivation of Aldosterone.
You have not listed the critical Zinc/Vit-A in your protocol for healing. Baking Soda and or Sea Salt are good to take Prior to the other supplements and meals to buffer any excess acid.
I wear a Magnetic Belt over my tummy region with very good results.
Symptoms of ulcers may include stabbing pain in the tummy region, bloating, blood in stools, diarrhea or constipation, vomiting. I have long had this kinds of probs but never diagnosed w/ ulcer. It sounds like simply gastritis (which can be severe in itself).
Hope this helps and good luck."
[YEA] 01/23/2012: Mark from Newton Abbot, Devon Uk replies: "YEA TO DIET AND PROBIOTICS,
Tim H, Thanks for the reply, I obviously do not have ulcers based on your description.
No problem with the liquorice and blood pressure issue I check it daily and mine is always spot on low from a hectic fitness / bodybuilding and clean diet life style,
Good news to anyone interested,
My suspicions were correct in that the ibuprofen damages both the gut mucus membrane and also healthy bacteria, this is what I believe happens and my programme should fix many others with reflux issues permanently.
The ibuprofen (in my case) acts similar to antibiotics in that they destroy a fair amount of essential healthy bacteria in the gut and gi track, but ibuprofen also cause severe damage and inflammation to the stomach mucus membrane which governs the quantity and strength of stomach acid, as the membrane has been damaged it is no longer able to produce enough strong enough acid in the stomach, and this is where the problem lies because the acid strength controls the closing strength of the LES valve through the nervous system, the acid MUST be strong enough to digest food properly in order to produce a strong nerve signal to close the valve tightly after each mouthful of food has entered the stomach, if the acid is low or weak the valve will not close properly and depending on the severity this will cause acid to leak up into the throat area causing either full on heart burn, acid reflux or silent reflux the first two conditions are usually obvious but with silent reflux the cause is not always obvious as the symptoms are often little more than the feeling of a lump in the throat area near the voice box some discomfort may be felt in the ears and chest area and the voice may be week on occasion but generally the problem is not always associated with reflux.
If this seems to describe your situation you need to repair the gut and throat membrane whilst repopulating the gut with healthy bacteria, the plan above is how I did it in 3 4 days! Anti-acids will never fix this problem they can only make it worse as the acid is already to weak to close the LES obviously weakening the acid even more is not the answer.
So this was the cause of my acid reflux (initially) and then silent reflux (later)
My simple programme detailed above has sorted my problem in a few days! About a week has since past and all is well : - ) this was really bugging me for months so it demonstrates that a designated treatment programme is required to fix it
The only extra item I added was a few drops of aloe juice in my liquorice drink.
I intend to follow the programme for several more weeks to ensure a fully rebuilt gut environment.
It should be mentioned that my diet is and always has been spot on and healthy with lots of raw fruit and veg, if you do not eat this way you may not experience the same results as I did on this programme, remember that the healthy raw food is a major part in fixing this problem, I suspect the reflux for many is actually caused by poor diets as this alone is likely to cause inflammation and damage to the gut in much the same way as the ibuprofen did for me (and the hundreds of others on this site).
So clean up your diet and then follow the steps above and acid reflux will cease to exist.
01/25/2012: Marina from Cresskill, Nj replies: "Mark, it seems I have the same symptoms: feeling of lump in the throat and lots of muccus that makes me choke sometimes. Not sure how these symptoms started: lots of stress, and headaches for which I took ibuprophen at times. I exercise everyday and my diet excludes all things harmful that ever mentioned that should be avoided in case of LPR. I exercise 5 days a week, I eat fruits and vegetables, but suspect my diet is not balanced. I eat much less during the week and then I overeat on weekend. I have 1 cup of coffee and 1 cup of tea a day and 2 glasses of wine on weekend. I saw GI who suspected LPR and sent me to see ENT. ENT never did any tests but prescribed medication to try for a couple of month which I haven't taken in hopes I will find a natural remedy. Your plan seems like a solution but it needs to be designed on individual basis. I was wondering if you could provide me with more detail or suggest who is best to talk to (natural healer, etc) and how do I find one? I am planning to see certified oriental medicine doctor and acupuncturist, would he offer comparable solution? Thank you. Marina"
07/02/2012: Karen from London replies: "Hi Mark, I was intrigued to find this a couple of days ago, as I've had very similar symptoms to you, just been diagnosed with LPR, after having taken Ibuprofen for a few weeks to relieve inflammation from 8 weeks of laryngitis, I'm normally (and have always been) a really healthy- rarely get ill, work out and eat very well.. I've signed up to join in the discussion, pass on anything I find useful. Hello to all - and warm wishes- Karen"
10/01/2012: Mark from Newton Abbot., Devon, Uk replies: "Hi all, I put my plan together earlier this year as detailed above and it worked great to rid my symptoms of LPR all has been fine for many months up until recently when I decided to experiment with a new batch of colloidal silver that I make and take daily, this time I added an air blower and made what I now know to be a much more potent brew than all of my previous versions, anyhow I continued to take my little daily dose as I have done for many years with great success (no colds bugs or anything for 10 years) trouble is now this new batch is obviously much more potent and has acted as though I have been on strong antibiotics for the past few weeks and now I have the throat pain return as it did many months back, based on this outcome.
