Discussions that mention aciphex

General Health board


Long-term chronic cough can be a symptom of acid reflux disease. You have probably heard of the form called GERD, which causes awful hearburn. You probably have not heard of the form called LPR (laryngeal pharyngeal reflux) which causes chronic cough. With LPR, the acid from your stomach somehow gets up your esophgous, leaves your esophogous and gets into your throat, damaging the sensitive tissues, and causing chronic cough. While doctors don't exactly know why LPR doesn't cause heartburn, they think it may be less acid getting into the esophogous, but even the littlest amount of acid that gets into your throat causes massive problems. The acid in your stomach has a pH of 1 - that's really really strong acid. Compare that to the acid in your table vinegar - which has a pH of 3. the pH scale is logarithmic, so stomach acid is like, 100 times stronger than the acid level in table vinegar. So it really hurts your throat.

To get a diagnosis, you need to visit an ENT and ask the doctor to scope you and look for damage in your throat. Treatment for LPR is 2 doses of a PPI per day. PPIs include Nexium, Aciphex, Prevacid and Protonix, all by prescription. Skip the Prilosec OTC - it doesn't work for LPR.

Most doctors don't know that LPR must be treated with 2 doses a day so it's usually up to the patient to inform the doctor. There is tons of anecdotal evidence on the GERD board (where the LPR people post).