When we think of acid reflux, the chest-clutching burn after a spicy meal usually comes to mind. We pop an antacid and move on. Yet, a stealthier version exists that skips the chest and targets the throat. Laryngopharyngeal Reflux (LPR), or “Silent Reflux,” acts as a common but often little-known cause for that persistent cough.
The Persistent Sensation of a Lump
One hallmark sign is “globus sensation.” You feel something stuck in your throat or a tightness compelling you to swallow. Drinking water or clearing your throat offers no relief. Instead of a physical obstruction, inflammation is often to blame. Throat tissues swell in reaction to pepsin and stomach acid rising from below. This response aims to protect the airway from irritation.
Constant Throat Clearing
You may find yourself clearing your throat frequently throughout the day. While it becomes a habit you might ignore, those around you likely notice. Excess mucus production creates this urge as the body attempts to coat the irritated larynx. Unfortunately, the act itself irritates vocal cords further. A cycle of damage ensues. This symptom often signals that the upper esophageal sphincter allows contents to pass through more than it should.
Morning Hoarseness
Waking up with a rough voice requires attention. Silent reflux frequently occurs during sleep. Without gravity keeping stomach contents down, small amounts of reflux can reach the throat. These fluids irritate delicate vocal cords. Over time, chronic exposure leads to voice changes or granulomas. Your morning voice serves as a warning bell to check your digestive health.
Dental Erosion and Bitter Taste
Dentists are often the first to spot the issue. Unexplained enamel erosion on back teeth points to acid exposure. You might also notice a sour or metallic taste even without eating. Refluxed droplets reach the oral cavity causing this effect. It slowly dissolves enamel while affecting gums, often leaving patients confused about the source of the problem.
Listen to the Signs
Absence of heartburn does not mean you are safe from reflux. If these symptoms sound familiar, stop treating them as simple allergies. Consult an ENT specialist rather than just a general practitioner. Simple dietary changes and sleeping with your head elevated can help prevent chronic irritation.
Share your story: Have you been misdiagnosed with allergies when it was actually reflux? Let’s talk about it in the comments.
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