I am now treating it with The same basic remedy as suggested by Ted in the thrush section, it seems only too obvious that the silver has killed off a lot of my friendly flora and allowed thrush to populate the back of my throat (which normally has friendly bacteria living there) from experience it can take a few months to completely eliminate thrush/candida and repopulate the healthy flora, my reason for writing this is to advise if you have throat discomfort and are unsure of the cause it may be caused by thrush/ candida that has spread from an unbalanced internal terrain. I do recall having this same felling many, many years back after taking doxycycline antibiotics for a tick bite that caused Lyme disease, I treated it successfully by using H202 for several months followed by high strength probiotics for many weeks, I will follow Teds schedule and report back in a few months.
Also I see someone has commented upon the fact that anxiety etc. seems to make it feel worse, this is also the case for me at the moment, even though I am chilled, being tired or eating can niggle it, the discomfort is always reduced to nil each morning after awakening but gradually it returns as the day progresses, this is exactly how it felt many years back when I treated it as thrush/ candida.
My lessons here are twofold, 1) my new method for making strong and effective silver works like a charm! , 2) don't mess about with a healthy body! I hope this post can be helpful to some of you suffering with LPR or undiagnosed throat discomfort."
12/08/2012: David from Greenville, SC replies: "Mark, I too have used colloidal silver for many years. I see that you make it yourself as do I and have for 18 years with great success, like you. But you mentioned something I'm not familiar with. You said you used an "air blower" and I would appreciate you explaining just what and how that works. I just use 2 cups of filtered water heated to 90 degrees with ten grains of sea salt to give conductivity. In six or seven minutes after submerging silver "rods" using 27 volts I have a base which I then dilute (five dilutions at least until the silver cannot be seen with the naked eye). So what is that air blower about?"
02/27/2013: Cora from Providence, Ri replies: "Mark, How is your reflux these days? Are you better? What helped in the end? I started with a bitter taste in my mouth almost 4 weeks ago and I've come unhinged about it. That's now lead to other upper GI issues, including heartburn and indigestion. I am now on PPI, upon docs recommendation. I think it's making things worse, but am afraid to stop and don't know how to proceed. I tried ACV, but it burned. Perhaps the tissue is still too raw. I think this came about from NSAIDS too.
I'm taking slippery elm, l-glutamine, zinc carnosine, marshamallow root, fresh aloe juice, fresh cabbage juice, and probiotics. Nothing has helped thus far.
You seem to have a great understanding of the body. Can you suggest anything else for me? Dietary and otherwise?
All the best."
03/13/2013: Mark from Newton Abbot Devon, Uk replies: "To David from Greenville,
Sorry for the late reply but I only check on here every now and then!
