silent acid reflux? In throat??

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Regular Member

Date Joined Nov 2013
Total Posts : 68
   Posted 9/24/2014 10:42 AM (GMT -6)   
I've been having an intermittent sore throat every day and slight coughing for the last 4 months.  I recently found out I had allergies.  Allergy medicines didn't help.  So allergies causing my sore throat was ruled out.  My ENT ordered a neck cat scan and a barrium swallow.  She told me I have acid reflux.  Can a barrium swallow test can it show acid getting in the throat or do I need another test to detect acid in the throat.  My throat isn't always red even though I can have a sore throat and coughing every day.  If I have silect acid reflux wouldn't your throat be red all the time?

Veteran Member

Date Joined Nov 2012
Total Posts : 532
   Posted 9/24/2014 1:45 PM (GMT -6)   

Firstly with LPR no you don't always have a red sore throat I didn't, I did have a huge amount of pepsin getting into my throat which has caused permanent spasm, but no redness, it's acid that causes the swelling and redness not the pepsin.

No a barium swallow will not show up reflux into your throat, you will need a PH study and preferably an impedance PH study which will show if it's acid or non acidic or a combination of both.

I can recommend Gaviscon advance and doing a lot of salt gargles.

Hope this helps,


Regular Member

Date Joined Apr 2013
Total Posts : 254
   Posted 9/24/2014 5:52 PM (GMT -6)   
A barium swallow will definitely show reflux into your throat. When I had mine done, it was like watching someone pour out a bottle. I watched it go down, then when the table was tipped back, saw it crawl back up and tasted it when I saw it hit the back of my throat on the fluoroscope. The manometry and pH studies will show the level and concentration of the acid in your throat.

You can most certainly experience sore throats from reflux. Although your throat may not be red, just irritated from the acid bath.

Take care and be well,
Nissen Fundoplication April 30, 2013
Pain-Free, Reflux-Free, Sleeping on my back!

Regular Member

Date Joined Jul 2014
Total Posts : 20
   Posted 9/24/2014 7:28 PM (GMT -6)   
I also have sore burning throat everyday. When my ENT doc looked at my throat with his scope, he didn't see much redness. Only a bit beside my vocal chords. Thus he told me I may not even have LPR. Which is ridiculous, because I can feel the fluid travelling up my esophagus into my throat all the time! I also believe the irritation in our throat is largely due to pepsin, bile salts, etc. from our stomach contents--not so much acid. It has this watery, sometimes bitter taste that trickles out from the back of my throat into my mouth. It irritates my tongue, throat, and travels up into my sinuses making them feel inflammed--almost like I got a bad cold or hay fever.

Really what we are experiencing is non-acidic reflux. Which sucks, because we don't really respond well to PPIs (which suppresses acid), since acid is not really our problem. Really, there is no solution to this except surgery--which they generally don't do unless you're showing pathology from acidic reflux (i.e. Barrett's, severe esophagitis) etc.

Btw, gaviscon advance doesn't really help me at all. Don't know about the rest of you...

Regular Member

Date Joined Nov 2013
Total Posts : 68
   Posted 9/25/2014 5:41 AM (GMT -6)   
I don't have any burning in my throat.  Does that mean I don't have silect acid throat?  I get just tickling in the throat and slight pain sometimes when I swallow my salvia.
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