Is my persistent reflux due to laryngopharyngeal reflux?

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Your chronic reflux symptoms, especially at night, along with your persistent cough and hoarseness, suggest you could be experiencing laryngopharyngeal reflux (LPR), also known as silent reflux. This type of reflux often affects the throat and voice box without causing typical heartburn.

Since your endoscopy (a procedure that uses a camera to view the inside of your esophagus, stomach, and upper digestive tract) showed Grade B esophagitis (moderate inflammation with small breaks in the esophagus lining caused by acid reflux), your current dose of Pantoprazole 40 mg daily is appropriate. However, it may need adjustment. Some people benefit from twice-daily dosing or switching to another PPI (proton pump inhibitor) if symptoms continue.

In addition to medication, lifestyle changes are crucial:

• Elevate the head of your bed.

• Avoid eating late at night.

• Cut back on caffeine, alcohol, and smoking, which can all worsen reflux.

If your symptoms do not improve with these strategies, further testing, like 24-hour pH (potential of hydrogen) monitoring or impedance studies, can help confirm if reflux is still present. In cases where symptoms persist despite medical therapy, surgical options like fundoplication may be considered. This is typically offered to patients who either do not respond well to medications or who prefer a long-term, non-drug solution. The decision should be based on your symptoms, treatment response, and overall health.

Kindly consult your doctor and take medicines accordingly.

I hope this helps.