LPR (Laryngopharyngeal Reflux) Causes, Prevention, & Treatment w/ Dr. Inna Husain
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- Опубліковано 8 вер 2023
- Welcome to my channel: @MollyPelletierRD 🌿 I am a reflux-specialized Registered Dietitian who struggled with GERD for years and found natural relief with a holistic approach - and now I help others do the same! Life without persistent LPR or acid reflux symptoms is possible. Finally, learn how to prevent your LPR/acid reflux naturally with the right support and guidance. I have been able to help hundreds of people soothe their symptoms of GERD/LPR/acid reflux & reclaim living their fullest lives, I can’t wait to help you too!
In this conversation, Dr. Inna Husain (@innahusainmd on social) and I discuss the potential causes, testing, and treatment options of LPR/Reflux. Inna Husain, MD is a board-certified otolaryngologist with further sub-specialization in Laryngology, or all things voice, airway, and swallow. She trained at Northwestern and Harvard and started her career in academics where she was an Associate Professor and the Section Head of Laryngology at Rush University. She has now transitioned to the role of Medical Director of Laryngology for the CCNI healthcare system, creating the first regional Laryngology program in Northwest Indiana. She has published over 30 peer-reviewed articles and is an international speaker. Follow Dr. Inna Husain on Instagram at @innahusainmd
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Molly Pelletier, Registered Dietitian
Leading Acid Reflux Dietitian
Specialized in digestive health, acid reflux/GERD, LPR, IBS, and weight management
Founder of the FLORA™ App
BS + MS Nutrition Science, Boston University
Hello & welcome! I’m so glad you’re here.
DISCLAIMER: Please remember this is my personal story and I am not advising anyone to take a supplement or change medication. ALWAYS talk to your doctor before taking a supplement or changing medication. I am simply sharing my experience :) This Channel and its Content are not to be perceived as or relied upon in any way as medical advice or mental health advice. The information provided through our my content is not intended to be a substitute for professional medical advice. Do not disregard professional medical advice or delay seeking professional advice because of information you have read on this channel/website. Do NOT stop taking any medications without first speaking to your doctor or other health care professional. Always consult your doctor before changing or stopping your medication. This channel does NOT intend to provide health care, medical nutrition therapy services or attempt to diagnose, treat, prevent or cure in any manner any physical ailment or digestive disorder.
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none of the music used in this video is mine. all rights belong to the original creators and owners.
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I appreciate every single view, like, comment, and subscriber! I always read and reply to comments. Your feedback is welcome and valued.
You don’t have to go through LPR alone!! Find relief from LPR and acid reflux symptoms by booking your initial session here www.mollypelletier.com/acid-reflux-relief ❤
Great discussion and thank you for sharing! Very helpful
This interview is one of the best! Thank you both!
I really hope my doctor is like you! Will definitely take notes before i go to my doctor
Thank you! Sharing with a couple friends who are just trying to figure all this out. You’ve both been so helpful in my healing journey.
Thanks for covering this topic 👍
This is very helpful and informational. Thank you so much for this session! God bless you both ❤
Great video - very informative!
Thank you so much. This was very helpful.
Very useful and informative, UA-cam videos are better than most doctors visits!!
So glad you found this helpful!
This was very good. Interesting discussion about stress. My LPR first flared up during three separate stressful events - changing jobs and lockdowns.
I have some periods of relative control but can spin off into a vicious cycle again and go back to square one.
Woah she knows her stuff; sign me up!
This touched on everything I’ve been going through for the past year. It’s so hard to explain the symptoms to people and even doctors!! It feels so hard to pin point sometimes and this was so helpful, I sent it to my mom! lol. It made me feel less crazy, and the food anxiety is real. Thank you for this !!!!
🤍
This started for me after Covid and the “100 day cough” which then went into constant throat clearing, and host of weird sensory feelings in the throat as described here and many other videos. Finally ended up at an ENT who looked at my dry throat and attributed that to every symptom I was having. Sent me to a Speech and Language Pathologist for “voice training”. I felt like we were treating the symptoms not the cause. I eventually suspected LPR but wonder if the vagus is still involved due to laryngeal sensory neuropathy. Wish they would have gotten into the neurogenic aspect and discussed the treatment of that. Good luck finding a doctor that understands that aspect and is willing to treat you with neuromodulators or Amitriptyline. Still seeking answers and help. Battle on everyone. Don’t give up!
