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electracat
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Date Joined Sep 2009
Total Posts : 89
   Posted 10/4/2014 12:57 AM (GMT -6)   
Just thinking aloud, based on some recent research online...

1) I believe i have LPR. If I get gunk/saliva buildup in my throat/nose/mouth but it doesn't burn, could that mean it's pepsin, not acid? Or would I have to test the pH?

2) However, if I took a pepcid tablet last night and it helped (I'm trying to use them only in dire times) does that suggest acid reflux, not pepsin?

3) Doesn't LPR mean the reflux gets into your throat and above (instead of the more typical, heartburn area of chest)? Is there anything else to distinguish it from GERD? Pepsin, instead of acid? I don't know...

Thanks!

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted 10/6/2014 6:07 AM (GMT -6)   
Non-acidic reflux equals lpr, even taking ppi's you can/will still reflux it just becomes non-acidic instead of acidic.

SharonZ
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Date Joined Mar 2014
Total Posts : 1397
   Posted 10/6/2014 6:12 AM (GMT -6)   
Electracat

Have you been to see a gastro doctor to get a definite diagnosis yet?

electracat
Regular Member


Date Joined Sep 2009
Total Posts : 89
   Posted 10/6/2014 7:30 AM (GMT -6)   
Hi, thanks.

I know it's still reflux; just was wondering if there were a way to tell if it's acidic or pepsin...Wasn't sure if they were treated a bit differently.

And Sharon, I have seen a gastro and had an endoscopy; I should get the biopsy results today.

Thanks!

Pat Tall
Veteran Member


Date Joined Aug 2012
Total Posts : 950
   Posted 10/6/2014 8:09 AM (GMT -6)   
Electracat. We wondered the same question you are asking. Here's a suggestion-- not definitive-- but we purchased ph drop test and tested sputum/gunk at different times. After placing a drop on saliva etc. You read the color from the chart and determine how acidic it is. We tested water, coffee, etc. too. Found it very informative. Drops cost $5. Because of our findings we've been using higher ph water to tame down what we think is pepsin. a2owater.com

I'm not selling this-- just thought I'd mention it for what it's worth. Let us know what your doctor tells you. Please keep us updated as we all learn from it. Wish you the best.

electracat
Regular Member


Date Joined Sep 2009
Total Posts : 89
   Posted 10/6/2014 4:25 PM (GMT -6)   
Pat, thank you. I will definitely try that! I've been reading about higher alkaline water, and sounds like i should give it a try.
Wishing you good health!

electracat
Regular Member


Date Joined Sep 2009
Total Posts : 89
   Posted 10/8/2014 11:48 PM (GMT -6)   
Thinking aloud again:

--Do I have LPR if I have indigestion along with reflux? Wasn't sure if LPR always meant 'silent', or if it only differentiates that it goes above throat, instead of the typical 'heartburn' that GERD sufferers have.

--Why exactly should I see an ENT, if I know I have a bad stomach and reflux into my nose/throat/mouth? Will he just assess damage to tissue?

--Was just reading that apparently pepsin causes damage beyond the esophagus, NOT acid (although acid 'activates' the pepsin's damaging potential. Forgot the exact reference for this. What do you think (sorry if you clarified that, DOGGBONES...Did you mean that all LPR is pepsin-caused, or that whether it's pepsin or acid, it can still be LPR)? Pat, do you think your findings mean that all LPR is pepsin-related? Sorry if I'm repeating myself!!

--In same article, they say that for LPR in whch pepsin is cause, only HCL tablets with PEPSIN in them will help. Those without won't, because, well, see above comment. :) Something to consider if you're going to try HCL tablets (i haven't tried them yet).

Thanks for any input! Be well, everyone.

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted 10/9/2014 6:31 AM (GMT -6)   
electracat,
IMO, lpr can be caused by both pepsin or acid, bile as well. I believe pepsin is more likely the cause of lpr. If you're a refluxer, you reflux regardless....no meds, you reflux acid, on meds you reflux pepsin. This is why when on meds your non-acidic reflux results are higher. PPI's lower acid levels but not pepsin.

I do not take any supplements with pepsin in them.

electracat
Regular Member


Date Joined Sep 2009
Total Posts : 89
   Posted 10/9/2014 7:09 AM (GMT -6)   
Thanks, Doggbones.

electracat
Regular Member


Date Joined Sep 2009
Total Posts : 89
   Posted 10/9/2014 8:59 PM (GMT -6)   
Doggbones, can my LPR also include bloat/stomach indigestion? I assume that since it all originates from the same place (stomach), that's not unusual, though I guess some LPR refluxers don't have *noticeable* stomach issues.

Should I be checked for stomach emptying delay? That's what it feels like, though maybe it's just indigestion due to low acid, etc.

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted 10/10/2014 8:06 AM (GMT -6)   
electracat,
Unfortunately digestive issues are all over the map to say, kinda like which came first the chicken or the egg.

Lpr may not be your only issue, there's gerd, ibs, gastritis, etc., all of these could cause bloat/stomach indigestion. PPI's can cause stomach issue also, yes they lower stomach acid to ease reflux however the lack of stomach acid makes the food in the stomach just sit there and digest very slow....yep you guessed it causing bloat, gas, indigestion, reflux, etc.

Testing is always a plus, it can at least identify cause or rule things out.

electracat
Regular Member


Date Joined Sep 2009
Total Posts : 89
   Posted 10/10/2014 8:17 AM (GMT -6)   
Thanks. But, the definition of lpr can include stomach distress, yes? Reading "fast tract" which suggests stomach bacteria produces pressure which can then produce reflux, which makes sense to me...

DOGGBONES
Veteran Member


Date Joined Apr 2012
Total Posts : 707
   Posted 10/10/2014 8:52 AM (GMT -6)   
IMO, lpr and gerd are almost hand and hand. Lpr effects the upper part of the throat, however you wouldn't be having issues of the upper throat if your bottom valve worked properly. Lpr is commenly referred to as silent reflux, so yes lpr is a result of stomach issues.

electracat
Regular Member


Date Joined Sep 2009
Total Posts : 89
   Posted 10/10/2014 8:54 AM (GMT -6)   
Thanks!
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