LPR or ? All Tests Showing Negative, Now What? Any advice?

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Lagbomb
New Member


Date Joined Mar 2014
Total Posts : 15
   Posted 4/9/2014 10:50 AM (GMT -6)   
Hi All,
 
I've had a chronic sore throat, dry throat for 1 year.  It all started last May, as a sore throat that never went away.  Went to ENT, about 3 weeks after it started, and she looked in throat and diagnosed with LPR/Gerd.  (I had never had any Gerd symptoms in my life, and at the time did not know what LPR was).  BC I didn't want to take drugs, I have ensued in a year long search trying to get to the root, thinking somewhere in my mind that this is LPR.  Although I only have the main symptom of sore throat, dry throat.  I went to 2 naturopaths, acupuncture, tried all the diets, blah blah blah. 
 
As of today, 3 of the tests I've had all negative:
 
1.  EGD (edoscopy) - negative
2.  24 Hour impedance - negative
3.  Peptest - negative (o pepsin)
 
So, am I barking up the wrong tree?  It seems to me that I am.  I have not one shred of evidence that this is LPR.  But I don't know what to do now.  I guess find a new ENT, that will actually look for a real diagnosis, and work with me.  My fear is that despite all my tests, a new ENT will be cursory and say, "LPR" -- (the last diagnosis was based on a look down my throat, not even a nasal endoscopy)
 
SO in your opinions, does it seem I am LPR free?  And if so, any suggestions on what next step is?
 
Symptoms:
Chronic sore feeling throat, dry throat.  Very dry mouth especially at night.  I do not sleep with my mouth open.  I was tested negative for Sjrogen's disease (by blood test).
 
Thanks

Pat Tall
Veteran Member


Date Joined Aug 2012
Total Posts : 950
   Posted 4/10/2014 11:53 AM (GMT -6)   
Lagbomb
It seems you have "atypical gerd" symptoms. There is lots of info on 'atypical' but here is one that seems to explain symptoms especially the micro aspirations to the throat without the typical heartburn symptoms. Hope this helps. We are all battling reflux-- regular and atypical. Sincerely wish you better health. Kindly. Pat

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1681743/

Gondore
Regular Member


Date Joined Jan 2014
Total Posts : 119
   Posted 4/10/2014 1:36 PM (GMT -6)   
I would honestly think that your 24 PH Impedance test would have showed something if you really had reflux. What was your DeMeester score from that test?

Did you happen to know if they did any kind of biopsy of your throat when they did the EGD?

Lagbomb
New Member


Date Joined Mar 2014
Total Posts : 15
   Posted 4/10/2014 2:02 PM (GMT -6)   
I did have a biobsy with the EGD and that was negative. I have ordered the lab report from the 24 Impedance but have not received that yet.

Thanks for your response.

Lagbomb
New Member


Date Joined Mar 2014
Total Posts : 15
   Posted 4/10/2014 2:05 PM (GMT -6)   
It just seems to me, between the 3 tests all being negative that maybe I'm barking up the wrong tree. I have no evidence to confirm this LPR. I have one symptom, dry/sore throat. So if it happened to be LPR, the PPI's would likely not work. From everything I've researched, this is my conclusion.

Hard to know what to think or what to do.
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