I only ever use distilled water when making colloidal silver, I did try making it with tap water many years back and each batch would turn a grey or ugly looking brown colour, I also used to use a little salt and warm the water, but soon learned that this too would produce a murky coloured (impure) batch I soon determined that the impurities in the water and salt were causing this so moved over to using distilled water instead, for many years I carried on heating the water and have been happy with my slightly yellowish looking blend it has always worked as intended, With regards the air blower I had been browsing on line for some time and kept reading about better mixes occurring from agitated water, I determined a small fish tank air blower left bubbling into the mix would be ideal and cheap to try this method, I no longer heat the water and now run my little silver generator for around 60 -75 mins (instead of 30 -40 mins without the blower) previously the mix would have turned yellow the longer it was left forming, obviously due to larger silver particles forming and scattering light through the mix, but now with the blower bubbling in the water it stays 100% clear and can be left running for longer, when I analysed the final mix I determined that the blower was keeping the silver particles from globing together and thereby producing a much smaller particle and a more powerful mix I now believe my brew to be as good as if not better than most expensive commercial products and for this reason I now use it in far less quantities, Incidentally this information and the basic instructions are now available on line if you decided to search for more information on how to put it all together, Hopefully this will help you
To Cora from Providence
I no longer suffer with LPR or any of the related issues linked to it, I personally would never take a PPI or NSAID unless it was a life of death situation, they are not the answer to good health in my opinion, certainly not long term, I believe your symptoms will fade away over time, as I mentioned in my original post the NSAIDS really do mess the body up and this takes time to repair, I do not eat anything processed or non-organic ever and this probably helps speed up healing (along with my protocol above) I also think a couple of spoonful's of organic honey daily can help reduce the symptoms, this issue caused from NSAID damage does take a little time to fix but just like a broken bone, week by week the body will repair the damage done and get you back where you should be, patience is essential, if you had a broken arm you would relax and not fret over it whilst healing for 6 weeks or so, learn to relax, maybe obtain a hypnotherapist relaxation CD this will probably help you far more than the drugs you are using, focus on other non-related issues rather than fret and worry about the LPR etc. , the more we fret and worry about these ailments the more anxious we become and anxiety definitely slows or prevents our healing, think about those who suffer from IBS and other similar digestive track issues, these are often caused by nothing more than anxiety, just relax and be patient and your symptoms will no doubt slowly fade away as the body repairs the damage done. Good luck"
03/20/2013: Cora from Providence, Ri replies: "Mark, Thank you for your response. You're right about being patient. It's so important, but very difficult for me right now. I'm starting a daily routine of meditation and exercise this week. These are two things that have always been difficult for me to commit to, although I truly understand their importance in healing the mind and body.
I did stop the PPIs about 3 weeks ago. It helped a lot with the indigestion, but I'm still experiencing heartburn and occasional bitter taste. I never had reflux symptoms other than the taste before starting the meds.
I did have an endoscopy done. It showed mild gastritis, that is healing. My esophagus is fine. Now I think stress is my biggest issue, and maybe low stomach acid. ??
Did you ever supplement with HCl or ACV? I'm leary because of irritated tissue, but I wonder if it could help. I'm currently taking DGL, Slippery Elm, Marshmallow, and Manuka honey 3X/day.
I think there's progress, but it is slow. I just started a gluten-free, dairy-free diet this week, but I don't think gluten is an issue for me. Do you abstain from gluten?
I find it difficult to figure out what to eat to satisfy the sort-of burning hunger I get throughout the day. Bread and oatmeal always seem to make me feel better. Meat and fats are the worst offenders right now. This is tough, because I'm used to a low-carb lifestyle.
I actually think the liver and gallbladder are involved now, especially gallbladder. Over the past 3 weeks, I've developed pain between my shoulder blades. It improves with magnesium oil and massage, but acts up when I eat something with high fat or meat.
You mentioned doing a liver cleanse. I don't want to do anything too harsh, but need to do something. Do you have suggestions? Sorry to keep asking so much of you, but you seem very knowledgeable. Lastly, did you find the colloidal silver to be neccesary for healing this issue?
Thanks so very much!"
04/01/2013: John from Rolling Meadows, Il, Usa replies: "Hi Mark, yours is a story that offers great hope for me. I have been suffering post nasal drip and throat clearing for several months now. The throat clearing usually gets worse after eating and many times produces clear phlegm. All signs of LPR. I also burp more often then usual and sometimes I feel my throat tighten up after eating some different foods. I was hoping to get a few details on how you went with your method. I can't take this suffering anymore. Recently I have been changing my diet but about a week ago I have had this feeling in the bottom of my throat. Started when I added cayenne to my food. Never had a problem though before my symptoms. Up till now I still have a sense of oddity in my throat but it seems to be subsiding. Whats also weird is that a few weeks ago I also started producing less saliva. I don't know if this is associated with LPR. I am desperate and have no money or insurance. Could you tell me more details on the program you took? Like how strong your probitics were, and what digestive enzymes you used? I would like to follow exactly what you did. I strongly believe in giving it a good chance. Thank you in advance."
[YEA] 04/09/2013: Mark from Newton Abbot, Devon replies: "For a quick overview to those who seem to be struggling with this annoying ailment (LPR)
My remedy was mostly based around my diet which if you have read all my posts you will notice how much I mention this, I cannot stress how important it is to fix your diet to heal properly, sure we can all get by on a substandard diet but healing requires more than this.
To be completely honest I only really suffered with this ailment for a short period and for the reasons already stated, I hardly remember the episode to date, but I will try to explain what I did to remedy my LPR
- I always eat a huge amount of fresh enzyme and nutrient rich food daily but whilst treating the LPR I increased this even more, everything I ate/ eat is organic.
- I upped my intake of Kiwi fruit to around 6 -8 daily I eat the skin as well, this is very rich in nutrients, just trim each end and eat them!
