LPR or something else (and other reflux questions)
Hello everyone. I have had a chronic sore throat for the past five months. The symptoms shift among the following: globus, burning, and dry and scratchy feeling. I do not have any noticeable heartburn or esophagus irritation. In December, I was diagnosed by a gastroenterologist with NERD. Any help with these questions would be GREATLY appreciated:
1. Because I have symptoms in the throat as well as a coat on my tongue, weird taste in the morning, and congested nose (but no heartburn), do I have LPR and not GERD in its traditional sense? Is there any other difference besides one's in the throat and one's in the heart?
2. I have a weird taste in the morning (but no noticeable sore throat) even though I sleep at a reclined, 45-degree angle. Why?
3. The PPIs don't seem to have too much of an effect, that's not too surprising. With that being said, since I started seeing an ENT and gastroenterologist almost four months ago, I have made some improvement. If the PPIs and stress/diet changes (which I've taken) don't eliminate the sore throat, is the NF surgery the only option? Is the surgery only for people with heartburn or a sore throat?
4. My ENT has talked about irritable larynx syndrome. He's not sure if my sore throat is caused by reflux or allergies or both. (I live in a very dry, polluted area with lots of pollen.) What's the difference between LPR and ILS?
5. Can NERD (and/or LPR) do permanent damage to the throat?
6. Someone pointed out to me that just as a burn on your hand would take time to heal, so too would it take time to heal a burnt throat from acid reflux. But I've been taking PPIs for almost 3 months with a fairly strict diet. Could it take three months to heal?
I live and work overseas, but this has affected my quality of life. As a teacher, I depend on my voice and it's not exactly pleasant to be in the classroom when one's throat hurts. Because of this, I'm considering moving back to the U.S., but I'm not sure what good that will do. I'm not sure if there's a light at the end of the tunnel or if this is my new normal. Please help.