Reflux - silent and not so silent - what you need to know!
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- čas přidán 9. 07. 2024
- Reflux is a disease that affects millions of people every day. GERD or gastroesophageal reflux, is a well-known problem that causes heartburn, indigestion, stomach discomfort, digestion issues, and left untreated, even can cause cancer. Laryngopharyngeal Reflux or LPR, also known as silent reflux, is reflux that affects the structures of the throat as well as the sinuses, ears, windpipe and lungs. LPR is as common if not more common than GERD. Typical symptoms of throat clearing, lump in the throat, chronic coughing, voice changes and sore throat are often confused with other diseases such as asthma, allergy, and sinus disease. LPR can also lead to asthma exacerbation, recurrent sinusitis and recurrent ear infections.
Join Craig Zalvan, MD, FACS of ENT and Allergy Associates as he helps one identify these diseases in family members. He will discuss how these diseases are diagnosed and most importantly, treated. Learn about the approach to treating reflux which involves a more diet based approach rather than the use of medications to suppress acid.
Speakers:
Craig Zalvan, MD, FACS of ENT and Allergy Associates
132 people attended this webinar
I also know 2 people who died from Esophageal Cancer , just days a part .
I am Worried about Esophageal Cancer including Barrett's Disease , because it's an SILENT disease where
people going through heck , with the pain , etcc.
I was having an "EGD Test " every 6 months just to get tracked of my Esophagus . I wished Doctors took patients
seriously and help them, because they truthy need THE HELP.
I feel like flying down east to see this man !
I was just diagnosed, I’ve been sick all my life with what i thought was asthma. I was also just diagnosed in the fall with Alpha 1 Anti-Trypsin Deficiency….lots of life changes for me. I was very careful during high Covid times….and my Dr’s are all grateful I don’t have long covid in this mix.
Thank God for this interview with this doctor. 20 years ago I had massive coughing which led to what looked like asthma attacks. Deep hard nonstop coughing for hours. I first went to an ENT who gave me every medicine in the cabinet and nothing worked. After three years I left this doctor and went to an allergy doctor. I went to the allergy doctor for another three years taking every medicine in their cabinet, multiple allergy testings, tons of different allergy meds and shots. Wound up worse and worse. Put on on an inhaler along with the medicines and shots. And finally got so bad within the three years of seeing this allergist that I had to run into the office for breathing treatments. Because of what looked like asthma attacks. Did this for three years.
Long story short, I changed my diet to be ultra clean, organic and nutrient dense. also strict to no wheat no gluten no dairy no sugar. Nothing processed. Began using supplements and praying to become well enough to get out of bed and be productive.
It worked!!! I have stuck by this diet and lifestyle strictly for 20 years
Now, I inexplicably find myself with the same postnasal drip which causes the same massive uncontrollable coughing to the point where I can’t catch my breath.
There’s nothing I can do to improve my diet. After studying this problem best as I can not being a medical professional, I am quite certain that the massive, unrelenting stress has caused the silent acid reflux. I had never had an acid reflux problem. Certainly there’s nothing I can change in my diet. I refused to take the medication’s they tried to force on me. I have been looking and looking and looking for the cause to find the solution.
In the process I first began using baking soda and water when the acid would start up. But then I came to understand that my problem is actually no acid due to stress. So I am trying to rest and sleep. In this process I have discovered that the reason I can’t go to sleep and the reason I can’t wake up and the reason that I’m sweating all the time and that I can’t remember anything is because I have burnt out my adrenals.
In the meantime I carry with me at all times baking soda and water… Which I’m really not using now since I realize I have low acid. So I also carry apple cider vinegar in water with stevia.
And although I don’t like pharmaceutical drugs I am currently taking Xanax to try to help me go to sleep and get on a better schedule. Lack of sleep now due to adrenal burnout seems to be a big part of my issue with low/no stomach acid. The sad thing is I don’t have an open minded doctor/partner in my healing process.
