Discussions that mention aciphex

Colds & Flu board


A possiblility is acid reflux. There are 2 ares of pressure in the esophagous called the lower and upper esophageal spinchter muscles that normally keep the acid from rising out of our stomach into our esophagous and throat. Sometimes those "muscles" get flaccid (usually from prescription medications) and permanently weaken, allowing acid to escape into the esophagous (heartburn) or further up into the throat (sore throats, chronic cough, lump-feeling in throat, difficulty swallowing, sinusitis-like symtpoms).

The acid in our stomachs is called HCL, hydro-chloric acid and it is a very very strong acid. When it gets into our throat, it gets smeared around via the mucous, and causes erosions and damage througout the nasal passages and sinuses, often leading to a mis-diagnosis of sinusitis.

If reflux is causing your sore throat, it's easy to fix it. You don't even need to be scoped. Just ask your doctor for a prescription of 2 Nexium per day to treat LPR (laryngo-pharyngeal reflux). If it's reflux, you should begin feeling better in anywhere from 20 minutes to 2 weeks. If it doesn't clear up, it's probably not reflux.

People with LPR typically take 2 PPIs (nexium, aciphex, prilosec, etc.) per day for life. Most doctors are familiar with heartburn, but have never heard of LPR. Therefore, if you are having throat symptoms caused by reflux, you must educate your doctor occasionally and demand the prescription for 2 PPIs a day, not the 1 PPi that is used to treat heartburn. A PPI is a category of drug called a proton-pump inhibitor that reduces the amount of acid produced by your stomach, thereby making less acid escape into your throat.

If the 2 PPIs work for you, you can experiment with lowering the dose AFTER you are healed, not before. Also, Nexium is the PPI that works best, hands down, for people with LPR.

There is a lot of discussion about LPR and laryngeal reflux on the GERD board.

Also, if you need to educate your doctor and have the time to hit the library, there was a really good article published by the Official Journal of the American Academy of Physician Assistants in 2002 titled "Laryngopharyngeal reflux—It’s not GERD". Very helpful, and it includes the proper PPI treatment - 2 times per day.

Hope that might help.