Discussions that mention aciphex

Allergies board


You may have developed "laryngopharyngeal reflux" (LPR) . This is is different than sinusitis, but the symptoms are virtually the same, if not worse. Chronice, unrelenting cough, stuffiness, chunky phlegm (sometimes), sensation of a post-nasal drip. Symptoms can also include hoarseness, sensation of lump in the throat/difficulty swallowing, metallic taste in the mouth).

The severe, unrelenting cough is often the biggest problem. LPR occurs when backflows into the esophogous and acid droplets hit the larynx. This causes burning, and you develop a compulsive cough, because you are compelled to remove the acid from the larynx, which has no natural defenses against acid, but has lots of nerve endings. People with LPR usually don't get heartburn (which is when the acid does most of its damage in the lower esophogous). Instead, our problems are with the upper esophogous. If the acid hits the larynx, you can also be assured that it gets into the throat, mixes with throat mucous and causes erosions througout the nasal passages. These erosions cause even more mucous to be produced, and you get stuffed up.

To control LPR, you need to take 2 doses of a medication called a Proton-Pump Inhibitor (PPI) every day. PPIs will lessen the amount of acid your stomach produces, which means there is much less acid that can escape the stomach and hit your larynx. It doesn't treat the cause of the disease, but it's the only pharmaceutical therapy for managing the disease.

You need to get a prescription for the PPIs: (BID means 2x daily)
-Nexium, 40 mg BID
-Prevacid, 30 mg BID
-Aciphex, 40 mg BID
-Prescription Prilosec, 40 mg BID
-Zegerid, 40 mg BID

Nexium works the best for LPR usually.

And visit the acid reflux message board. Lots of LPR sufferers there!

You can get a prescription for a PPI from your PCP or your ENT. But you should visit an ENT to get a diagnosis. To diagnose LPR, the ENT will "probe you" by numbing you, then inserting a thin wire probe with a tiny tiny camera at one end up your nose and down your upper throat. The image will be relayed to a video monitor. A red and swollen larynx is the telltale sign of LPR.

The procedure is done in-office, and does not require any anesthesia or pre-approvals. Prior to inserting the probe, you just inhale a little numbing spray up your nostrils.