This came at the perfect time for me. Just had an endoscopy done last week and now being referred to an ENT
Thanks for your Reply...What was the Outcome for You?
Yes what was your outcome? If
you don't mind sharing of course.
Thank you so much for this video! Very helpful ❤
Glad it was helpful!
Thank you and God bless you for removing my persistent bad breth from stomach when taking & Gerd/Acid reflux symptoms completely when I came across Dr.Ohanon✊✊
Very clear and helpful
Thank you for this share. Do you ever talk about Barrett's esophagus?
I finally feel like I’m not alone, I’ve been suffering with this for 8 years it took 2 years to diagnose. Most doctors don’t know what LPR is and it was very frustrating. PPI never helps me but diet does help but never seems to go away. The lump feeling in the throat and the belching is the worst. I’m going to try the alginates and hope it helps. Thanks for the video, truly helpful 💜
Look up Dr Berg "silent reflux" the apple cider vinegar CAPSULES helped me tremendously n its natural! Good luck
Any updates on your Results with LPR?
This was a really insightful. Thank you. I live in the Netherlands in Europe, and unfortunately it seems like the doctors here have never heard of this. I've been suffering for years: the lump in my throat, constant clearing until my throat hurts, dry cough at night, constant burping, a chronic runny nose. I sing, not as a professional but as a hobby I get singing lessons, but my voice quickly gets hoarse. (I also have asthma, but that could be an entirely different thing.) My GP just prescribed a PPI (omeprazole), she even laughed at me when I once asked if it's possible I could have low stomach acid, and then suggested that the medicine might not work in this case. She made it sound like I was making it up, saying that she's never heard of a low stomach acid, and that that is not even possible. Finally after my insisting a lot I got a referral to see an ENT at the hospital. All they did was look down my throat, a small tube that went thru my nose. She concluded she could see my throat was scarred by acid reflux. And prescribed me more omeprazole (PPI). When I told the doctor I'd been taking it for months but it doesn't do anything for me, she just said then we'll double the dosage. So for another while I tried the double dosage but as before it did absolutely nothing for me. So I decided to stop taking it and search online for my own solution to the problem. I've really found your videos very helpful, I've been on the reflux diet for 2 years now. I've got it "under control" now, but it's by far cured. Every now and then I get a flare up.
Oh I forgot to mention, I have had the h pylori test done several times though, every time it comes back negative. I do not have that.
@@littleminnaDid you get the H Pylori done by all three tests 1. The breath test 2. The blood test and 3. The poop test! Mine was done by endoscopy but the gastro doc said I did not have it. But when I got all 3 of the other tests done, they came back positive. So I was put on heavy dose antibiotics! Hope you feel better.
OMG 😳 u just have described my life with LPR in Norway. This situation is so stressful that I am depressed…. Norwegian doctors sent me to a psychologist who believes that this pain in my neck, cos also I have a neck issue ( and I am so convinced that mainly is because the LPR) is a stress problem. In my first session with this man I told him about neck problems and LPR and he told me nope is the depression 😢 and I am still here sad trying to find a doctor or a treatment to be “normal” again, just like before the COVID
I am 78 and had it for years but did not know what it was for ages. I will not take Omeprazole but take apple cider vinegar each day. Also watch my diet. The terrible cough was the worst. acv Does help a bit. Another thing is as the lady says the Vagus nerve. Doctors here in the UK look at you with disdain if you mention that. Singing is suppose to help the V.nerve!!
My doctor suggested it might be silent reflux here in Australia. Looking for home remedies.
Thank you beautiful ladies! I have been to a ENT as directed by my physician. Just gave me PPI and I have resisted as I did not feel this was correct. Everything you just conveyed to me is correct! I am making another appointment for second opinion and will be taking this information with me! I have ordered Refluxraft and will work with diet and natural remedies to help with my journey ❤
I'm right there with you!❤
Great video thank you both lovely ladies 😎 wealth of knowledge
Our pleasure!
Auto fully explained 👏👏
Very well done. It's amazing how little most ENT and GI docs know about LPR. My concern with alginates is the sodium content although I use on occasion. As far as alkaline water, I've found spraying my throat may be helping with my voice. Seems that swallowing the water does not hit the voice box as Dr Koufman has discussed. I also do not like PPI's but I take them longer term because I have Barrett's.