- Papaya fruit, around ½ -1 whole prepared fruit daily
- Pineapple ¼ -1/2 daily
- The 3 fruits above are all a very rich natural sources of enzymes used daily by our bodies, essential for good health. I only ate fruit/veg for my source of enzymes, no capsules were taken
- Other raw fruit and veg by the bucket load, literally! Apples, pears, blackberries, strawberries, oranges, peaches, etc. , if it grew like it I ate it
- Veg, some raw some cooked, cabbage carrots, potatoes, kale, parsnips etc. , if it grew like it I ate it.
- Salads, celery, tomatoes, cucumber etc. , as long as it grew like it I ate it
- Also plenty of essential oils daily, Hemp oil, flaxseed oil, olive oil etc. Along with lots of oily fish
- I also took high strength probiotics, 50 million per capsule 8 -10 caps per day. (search on line)
Please remember, I do not, have not, did not and will never consume anything man made, my lifelong philosophy is that if was made in a plant leave it alone, if it grew on a plant eat it, simple really, so - I do not drink- fizzy pop s?*T, alcohol (processed sugar cr*&p), candy bars, biscuits, cheaply made crappy cereal bars etc. Etc. , I think you get the point! , I rarely eat bread , oats pasta etc. , but as my wife loves baking I do occasionally- just to show her how much I appreciate her efforts have to indulge in a homemade perfectly sourced ingredients, slice of bread or spicy bun (but I only eat these on a predetermined higher carb day) I would never eat a shop bought loaf of bread.
The only things I added to my diet as detailed in my original post were, slippery elm, liquorice and the honey this is all it took to repair my damage. But as I keep saying my diet was probably responsible for most of my healing, you only have to look at it to realise just how much good stuff is in there.
Fix your diets, maintain this for a minimum of 6 months (or for life ideally) and you should expect your symptoms to fade away
04/09/2013: Mark from Newton Abbot, Devon replies: "Oh by the way my post further up states that I did not think I had ulcers, unfortunately the ibuprofen did give me ulcers, very nasty ones, they came on with a vengeance, ruined our holiday and lasted for months! , I could not eat much and lost a lot of weight, I did not take any drugs for them instead I tried a few natural remedies and finally fixed them with cayenne pepper, all has been well now for around 8 months or so! Moral here stay well away from the drugs!"
08/14/2013: Mark from Newton Abbot replies: "To John from Rolling Meadows and anyone else still searching for answers for throat clearing and post nasal drip you might want to read the post on this site under Cyst, scroll down to multiple remedies and read the whole post especially part 3 dated 01/20/2008 by Robert from Naples, much of his post has very useful information that may be helpful to treat your condition, maybe earth clinic will want to put Part Three: Chronic Sinusitis into this section (LPR) Good luck and God bless everyone gets well."
EC: Check out the 4th thread here. Robert is responding to a post from FT of Ridgewood, NJ.
08/28/2013: Usagirl from Los Angeles replies: "Mark from Newton Abbot!! Please help me :( I can't take this anymore more and can't live my life like this no more and have put major events in my life on hold bc of this misery. I had surgery.. And was on strong antibiotics for 1 week. Took midrolpack for a week. Took vicodin once or twice. And took Ibuprofen for like a week or something forgot. But omg I am choking when I wake up in morning and my whole esophagus hurt and hurt when laugh. And my voice started to hurt. Anyhow doctors are pointless and just gave me aciphex took it for week. Made it worse I almost choked with acid and pain eating an apple. Anyhow for a month I took dgl pills, slippery elm tea 1x daily. Aloe shots here and there. Lots of vege drinks. And on an acid reflux diet. The alkaline and acidic diet is driving me crazy bc its hard to know if certain fruits will do more damage than heal. I feel a bit better since naturally healing myself. It's been a month but im not 100% healed and very uncomfortable throughout the day :(
Reading your post gave me hope. Thank you soo much for sharing, you have no idea.
How many months did you take the DGL Liquorice for? Also the slippery elm? 1-2 months? Anylonger wouldnt that be a lil too much.
Also im eating lots of homemade yogurt and want to try kefir milk in smoothie for the good bacteria. Or am I just irratating my throat. Did you have diary?
Im taking probiotics and heard should take for 2 weeks, But you took it longer? Is it safe. How many months you recommend?
You eat pineapple and kiwi, isn't that acidic. Did you follow the alkaline diet. Its really frustrating me. Is it necessary?
How many months it took for you to 100% lose all this annoying nightmare throat and espohagis symtoms to go away and eat freely what you want without any problems or anxiety??"