Oh….And the reason I figured out it was adrenal fatigue is because I wound up in the hospital on IV of potassium and calcium… hypokalemia and hypocalcemia. What? With my diet?? It made no sense. I went as deep as I could go with Google and Facebook and CZcams and finally was able to piece together my symptoms from 20 years ago and now. At Least now I know what it was 20 years ago as well. Silent acid reflux but there was no stomach acid issue back then. . But no doctor here in FLORIDA-duh wants to collaborate or hear this (or anything). from a patient.
hey i am also suffuring from lpr from past 12 months and doctor put me on ppi medication but i don't thing it's working this is very annoing, i want my sleep back what should i do plz help...🙏
Cidey vinegar with mother,,liqueish, charcoal,, boiled water,, ,ginger tea1 silicale b cut bread dairy no onions tea coffee I think I had a piece black pudding and think I had a germ in it ,,, did a fast for ,,four days n kept to water ginger tea and liquorice boiled water then ,charcoal and aloe and ladies fingers,,, all helped
Wow, not many people responding with chronic cough, which I have. I'm trying some antacids for 2 weeks and I'll see what happens. Then, it's a product derived from brown seaweed that's supposed to stop the reflux. I hope one of these solutions work!
Yep, most doctors won't veer outside the deadly clutches of INSURANCE COMPANIES, and PHARMACEUTICAL money. The best chance we have, my friend, is to seek out one of the rare doctor/specialist near our location who actually care to jump through the hoops to actually work with patients to improve their condition, OR research research research online and try things on our own. I'm a few months in to this process, after 6 years of wringing the necks of my local doctors who just care to prescribe PPIs and do endoscopies with no meaningful followup.
Read on the acid watchers diet
This doctor in the Video, he's a compassionate person for the patients , I hope he continues.
I want to thank him for all the information, he's giving out . I Have "LPR" and I have NO CLUE where to look for
a good doctor in my region. I am used to Charge , "Mediterranean Diet.
Excellent podcast, learned a lot.
Thank you doctor for your transparency and HONESTY
Great interviewer. And thanks to all involved in making this video. My symptoms are chronic cough (for a couple of years), a lump in the back of my throat (it feels like a lump), and constant clearing of the throat. It seems I will have to bite the bullet and have a camera put through my sinuses.
Awesome...thank you so much!
Thank you Dr Zalan. Wow this was so helpful
I think it is great that Dr. Zalvan has performed the tests that he gives his patience on himself as well so he can have first hand experience on what his patience will experience and he can set their minds at ease. Also, this video was the most informative video I watched on this topic so far. It gave me more insight on reflux than I have had in the last 5 months of dealing with the issue. A must watch interview!
Did any of his patients get cured? He didn't say
Thankyou for this informative webinar. So glad that I have listened to it. 😊👍 I am now in the process of changing my diet, foods,exercise for better health. This webinar needs to be listened by many more people.
Sadly diets in 90% doesn't adress this horrible disease as us mostly have sudden onsets/ didnt start with eating certain foods.
I am so happy finally getting this information bc my husband wants me to do a sleep study, and my allergy prick test came back with zero allergies. I think I must have this bc other than sore throat I have EVERY other symptom.
My doctor wanted me to do a sleep study too despite me insisting i dont need it as i started suffering after URI, it took my bodily function away by means of wrong immune response.
I have sleep apnea and now LPR. There is a correlation. Get the sleep study just to rule it out. Sleep apnea causes real problems too so you need to treat it if you have it
I don't know if you saw the light bulb go on from here in So Cal all the way back to New York as I thought back to what was triggering my throat clearing, phlegm and shortness of breath issues...I have been a vegetarian for decades, but high consumption of Citrus (3 trees in my yard), tomatoes, coffee, spicy foods, carbonated water...often all in one meal! I think a virus could have increased my sensitivity, but I am on a new dietary path. To those who fear the dietary change...FEAR NOT ! Better health, longer life awaits. Thanks Dr. Zalvan and Elizabeth Aloni
Thank you so much. After years of conflicting information ie, you need more acid. The book Why Stomach Acid Is Good For You, really sent me in wrong direction and caused me so much grief.
Yeah it is a known fraud. Most books on lpr.