Alkaline water Spraying is better or gargling is better option ?
How long did it take you to develop Barrettes?
Thank you for the info I'm suffering reflux acid very bad
I’m sorry to hear that your not alone! hopefully these resources are helping !
I have stumbled upon this content, I can’t help but wonder if this is an answer to my Afib heart rhythms episodes that I have been living with and treating with “pill in the pocket” . In the past the afib has been triggered by brain freezes from drinking or eating cold items (cold water, ice cream, slushees etc). After speaking with multiple cardiologists they are always stumped since there aren’t structural issues and I am still in my 20s with a good diet.
I do sometimes get a little heart skip feeling or random raise in heart rate when I do have an unhealthy meal. Great content and going to do more research into this topic. THANK YOU!
Thanks molly for this video contains alot of info 🎈
You’re so welcome! ❤
Hypersensitivity can be caused by viral infections and most of LPR patients do have it. Look up for Sensor Larynghological Neuropathy, same as LPR symptoms.
And btw you can have hiatal hernia but many of them who do habe them are asymptomatic. My Gi told me that there are people with HH without GERD and those without HH and severe GERD.
Thank you
Can anyone help me with finding the studies that Husain refers to at 3:58 in the video? I want to learn more about how sensations lower down in the esophagus can be felt higher up in the throat.
I was searching for an antidote
Fantastic.
🤍🤍🤍
Thank you so much I’m trying to reach you I can’t I have question about reflux gourmet it anti acid because I don’t want to take any anti acid and if you have idea if free from gluten and dairy ?
Alkaline water has been shown to de-activate pepsin when it is 8.8ph. I use alkaline water and low acid diet. Globus gone, inability to swallow is gone.
I love alkaline water for LPR!
We need to gargle with alkaline water or drink it?
@@ajs3069drinking is fine but gargle or spraying to the back of throat may help too
I'll give this a go. Sick of waking up with a sore throat and chest
Valuable and insightful discussion 👋!! Explanations very clear and well done. 🩺 Thank you. Many people do not have the know-how, medical access or money to receive the guidance & coaching you both gave today.. Often, don't even know the questions to ask. Good questions today!
I've been to so many doctors to stop this chronic cough. My alergist just mentioned it could be reflux. I live in Chicago. I may need to see this doc if she takes my insurance. I NEED HELP. My body hurts from the years of coughing. It makes for a very solitary life because everyone is scared to be around me.
I had the chronic cough too. Start doing a high PH diet (avoid acidic foods, fats, fried and spicy food, etc), use alkaline water (just a couple of sips) and spray with bicarbonate soda and alkaline water through your nose and throat. There are videos on UA-cam for all of this, you’ll be much better I promise.
@@lauraarroyo4222 Thank you kindly for all the advice. I definitely want relief.
Why don't healthcare professionals recommend natural remedies for LPR? I was originally prescribed Nexium BID, and then I tried Prevacid 1 per day. Both PPIs made my LPR worse. I struggled for years and then I tried Ginger supplements and also Quercetin supplements. Both of those natural remedies worked WAY BETTER than the PPIs. But I feel upset at this point because I suffered for almost 10 years without any doctor telling me about natural alternatives.
Can someone share his / her experiences using Vonoprazan, it is said to be different from conventional PPIs and works better
I was diagnosed lpr. But i forget to tell my doctor that i also have burning sensation in my upper abdomen region. Did my doctor missed diagnosed me or heartburn is also common to lpr not just gerd??
A simple solution for stopping the action pepsin has on the throat and vocal cords is to spray into your nose and throat a solution of 1:gallon of distilled water with 8 tablespoons of baking soda dissolved in it.. Keep in a spray bottle and use after every meal and any time you are having to clear your throat repeatedly.It took years for me to get properly diagnosed and I now have permanent damage to my vocal cords. I hope this helps some of the people suffering from this problem. My ENT doctor endorsed my regime.
Are u soda technique since long time?
any side effects u faced?
