Reflux is a common physiological process that affects all of us, but not everyone experiences it in the same way. When reflux becomes chronic or severe, it can manifest as Gastroesophageal Reflux (GERD) or Laryngopharyngeal Reflux (LPR). But GERD vs LPR what’s the difference? These two types of acid reflux have different signs and symptoms, and doctors typically treat individuals based on their specific manifestations.
GASTROESOPHAGEAL REFLUX (GERD)
Most individuals with GERD complain of heartburn, with symptoms primarily related to the stomach and abdomen. Common signs of GERD include:
Pain in the abdomen between meals
Nausea
The feeling of having an upset stomach
The sourness of the stomach
Excessive burping
In some cases, if the esophagus is injured, people may also experience chest pain, which can be mistaken for a heart attack. GERD is often associated with reflux occurring when patients are lying down or in a head-dependent position.
While heartburn is fairly common among adults, persistent heartburn accompanied by other signs should prompt a visit to the doctor.
LARYNGOPHARYNGEAL REFLUX (LPR)
Conversely, individuals with Laryngopharyngeal Reflux (LPR), also known as Extra-Esophageal Reflux, complain of symptoms related to the throat and voice box region. LPR is sometimes referred to as “silent reflux” because people often don’t experience common manifestations like heartburn or indigestion. Signs of LPR include:
Hoarseness
Chronic cough
Chronic throat irritation
Thick or excessive mucus
Difficulty swallowing
Chronic throat clearing
Voice problems
Only about 35% of LPR sufferers complain of heartburn. Since LPR symptoms often resemble respiratory problems, it can be challenging to diagnose.
LPR is sometimes associated with “upright reflux,” meaning reflux occurs throughout the day, especially after meals.
CAN GERD AND LPR OCCUR TOGETHER?
While GERD and LPR typically manifest separately due to the way our bodies handle reflux, they can coexist. Acid reflux primarily affects the esophagus and larynx.
THE ESOPHAGUS
The esophagus and stomach are well-equipped to handle acid. The stomach’s thick layer of protective mucus shields it from the acidic environment. The esophagus, like the skin, is resilient and can handle the elements, including stomach acid. It can also secrete substances that neutralize acids, further protecting it.
THE LARYNX
In contrast, the larynx has delicate and sensitive mucosa that doesn’t have the same robustness as the esophagus. It can be injured by even minimal reflux events, as few as four per day. Unlike the esophagus, the larynx can’t create sufficient acid-neutralizing substances, and it can’t prevent acidic contents from reaching it.
This difference allows someone to experience throat symptoms with mild reflux without signs of esophageal or stomach discomfort. In essence, GERD and LPR can coexist, but individuals may experience signs of one condition without the other.
MANAGING GERD AND LPR
Both GERD and LPR are lifelong conditions often managed similarly. Treatment typically involves lifestyle changes such as dietary adjustments and medications. Over-the-counter medications for GERD and LPR include antacids, H2 receptor blockers, and proton pump inhibitors (PPIs), which work by reducing or preventing stomach acid secretion.
SAFE REFLUX RELIEF
For those seeking a natural approach to reflux relief, alginate therapy may be the solution. Alginate therapy harnesses the natural healing properties of kelp, specifically alginate, a natural polymer derived from brown seaweed. Alginates have been safely used in the food industry for over a century and have no known side effects.
Clinical studies have shown that alginates alone can effectively address reflux. Unlike other treatments, alginate therapy not only relieves reflux symptoms but also prevents reflux from occurring in the first place.
In your journey towards comfort and health, partnering with knowledgeable physicians is crucial to ensure safe and effective care, regardless of whether you’re dealing with GERD, LPR, or a combination of both.