08/29/2013: Timh from Ky, Usa replies: "It's almost impossible for the body to heal from any kind of injury without adequate levels of Zinc. Zinc, among other minerals, is severely deficient in the modern western diet. For this situation I would recommend zinc 50-100 mg daily w/ 10,000 iu Vit-A. Also Zinc Lozenges will help immediately."
08/29/2013: Debbie from Australia replies: "Timh, you should research herbs. We are deficient in minerals because our food does not contain them. Our food also has additives which deplete minerals from our bodies. We are eating too much processed foods that have no nutritional value. When you cook vegetables they lose most of their nutritional value. Most of the nutrition we get from meat is actually from the grasses or food that they eat.
Pasteurized milk because it has been heated does not contain the minerals we need. Then calcium is added in but it is inorganic so your body cannot use it. That is why people are getting osteoporosis (lack of calcium) even though they drink milk.
I too thought like you that zinc (or any minerals) in any form would be good but there is a difference between organic (from plants) and inorganic (non organic). Non organic means that it has been heated so that the body cannot assimilate it or that it is basically dead and also the body cannot assimilate it.
Minerals are better taken in the natural form also because they are in the correct ratios. On the mineral wheel if you look at it, too much of one mineral will deplete the body of other minerals. I can't refer you to any websites unfortunately but if you search yourself (even youtube) there is a lot of information about herbs."
08/30/2013: Timh from Ky, Usa replies: "@Debbie: The single best method of replacing or providing the mineral deficient diet is Ionic Trace Minerals which is sold in dry encapsulated or tab form and liquid form; I personally use both. Contains 72 of the major and trace minerals mined from Great Salt Lake in Utah."
08/30/2013: Mark from Newton Abbot Uk replies: "Usagirl from Los Angeles, I am really sorry to hear how you are suffering, I am not sure exactly how much more I can do, in my attempt to help, my previous posts covers my personal experiences and remedies but things may be different in your case, but my initial thoughts based on your post are, are you saying that you had surgery on your throat or elsewhere?
If you had surgery on your throat then naturally things will take a while to settle down again, just try to stick to a sensible and healthy clean diet that will assist the body in healing, this is going to take a little while
If you had surgery elsewhere (not on your throat) and the drugs and antibiotics were used because if this then it seems clear that your natural flora in both your gut and in your oesophagus has been disturbed if this is the case this need re-establishing in order to stop the candida or thrush that appears to have proliferated in your throat area, this has happened to me before, it took me quite some time to learn exactly what the cause was, the pain was very extreme after a long course of antibiotcs for lyme disease, my remedy was to use an oxygen based product based around H202, the one I like is mentioned elsewhere on this site (under candida I believe) and is produced by a company called Phoenix Nutritionals ltd ( or ‘’bird rising from the ashes + nutritionals’’ if EC delete the name! ) it needs to be taken for around 8 -12 weeks with breaks for intense probiotic rebuilding to achieve the desired results, my advice would be to contact the company, Dr whiting- from memory, and explain your circumstances for a better assessment of your condition.
In the meantime try to learn to relax and focus your attention on other aspects of your life safe in the knowledge that this is just a small problem and a blip in your health situation, it will get better, just relax best you can, check out some relaxation video on you tube and start to reduce your anxiety, this will be a very big help in many ways.
God bless you get well swiftly"
12/24/2012: Oberland from Hailsham, East Sussex, England: "Hi all, The thought occurred to me that although I take Gaviscon (similar to pepto bismo) for the acid imbalance in my stomach, what I might need is the equivalent for my larynx. I do not know if such a thing exists or would work, but if there is, I would like to try it. Therefore, I would welcome any suggestions that you might have for LPR. Many Thanks, Oberland"Replies
12/24/2012: Louwrence from Rustenburg, North West, South Africa replies: "HiOberland, Insteag of taking gaviscon try betaine hcl because what you actually need is an acid to digest your food that is laying in your stomach & causing the acid. Just try it and see what a difference it will make."
06/18/2012: Zachsmthsn from Tuscaloosa, Al, United States: "I recently was diagnosed with LPR. This was done after about a year of going to various doctors trying to figure out the source of my ailments. I first went to a GI because nausea seemed to be an issue. The thing was, it wasn't normal nausea. I never actually threw up, I just felt like I would and it got worse with nerves and when I was in a place where I didn't have the ability to leave, like sitting in class or a meeting or something. That being said, it wasn't every nervous situation, and only sometimes occured when sitting in class. Not talking maybe makes it worse. This meant it really interrupted my life and was very weird to pinpoint. It of course was associated with a tightness in the throat and sometimes even a weird hot/cold feeling. It always seemed to be associated with a terrible feeling of anxiousness too, which is weird because I'm a pretty happy, calm person and I have good study habits, I get 8-10 hrs of sleep each night, I workout 4 days a week (more bodybuilding style than actually for health, but still good), I eat very healthy (lower carb, higher fat, with a lean protein source; 5-6 meals a day), and I don't drink smoke or do any drugs at all. That's really the most annoying part, that I do everything I can in order to be healthy and can't fight this issue. Anyway...