@@urospeteh2637how r u
Interesting information. Thanks so so much! Be a detective! Take Notice what foods cause the symptoms. Be AWARE of what foods eaten at what Time of day or evening cause symptoms to appear. Stop! Write down the foods or snacks we put in our mouth. Do not eat
Mind less. Unmindful. Or compulsively. Pay attention.. TAKE RESPONSIBILITY for your CHOICES. LEARN ABOUT THE FOODS U HAVE BEEN TRUSTING MANUFACTURERS TO MAKE FOR CONSUMERS, PUBLIC, HUMANS TO EAT & DRINK. PUT some effort into researching & eye opening discoveries good &
Harmful. Preservatives, Harmful chemicals, cancer causing colors, Fake Flavors, misleading
Advertisements, Misleading Marketeering WORDS, ETC. Or FDA approved 🤔 do not NOT TRUST. RESEARCH FIRST before consuming, eating. Take personal RESPONSIBILITIES. Set good examples for your FAMILY AND FRIENDS TO KEEP
HEALTHY. SIMPLE. EAT SMALL PLATES OF FOOD per meal. Never, eat heavy hard to digest meals or snacks when Angery, emotionally 😡 UPSET, GRIEVED, OR IN A NOISY ENVIRONMENT,
NEVER, EAT FAST FOODS: DEEP FAT FRIED FOODS, POTATO CHIPS, FRIES,CHICKEN OR TURKEY, ETC. DEEP FAT FRIED VEGETABLES is harmful for human consumption. Correct??
Right. Research our fast foods, METHODS LIKE FRIED FOODS.
WHAT FOODS FARMERS / GROWERS FEED their Animals, chickens, COWS, FISHES, etc..
Become WELL INFORMED TO MAKE GOOD CHOICES for best Health outcomes. Reduce SYMPTOMS Naturally. 👌👍👍👍👍👍👍👍👍👍👍👍👍👍
Thank you.👍
This webinar was so informative. Thank you for taking the time out Dr Zalvin to share your experience and knowledge. I’ve heard so many things that concerns me :- viruses (mold) sleep, anxiety, sinuses issues and hiatal-hernia. I will just simply change my diet.
Detox intestines
Changing diet doesnt help at all when root cause can go unnoticed for years- loss of peristalsis. Could be anywhere in GI tract.
I have been taking Weber naturals digestive enzymes (50mg Betaine HCl) and vitamin D as per the advise of Dr. Eric Berg in one of his LPR videos and it's working for me. I stopped taking, more like I was taking 1 tablet for 2 days thinking I can reduce the dose, unfortunately mucus in my throat is back. I am jumping back on to digestive enzymes + Vit D routine, let's see if it works for me again. It probably will. What I learned from watching all these hour long seminars is that, doctors try to end the symptoms and that's the best they can do. Note that I am somewhat disciplined and I have changed my diet and lifestyle a bit.
Alkiline Water 9.5 is better to drink , go and buy you small spray bottle , at the drug store ,
empty it , clean it out with alkaline water , and then fill it up with alkaline water and spray , your throat
several times a day . Use that small bottle daily , and if you need a drink , always use that water .
Spraying in the back of your throat , will help your voicebox . There's alot to take care of your throat,
it's very important. YOu don't want to end up with Barrett's Disease , why because it's a PRECANCEROUS AND IF YOU GET *ESOPHAGEAL CANCER* anyone can die from it , and this is
NO JOKE .
I know to 2 distance family members who died from it , just days apart .
*I am NOT trying to scare you , I am trying to help and give you VALUABLE INFORMATION*
*And if you want to pass it forward to give out information , you might want to help others, on here
or in real life * *I Know over 20 family members who doesn't realize , they have "LPR" or Acid Reflux, etcc* I realize it , why I had this for 4 years now and NOT day that goes by , I am on youtube
aka internet and I have been to many doctors who's NOT helpful , I am trying to help as much as I can.
I hear a lot of talk about PPI for LPR, but I was prescribed Pepcid. What are the thoughts about that? I know diet overall is the answer, but I just never hear pepcid as being helpful or harmful long term. Any response to this? Nevermind I listened a bit more and found my answer!
AS far as Insurance cost , as far as I know, I couldn't travel to New York to visit with this specialist , because my
insurance company wouldn't pay for the cost . I believe you have to stay in your own State and visit a specialist
there.
