Only a trained reflux specialist who knows what to look for in all affected areas and who has the right diagnostic tests is equipped to make an accurate diagnosis. Otherwise, a doctor may guess wrong and treat you for an illness that you don’t have. Some of the symptoms of silent reflux can sometimes be caused by other diseases, which doctors try to treat unsuccessfully, leaving you miserable, frustrated, and having wasted money on useless tests and drugs. How the term “silent reflux” came to be is instructive.
Both are digestive diseases and both cause discomfort that needs to be properly diagnosed. Here are the signs and symptoms of each type of reflux. If your chronic sinusitis is caused by allergies, your doctor may refer you to an allergist.
Heartburn / GERD Guide
The backflow of stomach juices, including acids and occasionally ingested foods, constitutes gastroesophageal reflux disease or GERD. To start with, there’s a lot of anatomical distance to cover between the two areas.
Normally, these sphincters keep the contents of your stomach where they belong — in your stomach. But with LPR, the sphincters don’t work right. Stomach acid backs up into the back of your throat (pharynx) or voice box (larynx), or even into the back of your nasal airway. It can cause inflammation in areas that are not protected against gastric acid exposure.
Most patients with LPR are unaware of the constant gastrointestinal acid that accumulates in their throat, particularly, when they are sleeping. Patients experiencing LPR usual have a feeling of a lump in their throat, dry cough, and chronic sinus infections. As with GERD, the danger with LPR is bacteria from your stomach acid that travels through your sinus cavity harvesting colonies and resulting in infection. To better manage and prevent sinus infections it is important to address all the contributing factors. Only approximately 20% of acid reflux sufferers get heartburn, the symptom most associated with the condition.
When stomach contents reach further up the throat and affect the nasal airway, a patient has LPR. I start thinking of migraine whenever I see a patient who complains of sinus headaches but who doesn’t have any other symptoms relating to the sinuses or nasal cavity, such as abnormal nasal drainage or obstruction. If you think you have frequent sinus headaches or infections, but you don’t have nasal symptoms like obstruction, abnormal drainage or other upper respiratory symptoms, ask your doctor if you might actually have migraine. It’s a common mistake to make.
Silent Reflux Screening Tool
“Your throat feels sore because a little bit of acid is coming up from the esophagus and irritating the throat,” says Gina Sam, MD, MPH, a gastroenterologist and the director of the Mount Sinai Gastrointestinal Motility Center in New York, NY. Unexplained hoarseness may be caused by stomach acid moving up to your larynx, or voice box, and tends to be more noticeable in the mornings when it’s had all night to travel while you were lying down. These natural remedies for heartburn relief may help silent acid reflux too. Gastroesophageal reflux disease (GERD), or acid reflux, can cause post-nasal drip.
One is that exposure to acid gastric fluids could injure the lining of the nasal cavities, provoking a series of immune responses such as inflammation and allowing infection. They could also irritate sympathetic nerves in the respiratory system, causing nasal congestion, excessive nasal secretions and continuous post nasal drainage. LRS may also contribute to infection of the upper airways by bacteria from the intestinal tract. “Most chronic resistant sinusitis patients noted a modest improvement in one or more sinus symptoms and global satisfaction,” Dr. DiBaise and his colleagues report.
Chronic cough is usually defined as a cough that lasts more than eight weeks. Chronic cough is one of the most frequent reasons for visits to the doctor. Chronic cough is not a disease itself. It is a health problem that results from other health conditions. A person can usually manage symptoms of sinus drainage at home.
The best proof is improvement of both reflux and asthma with anti-reflux therapy. Asthma – There is a relationship between non-allergic (non-seasonal) asthma and GERD.
For information on acid reflux disease, visit the American College of Gastroenterology. “When people think of reflux and sinusitis, they’re picturing reflux making its way up from the stomach into the nose and sinuses, but it may not be that simple,” Smith said. And a large proportion of sinus patients are also affected by acid reflux. However, connections between the two ailments have remained unclear. last week I started bleeding abnormally along with feeling bloated, abdominal pain and a dodgy tummy and my GERD symptoms seem to be re-appearing.
Respiratory symptoms such as coughing or wheezing produce reflux by sudden, violent pressure changes in the chest and abdomen. Reflux also may occur during the deep inhalation taken before forceful exhalation by a person with asthma. If due to reflux, a sore throat and cough is usually easily prevented by avoiding late night eating and drinking, and employing other anti-reflux measures. Sore Throat, Cough – Nocturnal reflux, especially after late-night food or alcohol intake, may reach the throat without waking you up.
Some conditions that cause a bad smell in the nose require medical attention. Sinus or nasal infections that last longer than 7-10 days, for example, generally require antibiotic treatment for 3-28 days. These patients might have a chronic cough or repetitive throat clearing, or they experience changes in the tenor of their speech (pace, voice pattern, or pitch). Their laryngeal inflammation can worsen even though their GERD has resolved.
Symptoms of LPR
reflux symptoms you’re ignoring. “If you’ve tried cutting down on reflux-producing foods or eating late at night and the symptom doesn’t go away, it’s probably just congestion,” says Dr. Sam.