Through natural communication pathways from the mouth to the brain, muscles are activated from the face, mouth, throat and oesophagus all the way down to the diaphragm and stomach. Gradually, the diaphragm strengthens and alleviates your problems. The trouble-free periods become longer to be completely eliminated over time by naturally treating the cause behind your reflux.
GOR related cough has two main but not mutually exclusive pathogenetic mechanisms-microaspiration of gastric contents and a vagally mediated oesophageal-tracheobronchial reflex.9 When aspiration predominates, gastrointestinal symptoms are generally prominent and include heartburn, regurgitation, waterbrash, and sour taste; odynophagia, dyspepsia, night sweats, chest pain, and globus sensation may also be present.10 At the level of the extrathoracic airway, recurrent aspiration phenomena may lead to pharyngolaryngeal symptoms such as dysphonia, hoarseness, sore throat, as well as gum inflammation and dental erosion.11 Patients with pulmonary aspiration may report a variety of symptoms including chest pain, dyspnoea, sputum production, and wheeze.12 When GOR related cough is reflex in origin, the gastrointestinal manifestations may be less evident or even absent in up to 75% of cases13,14; cough as the sole presenting symptom of GOR has also been reported.7 A negative clinical history does not rule out GOR as the cause of chronic cough6 since, in some instances, GOR related cough may have no distinctive clinical features.8 However, an association between cough and GOR can be suspected on clinical grounds, most typically when cough is exacerbated by postural changes (especially stooping) or food intake. Most people do not know that acid reflux can also cause voice problems or symptoms in the pharynx (back of throat).
These conditions may make the vocal cords more sensitive to stomach acid. Medications to treat silent reflux, such as antacids, are available over the counter (OTC). These can help prevent the acid from returning to the esophagus.
To confirm LPR, the doctor may recommend a pharyngeal pH probe. This involves placement of a thin wire which secures behind the ear, enters through the nose, and sits in the back of the throat. The probe measures the acid level in the throat over a 24-hour period and can confirm the presence of abnormal acid levels. irritation or trauma to the voice box that triggers a hypersensitive cough response. A cough is considered chronic when it lasts for eight weeks or longer.
Commonly prescribed PPIs include rabeprazole (Aciphex), esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), and pantoprazole (Protonix). They all work by reducing the amount of acid made in the stomach.
It can also happen with spicy food and caffeine, which allow the band of muscle separating the stomach and esophagus to relax and open. Once acidic digestive juices move upward, they can cause swelling in the throat, forming a “shelf” on which mucus accumulates.
Why? In order for refluxed acid to cause heartburn, it has to stay in the esophagus long enough to cause irritation. Also, the esophagus isn’t as sensitive to irritation as the throat is.
If coughing symptoms improve during this time, it can indicate the cough is related to acid reflux. The amount of stomach acid needed to irritate the lining of the throat and voice box is quite small. Only 50 percent of those with LPR experience heartburn. Of course, in some cases, chronic cough may be caused or made worse by acid reflux.
Dietary factors often contribute to acid reflux. Certain foods are acids or irritants themselves; others will bring out stomach acid in large amounts. Both should be avoided. A natural treatment for reflux with no side effects and which is scientifically proven, is the throat trainer IQoro. The goal of the throat trainer is to strengthen the entire muscle chain, from the lips down to the diaphragm and stomach.
According to the studies in the literature, pathological GERD can be found in 30% to 80% of patients with asthma. On the other hand, patients with esophagitis are more likely to have asthma than patients without esophagitis. In the ProGERD study, the occurrence of asthma depended on longer GERD duration and was more prominent in male and older subjects.