What can I eat that won't affect my breathing,I have lpr and a hiatial hernia also,high calcium.I need foods that won't set off the lpr yet provide me with energy calories and nutrition
This was so informative. I have had these symptoms with a soar throat, coughing, and difficult swallowing (fixed). I was handed a paper by my primary doctor about GERD and what to avoid. Since then, I had endoscopy fixed stricture. I did get referred to ENT but appointment is 5 months away. This was helpful and gives me hope.
How did you fix your difficulty swallowing? I have Gerd and the swallowing issue is driving me crazy..
@daver8997^^
@@ariannarangel9571 your swallow issue fixed?
@@jihangaming8601 somewhat yes! I was on Omeprazole for a while which helped but I wanted to get off it. But I try not to have greasy foods or coffee or anything that triggers the acid reflux. But what also helped was sleeping on a incline that made a huge difference!
i was told i could have a higher amount of pain receptors in my throat , is this true? Im working to get completely off meds,believe this could be dietary in nature,possibly years of consipation,again,food sensitivity
I have asthma, and every so often I go on these coughing spurts. i’ve had all the pulmonary test I’m fine I don’t get it that often. I’m realizing now it’s my acid reflex affecting it. I’ve had the swollen throat a lot constant clearing of your throat the coughing in fact I’ve been coughing for the last two months. It’s the worst feeling because you feel like it’s deep in your chest and so you’re doing whatever you can to try to cough it up but it’s acid. Saw an ENT and he was no help so I have a endoscopy next week. Not sure if it’ll help but hoping to have some results. i’ve cut everything out of my diet for the last 31 days been on PPI‘s and other stuff and nothing is taking this cough away. I could manage it if I wasn’t coughing.
Never mind he just answered my question
So why is it so hard for them to fix the sphincters that allow the acid in the throat !! Why isn’t it given to patients ???
Agree, you'd think the muscle could be fixed. So disheartening having to live this way forever
What test is the one that you said the tube is in the throat?
endoscopy?
I have silent reflex and I have a dry cough but lower down my chest ive been feeling a lot mucus feeling not moving off my lungs and i keep trying to cough to remove the mucus I mostly feel that trapped mucus in the morning this has been going on for years
What about huge side effects from PPIs!!!!
I get Alkaline Water at the Water Depot
What about dizziness and lightheadedness
You need energy, so ask What foods to try there must be books or information on utube
*I like to know how to Avoid Barrett's Disease* ?????
*I have LPR , but I have GERD, Gastrtitis , Erosion Esophagus ( I want to heal this A.S.A.P. , THIS IS VERY SERIOUS STUFF), Hiatal Hernia , Low Stomach Acid , this isn't something anyone should mess around with.
And many of the symthoms the doctor mentioned , I have it , Post Nasal Drip , etcccccc.
Thank you !!!!
How do you treat your gastroesophageal junction erosion??
I can’t do plants I strongly crave sugars. Diabetic
I didn’t get the name of the algae based supplement he recommends… anybody? Thank you
Gaviscon Advance //from England not USA
Dr Zalvan's recommendation of Mediterranean diet is not proven either, just as it is not proven that apple cider vinegar helps... So we're all unique and different as patients - those recommendations are just the start. I believe it is better to put it simply to avoid processed foods. Limit sugars and gluten and follow the basics of not eating before sleep and elevating the head-side of your bed.
Hypnotherapy for sleep improvement...
Hi to everyone, seems like we all are struggling with same issue here, So we might be able to connect on some level. One day, we were doing BBQ (Good old days) and I was having a beautiful burger, but that was the day I have discovered about Acid Reflux and I have a feeling that I can't swallow that burger and choked on it, was not a good feeling, and later on it gotten worse and I won't be able to eat anything not even a bread and was scared to drink water, Just didn't Make any sense.
I went to my GP and she did mention it could be because of Acid reflux, she got me on Omeprazole, and she asked me to visit her in 2 weeks. I was on liquid diet for 15 days and have lost 5kg. So basically didn't help.
In some cases H.pylori could be a reason, so in my case this bacteria have eroded my stomach lining and that has caused Acid reflux. Got and endoscopy done and this bacteria was positive. So for it just this bacteria and GERD. Did my antibiotics course and some PPI.
but recently, I was having this constant mucus in my throat, again like everyone I thought it was an allergy I have having from something. Now that I have focused more on it and found out that it is different kind of Acid reflux.