It is the chewable Heartburn Soothe product from Enzymetica. I am going to be changing over to a Life Extension product called Esophacool, same ingredients but much less expensive. Life Extension is an awesome vitamin company and is subscription based. I think it’s around $25/ year but well worth it. They have super reasonable prices and superior quality. Plus, you get a monthly magazine with super interesting health and nutrition articles. I hope this helps🤗
After gallbladder surgery in 2021 June since then I don't know what happening in my body after 2 years of everyday throat tightness,throat pain,lump feeling in throat, I now discovered it as silent reflux or LPR I have gone to gi everything comes normal in march 2023 but my LPR still there ..
Have you got bile reflux after GB removal ?
Great video and awesome recommendations. It took 2 months to get in to see a an ENT for a persistent sore throat and he literally looked down my throat for about 10 seconds and said you have reflux, here’s a script for a PPI😡 Needless to say, I was very unhappy with him so I resorted to UA-cam for other alternatives and that’s how I found you. I tried an Enzymedica product with alginic acid and within 2 days, my throat feels better. My voice is still raspy but it seems to be improving. Thank you so much
Iiii
which enzymedica product? chews or liquid or pill? thank you
May I know where to buy that product please.
@@jocelynalfante3524 I have found a better product from the company Life Extension, they are amazing. The product name is Esophageal Guardian. One more suggestion, I have had good success with very small doses of Gaviscon throughout the day, maybe 1/4 tsp, 4 or 5 times per day. I let it coat my tongue and slowly work its way down my throat in hopes that most of it stays within my throat area and so far, it is helping. Best of luck, I know it is very uncomfortable and typical ENT docs seem to be clueless, sadly
Hi I was wondering what kind of alginate do you recommend because there are a lot of alginate in the market out there.
Hi I am not sure where do you live but you can get Gaviscon Advance which has 1000ml of alginate
Can LPR trigger allergies?
I'm about to try slippery elm. It heals the throat and esophagus and gut. From the acid. I hope it works. I'm also treating candida which was in the mouth throat. esophagus.
How is slippery elm used
@@feyisayoakinlose9581I have been using slippery elm daily for around a year in hopes of healing the lining of the digestive tract. I keep it on hand and buy it by the pound from Amazon because I have a tendency a couple of times a year to have diverticulitis attacks. So each day I have a small scoop in with a few other powders in water every morning and sometimes I manage to take it twice a day. I began using a lot of things to hopefully heal my gut. I feel like it is working because so far I have not had another attack in a year.
I use it to soothe the digestive tract by adding a scoop in a large green drink every day along with licorice. I was suffering from several attacks of diverticulitis each year. Seems to be working.
I have a question. I was just diagnosed with LPR and am implementing lifestyle and food strategies. My reflux mostly happens at night but I wake up feeling fine. My issue with it is when I sneeze, a bunch of mucous runs down my throat and won’t stop til the next day. I told my ENT and he wasn’t too helpful. I’m also going through allergy shots and take daily allergy meds so we know it’s not that.
The mucous running down my throat is so annoying and makes it hard to talk, swallow or really focus on anything but that. I would appreciate any insights.
I have the same symptoms as yours. I wake up feeling fine but it acts up at night…
I am in the process of trying to get to the root cause of my GERD that came on recently after years of a slow slugging digestion and a lot of stress. It seems to keep going to my throat. I completely lost my voice recently which terrified me and had flu symptoms too, I mistook this as asthma that I (think I have), then had what I thought was an asthma attack and call for paramedics. They said my lungs were clear and no one could figure this out. I also have a high fever with this sometimes. 4 weeks on since this has arrived in my system and it comes and goes so I never know if I'm better or not. I'm about to try a Naturapath after being given antibiotics, steroid and omerorazole by big pharma Docs. None of which will in my opinion help heal me safely. But I now wonder if this is GERD, post nasal drip, LPR, all of them? and did i ever even have asthma, or misdiagnosed. Hopefully all will be revealed soon.
Thanks...Any Updated Results for you ...can share with the community here ?
Did you maybe have laringospasm? It has to do with LPR..
Im wondering which test I should have next. I had a endoscopy 2 years ago which showed berretts. I was put on 20mg omeprozole which didnt work. 40mg didnt work. 80mg killed my gut so I said no im taking that much. All my dr focuses on is ppi vs getting to the root cause.
How long did it take for you to develop Barrettes? How are you now?