The GI did an endoscope and said I was perfectly healthy. Mild reflux, he said but not above normal levels and he took me off the prilosec he had prescribed. Said it was most likely just nerves and tried to prescribe anti-anxiety meds. Then I went to a GP to see his thoughts... Worthless, just through meds at me. (Note: I never took any of the ant-anxiety because I don't want to mess with hormone levels unless I have to) Then I went to a good Internist in town because the problem then seemed to be more centered around the throat. I'm still looking for a root cause. Someone tole me of hyperthyroidism and I jus tknew that was it! So I got a sonogram and it came back to be perfectly normal. The Internist also did full bloodwork and checked my heart. Not only did I show no signs of bad, he said I was absolutely 100% healthy. That on paper I am the perfect picture of health (I'm about 6'0 175 with nice muscle development). This is really the most frustrating part. Going to doctors and having nothing wrong with me.
So a week and a half ago I went to a good ENT and he did the fiber optic cable down my noose and said it was LPR. Honestly, my symptoms seemed to be more like hyperthyroidism, but the tightness and everything could definitely be a root cause and be causing my anxiety. No one likes to feel like they're choking.
So from everyone's experience here, what should I try to help. I am going to try the baking soda and ACV tonight and see if that helps, but from every other thing I've tried nothing seems to be an instant fix for my throat swelling, usually just laying down with my eyes closed. It is interupting my life quite a bit, and I do not want to be dealing with this next year, because I am going to have a lot of interviews through my senior year and those sometimes are the worst things for triggering this."
06/18/2012: Rsw from Uniontown, Oh replies: "This sounds like anxiety or panic attacks with possible agoraphobia mixed in. I know exactly what you are talking about. For many years I took 50 mg of Benedryl daily which would calm my stomach and let me get through each day. I have no understanding how it started or finally ended, but I think when I had children and my attention was on them instead of myself, I started to get better. Even today, riding in someone else's car on a fairly long trip can suddenly bring it on because I think I can't leave without spoiling the other person's trip. Sometimes sitting down with people at dinner can bring it on because there is no way to leave without everyone noticing and having to stay at someone's house overnight is very difficult because at the end of the day I am tired and I feel people will notice if I don't feel well and have to stay until morning or later. Sounds weird, I know, maybe too self conscious, but panic attacks or agoraphobia seems to fit the bill. Yoga, breathing exercises and meditation may be helpful. Good luck! It will get better. Benedryl helps a lot with the nausea."
08/15/2011: Saravanan. from Doha, Qatar: "could anyone help me to get rid of LPR. Please kindly suggest which is better for LPR. There is no heart burn, but throat pain and sore throat makes me to worry a lot. I am expecting someone to give remedy for the problem. I am ready to try anything to get rid of this please."Replies
10/26/2011: Macky from New Iberia, La replies: "Slippery Elm is very good for the entire GI tract. It helps me and a friend with this throat problem"
03/01/2012: Eric from Bronx, Ny, Usa replies: "I was also recently diagnosed with LPR. I have the hoarse voice, coughing, lump in throat, choking, etc.
I am currently cleaning up my diet, etc and it seems that the lump in my throat is getting better. It started off with a cold in January which went into an upper respiratory infection and then on to major coughing coupled with an acid diet and hence..LPR
I believe that my diet is a major factor with me and LPR as I was eating a lot of acidic foods and higher fat meals, coffee, chocolate, tomato based products, etc.
There are a few websites to check out as far as cleaning up your diet:
You have to read a lot on the topic and some foods on the site contradict one another.
Organic apple cider vinegar (_____) amongst others that have the "mother" in it as well as a freshly squeezed lemon are both alkalines and raise the pH level in drinking water which helps as well.
There are also pH test strips which you can buy to test your saliva or urine which measures the pH level in your body. A person with a lower pH level than normal is susceptible to illness, cancer, etc from my various readings.
I hope this helps a little."
03/01/2012: Eric from Bronx, Ny, Usa replies: "Saravanan, I posted some comments in the general feedback section of LPR which may help you out."
