Would someone please explain something.....

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Regular Member

Date Joined Nov 2011
Total Posts : 61
   Posted 12/31/2011 9:38 AM (GMT -6)   
I have lpr - it's an on-going thing because I'm probably continually receiving damage to my throat and larynx - what I want to know is why I have no problems (or very very few) with my esophagus - the acid and fumes are coming thru that - it seems like it would be in worse shape than further up - it makes no sense to me. I know the esophagus is better protected but why don't
I have the normal gerd problems other people have?

Regular Member

Date Joined Nov 2011
Total Posts : 417
   Posted 12/31/2011 11:28 AM (GMT -6)   
This is very common for those who have LPR symptoms -- not to experience heartburn. This is because the tissues of the esophagus are much tougher, and able to withstand quite a few reflux episodes per day.

But the fact that the upper esophageal/pharyngeal muscles are malfunctioning, and allow the reflux into your throat...where it's NOT supposed to be...gives you all the atypical symptoms of LPR. LPR can be characterized by much milder (as well as severe) cases of reflux, because it only takes a small amount of reflux to cause lots of burning/damage in the throat. In many cases, this amount of reflux is not enough to erode the lining of the esophagus.

I can probably count on one hand the occasions I've experienced actual heartburn.


Regular Member

Date Joined Apr 2011
Total Posts : 377
   Posted 12/31/2011 12:14 PM (GMT -6)   
I seemed to be the one with both LPR as well as GERD symptoms - although my LPR symptoms are much less severe: bitter taste in the mouth, throat discomfort, slight swelling remains in the throat. My heartburn symptoms on the other hand have been persistent and not showing signs of going away. My mouth symptoms only occur when my heartburn is also on .. so I don't really know if I have LPR or GERD or both - or not.

mock turtle
Regular Member

Date Joined Mar 2011
Total Posts : 467
   Posted 12/31/2011 12:41 PM (GMT -6)   

i have red that the difference is how much, how high and how often

that is , those with lpr can sustain injuries with smaller quantities refluxate that frequently travel much higher up the throat and burns the least "protected" (least acid resistant) tissue

the reflux in lpr is of short duration and may be of lower volume, so down below, with swallowing, the lower esophagus is often able to clear out the acid quickly...the upper throat, airways etc are not so lucky

i have lpr and gerd and the lpr, to me, is much worse

hope the new year treats us all better
mock turtle

Veteran Member

Date Joined Dec 2008
Total Posts : 4961
   Posted 12/31/2011 2:17 PM (GMT -6)   

PPI and MT have given you some great info and spot on. I would also like to add that there is a "normal" amount of reflux that almost everyone has. When we only have this "normal" amount it isn't an irritant to our lower esophagus, but once you have acid or vapors reaching the upper esophagus it causes problem. That area normally shouldn't have acid there and is much more likely to cause problems.
Then you throw in the "silent" GERD and all bets are off as to what symptoms we have.

Take care,
Moderator: GERD/Heartburn
Nissen 6/06 and 5/09
#3 on 8/24/11
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