I am doing much better now, so thought to share some foods and stuff to avoid.
Any food OR drinks, PH below 5 you should avoid, eg Wine, beers, smoking, Mint, Tomatoes, garlic, Oily and processed food, Fatty food, coffee ( De-caffinated coffee are acidic too).
Drink lot of water and go for walks. try this for one month you will feel the difference.
Main problem is the PEPSIN and it sits in the throat, ears to even sinus, do when you eat acidic food it activates the in those affected areas and it start eating you body protein and you feel sore throat to other symptoms.
So low acidic diet will help with this and use PPI and Gaviscon to neutralise the stomach acid.
There is so much details to it, In short life style changes will cure Acid reflux, Meds won't be able to do it by itself.
Good luck to all :)
Is the sphincter not open because of low HCL? Most people don't rely on medications like you do but they get completely healed by using betaine HCL and ACV. You cannot stop taking your medications but those who used the methods I mentioned are healed and have stopped taking them.
@@Boom_Wealthyhow r u now
Use pepcid before eating and Gaviscon Advance after. Follow Dr Koufman Dropping Acid diet
What did you take for H Pylori ???? I have heard, if you take Antiboitic like 3 different kinds of Antibiotic ,
the H Pylori bug could come back . I don't know if this proven or not , but I did a breathing test and it
says I didn't have H Pylori . Again I don't know how true it shows !!!!
Why is ACV considered a remedy for Gerd and LPR?
I think it would be contraindicated.
Vinegar is very acidic
It's horrible for it. Dr Koufman says no one has low acid
if a person has HEALTH ISSUES WITH THEIR ESOPHAGUS , ACV will BURN THE THROAT and damage the Cells, and that's when everything changes and end up with Esophageal Cancer where you can die
from this . Anything Acidity will burn and cause so many health issues.
I HAVE ESOPHAGUS ISSUES AND I AM avoiding as much as I can to not upset it .
This stuff is very serious .
@@karenzimmer7607 I am older and I have Low Acid Stomach and yes, I watch Dr Koufman monthly , when she has a NEW VIDEO OUT EACH MONTH . YES, I heard Dr Koufman said ,
no one has low acid . I guess the only way I'll found out , check out an ENT doctor like the one in this video . and have a Test .
Yet I hope they tell you how long it takes to see a GI Doc.
I wish he was my doctor. I am seeing two different ENTs. No. success as of yet. I am having an endoscope in a few weeks. Hoping to find some answers.
Do u live in FLORI-duh? I have stories, so many stories about how narrow minded and ineffective the majority of Doctors here are. And unwilling to even listen. They don’t want to think They Just want to put you on dangerous medicines that are not appropriate for the situation. Overt refusal to listen some rude about it some nicer but still refuse to contemplate possibilities.
@@mysterydiaz5302 So true!!! I live in Orlando and I've had the exact same experience, it's like you need to become your own doctor and do all the research... exhausting
Endoscopies arent enough. Mine revealed a healthy, unimflammed esophagus.
However a manometry revealed my esophagus has died.
@@urospeteh2637 Oh my! So what do you do now?
Sorry havent seen your reply. I cannot do anything. My lpr is life long as manometry showed major disruption of peristalsis.
This is very informative, thank You. I struggle with silent reflux sińce getting covid 4.5 months ago.
I disagree however with one thing,
I dont think people loose weight because they change their diet to a healthier mediterrainian one, but because they are Simply getting less calories in. Its hard to get calories in with so much restrictions.
I've been short of breath for 2+ years from covid. Do you mind me asking what your symptoms were?
@@shelleylannon2245 my symptoms didnt resolve unfortunately.
It was 8 weeks cough post covid that resolved after antibiotics.
Then came the real deal.
Dry throat below Adams apple to the point it feels somewhat numb which is very uncomfortable for everyday life.
Another one is after drinking cold water i would get a feeling like a ball is stuck in my throat and It lasts about a minute until my throat release the trapped air and perform like this very weird burp.
