I've been diagnosed with both: LPR as well as vocal fold paresis - and the LEMG test shows that there had been some sort of neuropathy which is supposedly healing now.
Now .. what the doctors have not been able to tell me - what the cause is and what the effect is here.
1) Is neuropathy the cause that resulted in LPR - so if the nerves heal, LPR heals as well
- OR -
2) Is LPR the cause of the vocal fold paresis and the nerve inflammation? LPR got triggered for some unknown reason and is now resulting in vocal issues - including vocal fold paresis etc.
Any thoughts from anyone?
Some points to consider:
- I did not really have a upper respiratory tract infection when all this started.
- Initial symptoms were all LPR related and then the throat symptoms started later .. so I am assuming it is #2 .. can LPR "cause" VFP - and even some sort of neuropathy?
At this point, it may not matter which one started the problem. I'd just treat both at once.
Well, I am hoping it is neuropathy that has caused the LPR, since at least it has a way of healing by itself and since I can not take the PPIs or any acid reducers (I get horrific side effects on them) - I can at least hope to feel better if / when the nerve calms down.