Good Afternoon,It feels to me like we are in the middle of new thoughts, studies and conclusions are being made daily re what is GERD, what is LPR etc.
Non-acidic reflux is a major cause of laryngeal inflammation, and patients with this disorder present with a constellation of symptoms that differ from classic gastroesophageal reflux (GERD). The most common symptom is chronic laryngitis. The mechanisms of injury and pathophysiology of this disorder are still being interrupted and there is no gold standard for diagnosis. Non-acidic reflux is an area of active research and several hypotheses explaining how injury occurs are currently being explored. Pepsin and bile appear to be implicated.
The best type of Gaviscon Advance they should purchase for relief of non-acidic reflux (LPR). The answer appears to be Gaviscon Advance Suspension made by Reckitt Benckiser which contains at least 500mg of sodium alginate in 5ml dose (1 tsp) or 1 gram in 10cc dose (2 tsps).
This formula of Gaviscon Advance cannot be purchased in the United States, but instead overseas from the United Kingdom. Occasionally, Amazon.com carries it.
The Gaviscon Advance sold in the USA is manufactured and distributed by GlaxoSmithKline (GSK) and not Reckitt Benckiser. The US brand of Gaviscon Advance contains less of the key ingredient sodium alginate which helps with non-acidic reflux. Alginate is a natural product derived from seaweed. The alginate reacts with the acid in the stomach to produce a "raft" barrier that acts as a physical block to reflux. It is the only non-surgical treatment that can physically prevent reflux disease regardless of whether it is acidic or not. Alginates work rapidly, are long lasting, inexpensive, and have no known side-effects.
There is so much new info coming out it is literally a challenge to understand each new study.
Kindly, Kitt