Anxiety through the roof ofcourse with history of few panic attacks.
And so far nothing helps ;)
@@shelleylannon2245 make sure you are drinking enough water and try 3 teaspoons a day of black seed oil, it is very good for all breathing problems and if that doesn’t work olive leaf complex is excellent. A good B vitamin complex could be useful as vitamin B5 pantothenic acid is really good with quercetin for allergies and Covid symptoms. Namaste 🙏
I hear you. I struggle since 2012. It started with an unknown virus. I think i know everything you might have missed.
@@urospeteh2637 and after so mamy years no improvement? Damnit living like this pernamently doesnt sound good. Lowers quality of life alot.
rare heart burn, worst issue is constantly having to swallow, always feel like theres mucus in back of throat and stuffed up nasal sinuses. Sounds like LPR
I have similar symptoms and also burning sensation in throat. Are you better now, any dietary or other suggestions?
the throat issue is still there. I tried salt water gargle, seems to help abit but consistency is most likely important. Maybe try cutting out mucous forming foods again, heres one of the fellows I learned from a few years ago..his name is professor Spira , also used to follow Dr. Sebi. czcams.com/video/Fdyg8a73wvc/video.html
@@mssavedin92 Thanks for replying; and watching the link now. All the best.
you're very welcome. @@Gamvrelis
Can lpr be caused by hiatial hernia?
100%! In fact, I will go for an endoscopy to see if I have it myself
Do not eat big or late
@@droneggiando7764 how ur endoscopy went
@@droneggiando7764how r u now
What can I eat that will prevent the lpr from affecting my breathing,I do have a hiatial hernia and high calcium, I need foods that will give me enough calories and nutrition so I don't loose weight.I can't take alkaline water because it makes me ill.
I though ACV was alkaline. I was thinking that would make a good gargle
It's acid
Don't burn your throat , it can cause other serious problems.
I thought meat maybe except for red meat is anti-inflammatory
Meat is not the problem. Put your attention to eliminating sugar and processed foods.
*You are 100% Correct* !!! Cancer thrives on Sugar and Sugar Addictive's !!!
Process foods is a huge part to WHY PEOPLE ARE SICK IN THE USA . It's one of the biggest issues ,
Lifestyle Charge is a huge part too . People better wake up and take noticed to what's going on , they
could careless how sick you are .
It was all fine until he said all meat is the same and causes chronic disease. He mentions the mediterranean diet without including the seafood and fish that's such a big aspect of it.. Many of the healthiest cultures around the world regularly eat meat and fish. How many extremely positive studies with fish are there, so many. As long as the fish is low in heavy metals and not farm-raised..Grass fed beed and lamb are a powerhouse of nutrients. Chicken and pork are the most unhealthy probably out of all. Tons of people have difficult with many plants as well, this is proven also, it just depends on your genes and body.
I've heard baking soda is helpful???
I use the “Reflux Doc” baking soda nasal and throat rinse.
@@l.f9255 i just started using that. Is it supposed to burn the nose??? That shit hurts
No, it cant reach airways.
Baking soda is very high in sodium and can hike your blood pressure dangerously. Be careful consuming it. Gargling is safe.
I’m at the end of my rope with fire in my throat
So sorry it's awful I know..
Low carb helps
Read acid watchers diet
Gargle with baking powder and water ..
Too bad, he really doesn't know what he is talking about. I'd like to know what percentage of his patients have been cured. I suffered of it for decades, followed his advice and nothing. I stopped/reduced my carb intake especially wheat products and fructose and I cured myself without anything else. I'm disgusted by the total BS
How did you cure yourself
@@carolmaz8675 After nearly 20 years of taking so many different prescription pills, eating a low fat diet, avoiding spicy food. I was sick and tired of being sick, started an elimination diet, no bread, no starches, no sweets, only meat,mostly beef. Amazingly I was basically cured in less than a week, now I have added some nuts, eggs, a few infrequently green leafy veggies. I am totally cured
Can you please share your experience how you cure?
He literally said he reduced his carb intake especially wheat and fructose 🤷🏼♀️
I would suggest the rise in this type of disease would be inline with the rise in the ultra processed "food" industry
You’re data is wrong