Silent Reflux (LERD/LPR), Causes and Relief - Updated 2025

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Vivian Asamoah on Instagram: "Reflux doesn’t always present as heartburn. In laryngopharyngeal reflux (LPR), both acid and non-acid components of stomach contents — including pepsin and bile — can reach the throat, airway, and upper digestive tract. This leads to a pattern of non-classic GERD symptoms that are frequently mistaken for ENT, dental, pulmonary, or allergy conditions. Common LPR-associated symptoms include: • Ear fullness or ringing • Dental enamel erosion without cavities • Persiste

Inna A. Husain, MD on Instagram: "You are not alone in this struggle. I can promise you that. I hear your stories, see your condition, agree that a diagnosis of laryngopharyngeal reflux (LPR) or silent reflux is frustrating. We have no great diagnostic tools and treatment regimens sometimes feel like a shot in the dark. Education is key but not just to patients. As experts of LPR, we have to educate our colleagues seeing these patients. Stop the run-around. Recently, I was honored to present alo