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When you think of acid reflux, the burning sensation of heartburn likely comes to mind. But did you know there’s a hidden form of reflux that skips the burning altogether? It’s called silent reflux (or laryngopharyngeal reflux), and while it doesn’t give you heartburn, it can lead to a series of uncomfortable throat and respiratory symptoms that are easy to overlook.
Understanding silent reflux and how to manage it is crucial for your long-term comfort and health. To better understand the same, we at OnlyMyHealth connected with an expert, Dr Rakesh Patel, Consultant Gastroenterology, Fortis Hospital, Kalyan.
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What Is Silent Reflux And Why Is It ‘Silent’?
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Dr Patel says, “Gastroesophageal Reflux Disease (GRD) is a condition in which the stomach acid flows back up the food pipe, the tube connecting the mouth and stomach, also known as the esophagus, thus in this disease the reflux rate of gas is contained to the esophagus and above. GRD presents symptoms like heartburn, vomiting, a feeling of fullness etc.”
Further highlighting how it is distinct from silent reflux, he explains, “lHowever, silent heartburn or silent reflux disease is accompanied by chronic cough, hoarseness of voice or even clearing of throat. Many times, the patient may not experience typical symptoms like heartburn, epigastric burning, or discomfort after meals.”
Signs And Symptoms Of Silent Reflux
Silent reflux might not announce itself with a burning chest, but it still leaves clues. According to Dr Patel, you must look out for these symptoms.
- Regurgitation of food reaching the throat
- A change in voice
- A chronic dry cough unrelated to respiratory issues
Dr Patel then emphasises that these subtle symptoms can be indicative of silent heartburn, a condition often diagnosed through,
- Endoscopy
- Manometry
- pH monitoring
How To Prevent And Manage Silent Reflux?
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Dr Patel says, “Treatment primarily focuses on lifestyle changes, including adjusting eating habits, avoiding late-night meals, reducing alcohol and spice intake, and wearing loose clothing. They can also start treatment with proton pump inhibitors. Most importantly, lifestyle changes, such as weight reduction can lead to improvement in about 40% of patients, while medical therapy is necessary for around 80 to 90% of individuals.”
Watch Your Diet And Time Your Meals
- Identify and avoid foods that trigger reflux, such as spicy dishes, citrus fruits, chocolate, and caffeine.
- Eat smaller meals more frequently instead of three large meals.
- Have your last meal at least three hours before bedtime to give your stomach time to digest.
- Avoid lying down immediately after eating.
Make Lifestyle Changes
- Lose weight if you’re carrying extra pounds, as obesity increases abdominal pressure.
- Quit smoking and reduce alcohol consumption, both of which weaken the LES.
- Wear loose-fitting clothes to avoid pressure on your abdomen.
- Skip carbonated drinks to reduce burping and air swallowing, which can aggravate reflux.
RELATED: Say Goodbye To Acidity Between Meals With These Simple Tips
When Should You Seek Medical Help?
If lifestyle changes don’t improve your symptoms, it’s time to consult a healthcare provider. They may recommend medications to reduce acid production or perform tests to understand your condition better. Early intervention can prevent complications and provide relief.
Silent reflux may be sneaky, but with the right approach, you can stay one step ahead of it and protect your throat and respiratory health.