New Treatment Options for Non-Acidic Reflux (LPR)?
It just came to my attention through anecdotal reports that there may be two additional options to treat non-acidic laryngopharyngeal reflux (LPR) causing symptoms of:
• Throat clearing
• Phlegmy throat
• Globus (sense of swelling in the throat)
Non-acidic reflux is different from the more widely known acid reflux in that traditional medications such as prilosec, zantac, pepcid, etc do not help. Non-acidic reflux basically is when gastric secretions without acid refluxes up into the esophagus to as far as one's voicebox causing symptoms listed above. Heartburn does not occur.
Traditional treatments for non-acidic reflux include the medication reglan (which has gone out of favor) and gaviscon advance as well as the surgical option Nissen fundoplication or LINX. However, there are now anecdotal reports that the medication robinul forte may be helpful by decreasing the overall amount of secretions the stomach produces as well as less invasive procedures called TOIF (Trans-Oral Incisionless Fundoplication) performed endoscopically without skin incisions.
Read more about non-acidic reflux here.