Thank you for sharing your expertise. I having a problem with reflux. My throat has always sticky phlyme, I always consult a doctor. Last week on my consultation my doctor insert camera to see the cause, the result you can see on screen white spot, she told me it's no infection maybe from aced reflux so she give prescription of pantoprazole + Domperidone 40mg/30mg/tab. Im ftom Philippines. Please advice me what to do. Hoping for your kind heart sharing with us. God Bless.
Try apple cider vinegar CAPSULES NOT liquid 450mg twice a day on empty stomach. Toss out prescription drugs. Also drink "alkaline" water 9.5 (it says on bottle) its natural n wrks fast! U can go to 1 capsule a day after about 3 or 4 days. Good luck
I also have white spots on my throat, mainly on soft palate, do u have same problem?
Hi Molly,I have a hiatial hernia and hyperparathyroidism,high calcium in the blood.I get lpr each time I eat with like a gaseous sensation which affects my breathing.I am only eating,sweet potato,brussel sprouts and water biscuits as well as ensure but these set it off.Can you please advise me on what I can eat so that I can get enough calories and nutrients without affecting the lpr?
I am desperate and very scared,please help me.Thankyou.
I'm also facing same problem as urs.. i found some solutions too
Try turmeric tea as follows: two cardamoms, a small cinnamon stick about an inch Crush these and boil in water for about 2 to 3 minutes. Then add a pinch ( a quarter tea spoonful) of ground turmeric and boil for another minute. Add sugar and milk to taste. This drink is very easy to make and may heal the gut and the esophagus. It tastes good too.
@@surinderchowdhurymy doctor said avoid cardamom it aggravates the stomach lining
I’m interested in taking alginates but don’t know which brand
Reflux Gourmet
Young doctors seem to know better like you too
From personal experience I have had LPR for 8yrs, I have tried every diet you can think of, done carnivore for 6 weeks as an elimination but still no difference, I have tried alkaline water, drinking just that and also using it as a spray, I have tried ginger, slippery elm, liqurice, pre and pro biotics, I have also tried PPIs and H2 blockers. Endescopy shows no inflammation but I do have a 2cm HH. Looks like this is weak and letting out pepsin gas, well that is my assumption. Tried hanging, breathing exercises and that one where you push in your stomach... Not sure what to try next, tempted to try alginates but they are very expensive. I did ask the Dr about surgery and they said its not an option as I dont have reflux. I also tried amilitriptoline and the alternative one too reducing the sensitivity in my throat, but also didnt work.
I also have hiatus hernia, do u have sore throat symptoms like redness on ur soft palate?
@@Mansell5Senna8 one thing I have tried recently is, i have breakfast at 6:30 morning, lunch at 1pm afternoon, then I don't have anything till next day morning, somehow it's working for me but I'm losing weight and getting weaker, i want to gradually start eating if everything goes well for couple of weeks
@@Mansell5Senna8now iam also facing congestion on throat, i used normal cough syrup, it really helps but problem reoccurs when i stop taking cough syrup "tusq" ..did u try this syrup?
@@Mansell5Senna8 since when u have cough?
I got cough after i started 3 weeks of "intermittent fasting"
PPIs are no joke. Turns off your intrinsic factor. Be careful using those.
I have Acid reflux but I don't know what to do about it and I'm scared.
We're here to support! www.mollypelletier.com/acid-reflux-relief
@@MollyPelletierRD thank you. Sorry for the late reply but I have had this for a long time but I thought I could handle it but over a few months it's gotten worse. Like I wrote you, in January I went to the hospital and thought I was having a heart attack but I wasn't and they did a test and proved I had Gerd. I'm really scared and I'm 56 years old. I'm going to the gastric doctor on Friday and hopefully he or she will help me.
Is reflux raft safe to take for a long period / "years"?
I am so desperate to at this point. I have had this for only 4 weeks now but it has been absolutely horrible. I can't eat anything other than oats and water. I am afraid this will kill me, because I can't eat anymore. I also can't move anymore because this makes my throat hurt even more.
