Have PPI's worked for anyone with LPR?

Not one?

What do you mean confusing people with LPR? I'll look into D-Limonene.

I see. Well I was trying to be specific to just LPR as I don't have any GERD symptoms only LPR.

Well thank you for your reply. How much D Limonene do you take? How long did it take to see results with it?

So I was driving around last night a bit depressed about my LPR and very ironically Dr. Koufman was a guest on Doctor radio on Sirius. Its odd because I never listen to Doctor radio but for fun I tuned in and she was on with the main doctor host I forget his name. She answered this question the best I can understand so far.

Your stoumach makes a boatload of acid without PPI, it still makes a ton of acid with PPI. So a PPI alone won't help you fix LPR. The lifestyle and diet stuff is super important. Raise head of bed, sleep on left. Don't eat 3 hours before bed. Eat regular scheduled meals, don't overeat and know your trigger foods.

I've been diagnosed with LPR only 4 weeks ago and it's hard for me to say if it's helped. I want to say yes some days but I still get acid reflux attacks. Even on empty stoumach. Stress and anxiety is a huge trigger for me and it will trigger my reflux regardless of what I ate.

I use Gaviscon Advance after meals, actually I'm lying I use Gavisco Max Relief tablets (im in Canada) 3 which has the same concentration as Gav Adance of the sodium alginate about 1000mg. Ordered the Advance UK version but it takes like 3 weeks to get here.

I've also testing / trying out Carafate which is meant to heal mucous membranes, it's originally used for ulcers and it bonds to the damaged sites protecting it from further acid.

My main symptoms are sore throat, lump in throat that comes and goes, lots of mucous in throat and chief complaint are voice issues with a weak voice and it hurts to talk as voice and throat is irritated so much. Resting voice helps a little but not enough. I'm seeing a voice specialist next week to help me with recovery as I use my voice for a living I'm in Sales for a large very well known american tech company.

Another key thing that Dr. Koufman said which stuck with me was that the more reflux you have the weaker the LES gets so it's a vicious cycle. It's kind of like having your car stuck in a ditch. It's hard to get it out but once your out your ok and resume a happy normal life. So you need to try to avoid reflux and your LES will improve especially if your issue was brought on by lifestyle, which for me it was.

For me the reflux was brought on by 2 things. My wife leaving me which caused me to get very anxious/stressed and I do also have anxiety but its mostly well controller with therapy and I'm very high functioning.

The second was eating big fatty heavy meals at night when I was entertaining clients with lots of alcohol. Even getting up many times during the night and eating.

I would say Ive improved about 30% as the lump in throat is gone, the voice is clear but still sore. Does the PPI help, yes, how much, maybe 6-7%. But this is a game of inches like Al Pacino's famous locker room speech, you need every inch to claw your way back out of this ditch. Also make sure you take your meds properly, PPI needs to be 30min before breakfast and dinner.

Hope this helps.

I didn't say they aren't successful, they just aren't successful on their own. Quitting PPI cold turkey is a very bad idea as you will get rebound acid. You need to taper off it slowly otherwise you will worsen your condition.

What is D-Limonene and why how does it "cure" LPR.