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Is it LPR or LSN ? Same symptoms different cause?

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GERD & Acid Reflux
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Posted 6/13/2017 11:51 AM (GMT 0)
Hello ,
I am new to this board.
For past 3 months I have a breathlessness feeling, but when I check my oxygen saturation level its normal ( 96 to 98%).
Based on my online reading, it seems to be LPR at first look, although the reflux must be very mild, as I don't really have any other symptoms. I ruled out major issues of cardio and lung . Also endoscopy & colonoscopy both came normal.
I have a very mild mucous at back of my throat only some mornings, and washes away after I brush and gargle and does not return all day. I have a mild ( only few seconds) throat clearing symptom only after a meal.
My biggest issue is the breathlessness. and it is more in mornings, and gets a bit better during day.
I read that it could also be LPN ( laryngo sensorory nuropathy).
Does anyone have any ideas what I should do? What kind of specialist/doctor can diagnose LSN vs LPR.
And what kind of diet actions I can do to reduce my symptoms?

Thanks in advance.
Sanmay
Posted 6/13/2017 3:27 PM (GMT 0)
First, don't try and diagnose through Dr. Google. I would start by going to an ENT, they can check your throat and evaluate whether you have any allergy or sinus issues.
Posted 6/14/2017 5:15 PM (GMT 0)
HI SharonZ.
I have been to Cardiologist, Pulmonologist and a gastroentrologist.
All results are negative.
Pulmonologist even prescribed me anxiety medication, probably there was nothing else he could do.

I haven't been to an ENT yet, due to I don't really have any symptoms that are ENT related. And that is what I don't understand, if (acid or non-acid) reflux is rising into my windpipe to cause the breathlessness feeling, why I don't have any throat related symptoms.

Hence I am looking to understand what else I can do ? Is there any other kind of speciality involved? Should I go to another gastroentrologist for a 2nd opinion?

Thanks
S
Posted 6/14/2017 5:25 PM (GMT 0)
Forgot to mention...I did take the LPR Peptest from UK, the saliva test. And its result said I do have high level of Pepsin in my saliva. (Pepsin level was 300--although there aren't any conclusive studies that say what is normal level of pepsin in saliva--so difficult to judge just by that number). This is what points to LPR in my case.

But as I mentioned, if so, question is why I don't have other associated symptoms. Does it mean other symptom may come later?
Posted 6/14/2017 9:53 PM (GMT 0)
Anxiety can cause or make your symptoms seem worse, and I would continue taking the medication. Your testing has ruled out anything cardio, gastro, or pulmonary. Your O2 saturation was good. I would just go with potentially having some sort of GERD-type symptoms and adjust my diet to something that is GERD-friendly, elevate your bed. Your symptoms do seem to improve as the day goes on, so that's positive. And, I can't emphasize enough not to diagnose via Dr. Google.
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