01/09/2013: Angela from Canning Vale, Western Australia replies: "Hi, For the last 18months I have suffering from what sounds like the "death rattles" -each time I lay down I start gurgling and in the morning bring up a huge amount of white, fluffy mucus in addtiion to gluggy mucuous like egg whites and also metallic tast in morning and development of hoarse voice... Gp thought asthmas, bronchitis/flu etc etc to no avail. Thought it might be allergy as symptoms started after bad flu and dr said my lungs damaged and now letting in allergens...... But funny thing is that is occurs whether I am at home or away, so to me allergy seems unlikely..... Dr tried me on different inhalers, nasal sprays etc to no avail so after doing my own research, I suggested to him might be LPRD and got prescription for Nexium 40 once a day... Trialing this now for 3 months and the gurgling and mucus appear to be severely reduced... I have booked to see an ENT to see if condition can actually be confirmed by tests... Just want to be sure it is what I have... Don't want to be on PPI all my life, so if confirmed, looking for natural alternatives.....Any advice?"
01/09/2013: Mmsg from Somewhere, Europe replies: "Angela, try breathing thru very diluted h2o2 in your mouth. About 6-7 breathes each time you do it."
Silent Reflux (LPR) Remedies
11/24/2013: Momo from Ireland: "I have recently been diagnosed with Silent Reflux. I am waiting to be referred for an Endoscopy.
My situation is as follows. I was in India in August this year and had an upset stomach when there. When in India, I started to waken up in the middle on the night with difficulty in breathing/swallowing which was quite frightening. When I got back from India I started to develop a lump in my throat and then developed a tightness in my chest where I had difficulty breathing and had some pain. I thought I was having a heart attack. Then I developed this sensation in my head in October like a rush of energy/lightheadedness and it has been with me since. I am not able to think 100% clearly and I am also at times feeling shakey and weak and am experiencing tingling and a numb like feeling in my hands and feet. My symptoms are getting worse and I have tried PPIs but they have not helped. I am also constantly tired.
The most distressing thing for me at the moment is the head sensation. I work full time and it can be a challenge at times to get through the day.
Are the symptoms I have mentioned above typical for silent acid reflux and how can I alleviate them, especially the head sensation? Yesterday, I started to take the following :-
Apple cider vinegar and bicarbonate of soda - two time per day
B 50 Complex Vitamins - twice per day
Vitamin C 1000mg - twice per day
Bio Gest Digestive Enzymes - three times per day with meals
Essential Amino Acid Complex - 2 tabs once per day
Any advise as to whether I am on the right track or not would be very welcome and if anyone out there has been able to relieve the head sensation from Silent Reflux, I would love to hear from you.
Hoping to get some help!!!!"Replies
11/24/2013: Mary from Edmonton replies: "Hi Momo.
I just went through all lot of your symptoms so this will be very helpful.
1. Buy some HCI tablets and start by taking 1 at the first meal then 2 at the second meal and continue until you feel a burn in your stomach then back down to the previous amount for the next meal. You are trying to determine if you have too much or too little acid in your stomach because you cannot go forward until you determine the correct problem. If you have too little acid the PPI's would not work as they reduce your your stomach acid when you actually need more acid henceforth the HCI tablets? ACV does the same thing except it is harder to control the dose. There are no side effects testing the HCI tablet's but the are many with the PPI's.
2. Since you were in India there is a very good chance that you may have picked up a bacteria like H.Pylori which causes the reflux. We all have H.pylori but they only represent a problem when there is an overgrowth which means your system was probably in a weakened condition to begin with so you have to do 2 things: strengthen your immune system and kill the overgrowth of bacteria. In my case it felt like my head was full all the time. It is because sometimes the reflux backs up into your lungs which causes the tightness in your chest & that scary feeling of not being able to breathe then eventually it moves up into your head. I ended up on an inhaler to open my bronchial airways when they got constricted. Japanese mint oil does the same. As soon as you start to feel constricted put a couple of drops on the back of your hand and lick them off as they are really strong! I also had that horrible lump in my throat that made me panic when I could not swallow sometimes.
My protocol that has been working for 4 days now is:
1. Lugol's 5% iodine: start at 3 drops in water on an empty stomach 3 times a day & work your way up to 8 drops or any lesser dose that makes you feel well. Most of our thyroids are working less than necessary so this will generate the metabolism you need to fight this thing. Do not take with anything else. Must be 3 hrs. after a meal or 1 hr. before a meal &/or drinks of any kind.
2. Sangre de Grado (also called Dragon's Blood). I bought the Rainforest Pharmacy brand on line. See the benefits at http://www.rain-tree.com/sangre.htm#.UpIaoRB5mSM. 15 drops in water on an empty stomach 2 x day. This will kill those nasty bacteria.
