Posted 4/19/2015 4:55 AM (GMT 0)
No, this small amount of acid/liquid into the throat/mouth especially after meals is the one thing that has refused to go away after one year of having LPR. I know it`s such a small amount, because it rarely causes heartburn--but the throat is so sensitive, it really is irritating to it. I also have persistent dyspepsia that lingers a few minutes after eating, including burping, and a general uncomfortable feeling like food is pushing up on my esophageal sphincters, trying to come up. But this lasts for a few minutes, and subsides after walking around. Like you, I am worried about the damage being done to the throat/mouth/teeth from these small but chronic amounts of reflux coming into the throat area.
I just use pronamel toothpaste, rise my mouth after meals, and try to drink fluids to keep my mouth clean for now. Unfortunately this isn`t fixing the root cause..but it`s the best I can do for now. My dentist also recommended using a high fluoride mouthwash to try and protect my teeth further. I tried a non-alcohol one, but found it highly irritating to my irritated throat--so I stopped using it..but who knows, you may be able to tolerate it better than I did.
Kar102, what kind of diet are you on? I tried the koufman diet for months, but found it really makes no difference what I eat. The small amount of acid/liquid that comes up the throat is constant and for now..looks like it's here to stay. For instance, I'd eat a healthy green veggie salad with no dressing and some lean chicken breast or eat a small bowl of melon, and my throat will be highly irritated with fluid coming up my esophagus. While, I'll eat a slice of cake or pizza, and my throat will feel exactly the same--if not better at times then when I eat 'healthy', 'non-trigger' foods. So now I am much more relaxed when it comes to eating food. I try to generally eat healthy..but indulge in desserts/less healthy foods once in awhile for a treat to keep my sanity, since it doesn't seem to make a difference what I eat anyways.
It's perplexing as to why this small, but annoying reflux persists. Based on my scope, manometry, barium swallow studies I do not have any structural abnormalities such as a hernia or a 'weak' sphincter (i.e. low pressures). As such, my GI/ENT docs did not recommend I be on PPIs, but just follow healthy lifestyle measures and PRN gaviscon--I did, and like many of you, the initial painful throat/burning subsided within the first 6 months or so.
I do not have h.pylori. I have been tested by an allergist, and do not have food allergies. I am, young, and of healthy weight--exercising 4-5 times/week, and not particularly stressed or anxious about anything. But based on my symptoms--I do believe my sphincter is weak, and they just couldn't 'diagnose' it as such, because perhaps it was so borderline--they couldn't pick it up on their conventional tests. Anyways..I'm starting to face the reality that this is really a chronic issue--and just trying to deal with it mentally by adjusting to a 'new normal'. I've tried to throw myself into work more and school, and go out and have fun. I realize my symptoms become so much less noticeable when my mind is preoccupied and I am out and about. I used to hold my breath that one day I will be back to my old self--but I know now this likely will not happen.
I know someone who had LPR for two and a half years, which spontaneously and ever-so gradually went away and only affects them once in a blue moon i.e. when they are tired, or when they ate something really bad for them such as a whole canister of coffee. They were not on any PPIs except a small dose of domperidone which they tapered off, and really didn't pay much attention to their diet at all--eating unhealthy foods at least a few days a week. And now--they are totally fine and happy. I saw their case as a beacon of hope that I too, could get 100% better--but as time passes, I am getting less optimistic, and more realistic about my situation--which although it may sound depressing..isn't really a bad thing..since at least I am not setting myself for continual disappointment and frustration.