I’m so sorry you are struggling! I hope my reflux playlist here is helpful for you and that you find relief soon! If you are looking for more support, here is more info www.mollypelletier.com/acid-reflux-relief
Most doctors see reflux damage, give you PPI and say avoid alcohol, coffee, etc. making you feel like there is know way of knowing or treating any root cause. This is a more comprehensive explanation than any paid dr visit. I’m a professional singer so any reflux is immediately noticeable in my voice which affects my ability to do my job to my best. Very frustrating. I’m now on a mission to read books and try diet and other solutions to fix the root cause and not the symptoms that come back as soon as you get off the ppi. I used to think it was normal to have hoarseness in the morning and thought excess phlegm was allergies. Now that I’ve done some research it all seems to come down to LPR and diet. Excited at the prospect of getting it hanlded or possibly even “cured” with vigilant diet management. If I have to eat twigs and water for the rest of my life but know that would cure it, it would be well worth it.
Hi! I have similar symptoms, hoarseness and throat clearing in the morning, but I also just had full blown laryngitis caused by nothing else but LPR! It was horrible and lasted 3 weeks, more than ever when due to a cold.
Have you figured out a solution? How helpful is the diet? I am changing how I eat too, but I am still in diagnostic stages so too early for any noticeable healing.
@@annalimon8633 I read this book by Norman Robillard a.co/d/baIQLu7 and it was the most throughout with hypothesis and explanations as to root causes. The hypothesis is that certain bacteria to feed off maldigested or undigested complex carbs causing excessive gas which creates pressure that pushes open the LES resulting in pepsin’s going up into areas they shouldn’t. The diet eliminates or lowers these specific types of carbs. Well worth reading. There is also the popular Acid Watcher Diet book which I also read. This seems to focus more on a diet they treats the symptoms of acidic foods that activate the pepsin already in esophagus and other areas. I think both have their merits and do result in lessening of symptoms. Since Robillard’s diet addresses the root cause and not just symptoms I’m focusing on that but also being aware of avoiding acidic foods in the AWD as well. Also everyone is a bit different so after you get symptoms under control then you have to figure out which foods specifically aggregate it or not. Some foods that trigger some don’t trigger others and vice versa. But I’d suggest reading both those books and diets.
So what is to be done to cure this? There are no answers here.
Please see my other videos in my Acid Reflux Playlist for more support!
and dang…..to add to my just posted comment. I just had a tiny piece of chocolate (size of your pinky nail) and my throat is burning….is this because my esophagus is raw? Irritated?
The same thing happens to me, and I don’t know why either!!!!
Chocolate triggers reflux
I’m desperately seeking help, LPR is ruining my life, I’m hopeless and none of my doctors understand LPR
Hope you are in LA so that I can find you
Inna is in IL! I’m in CA and I see clients virtually. You can book a session here. www.mollypelletier.com/
What about not enough acid in stomach causing gerd
Even when everyone thought there is no cure, I’m still surprised how your medicine cured me Dr.Emovon on UA-cam I just pray you stay safe out there everyday because the bad breath and acid reflux patients needs you more than ever. Thank you for coming to my aid, you’re a great doctor. #dremovon.❤
Nothing helps guys I've been going through this for 10 years just give up. Just deal with it.
No we shouldn’t give up… was there something that happened that triggered it for you ? Mine I believe is a mix of h. Pylori although I eradicated that .. and weight gain .. and already a coffee drinker ..
@@gloombla I've never been overweight. I don't know what triggered it. I get a little heartburn once in a while but it's not much it's more just loss of voice and coughing constantly. Yes I given up coffee for a year and gone on every diet you can think of. Even fasting. Nothing works and I'm negative for H pylori
@@jasonmelo9379this sucks! So are you on any antiacid meds? How long are you without the voice and what do you do to recover? I had just been super hoarse and weak for 3 weeks. Recovering but still sounding way off.
Difficult Question Difficult Answer, No antidote then! No help w.Vagas Nerve. Why am I listening.
Look up V.nerve things to help, ie massage ears, etc. Also Geronometics channel who has just fone a video on it.
She's offering no information here she just wants you to go to her course or whatever. Like every other leech on UA-cam.
Ladies, ditch the ugly voice fry.
Why someone with a totally wasted LES like my grandma has acid reflux, even regurgitation. NO throat symptoms at all.
I don’t have any acid only weakly acidic reflux (pepins), I only have throat issues.
Doesn’t make sense. Why someone doesn’t reflux pepsin and someone does????