3. Natural Factors makes a tincture that has Echinacea and goldenseal http://www.naturalfactors.com/caen/products/detail/2668/echinamide-anti-cold-echinacea-and38-goldenseal-tincture that will strengthen your lungs. 1 ml 3 x day again on an empty stomach. I combined this with the Sangre de grado but NOT the Lugol's.
3.Really small meals and lots of them until you get this under control especially at night time and no acidic food or drinks especially anything containing sugar which is acid forming. Fruit & vege's are alkaline and everything else is acid forming except for fats which are neutral. If you find that too difficult try to eat or drink any of the bad stuff before lunch so that you are not refluxing at night.
4. Buy some saliva PH strips and test your saliva constantly to make sure your PH is in the normal range: 7.2 to 7.4 most of the time. You cannot be too acidic (below 7) or too alkaline (above 7.4). If you find you are consistently very acidic inbetween meals take 1/2 tsp of baking soda with just a tiny pinch of Xylitol sugar in a 1/2 cup of water to neautralize your stomach acid. You must mix the baking soda very well! I use a handheld friother. Take this mixture again just before bed on an empty stomach so that you can avoid the acid reflux at night. Your stomach needs to be acidic before/during meals to digest your food then alkaline from an hour to 3 hours afterwards depending on what you are digesting. The sugar which is antibacterial allows the baking soda inside the cells.
5. You may have a hiatal hernia from the reflux. Find a good chiropractor and have him pull it down once then do it on your own afterwards. Perhaps there is something on Youtube. You must have excellent posture to prevent squishing your stomach with your diaphragm which also causes the reflux especially after a meal.
Please let me know how you make out as it took me so long to find my protocol. Everyone told me what to do but all of it is pointless until you do the testing to determine the issue first.
02/25/2014: Lurkspur74 from Qatar replies: "Dear All,
Had infection somewhere in the larynx first week of January, on medication for 10 days, right after, I got all these symptoms.
I'm recently having all the symptoms of LPR/GERd/airway reflux. I am on my first day of Nexium...for 5 days. hopefully it will work. I'm also inspired to follow Mark from Newton Abbots' diet program. started yesterday with probiotics and enzymes but will put on hold from today for 5 days to give way to Nexium. I will just have real papaya as supplement.
Also, considering peptest, marshmallow roots, slippery elm, manuka honey but difficult to find here in Qatar, will just buy from amazon.
Please let me know for any updates of progress."
[YEA] 03/28/2014: Jcee from Ca: "Supplementing with vitamin D has almost cured my LPR that I've had for the last five months.
I didn't realise that the long term cough I had for over a year was caused by GERD until I got LPR. The cough was often after I ate and other times as well. Was able to get rid of the gerd with the cell salt nat phos 6x, three tablets after my two main meals each day, but the very painful LPR remained. I had heard that vitamin D had helped some people. (Google Elena vitamin D LPR ) so I tried supplementing and things seemed to get worse. After much research, I figured out that the Mg tablets I was taking for always being deficient in Mg were not working properly and switched to Mg Capsules. When supplementing with vitamin D, we need a very good base of Mg as vitamin D quickly uses up Mg. So when I switched to the capsules, I still didn't notice too much improvement but at least it wasn't getting worse now. I persisted a week and a half and it slowly started working! Was only supplementing with 1000 mg of vitamin D a day along with Mg (and a bone supplement every other day which also contains D, calcium, silica and boron). Also was making sure I got 20 minutes of sun every day possible. I believe the Vitamin D strengthened my UES and LES and it also acts as an anti inflammatory."Replies
03/28/2014: Jcee from Ca replies: "Just to add.. the blog is 'vitamin D3 helping my LPR symptoms. (26 pages). And the bone supplement also contains K2."
04/17/2014: Rob-747 from Lancashire, Uk replies: "Hi All,
I was reading through some older posts on this forum and noticed one guy who had severe LPR symptoms saying that eats lots of yogurt to combat it. In my experience, and according to the ancient healthcare system Ayurveda, yoghurt shouldn't be taken on its own as it is acidic to the body. Instead yoghurt is best best mixed with water to create the cooling drink called Lassi (that you'll probably know from Indian restaurants). I usually add around 4 tablespoons of live yoghurt to a glass of water then stir vigorously. Lovely and healing ;)
Also, since stress can cause LPR symptoms to flare up, I recommend and practice Transcendental Meditation (TM) twice a day and wouldnt be without it. TM was recently rated as the most effective stress management technique by the American Heart Association. (Google 'Transcendental Meditation - American Heart Association')"