Discussions that mention aciphex

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If probably isn't post-nasal drip. It's probably a form of acid reflux called "laryngopharyngeal reflux" (LPR). In LPR, the acid flows to the top of the esophogous where the laryngopharynx is. The larynx and pharynx have no natural protection against the acid. The chronic cough is his attempt to clear the acid out of the laryngopharynx. Since it isn't an infection, the little mucous that comes up never is yellowy or *****. To treat this, you have to treat for acid reflux and take PPIs (proton-pump inhibitors). To treat LPR specifically, the patient must take 2 doses of a PPI every day (ususally together). There are 5 or 6 PPIs on the market, and the best are usually Nexium and Aciphex. Sometimes a patient must experiment for a few months trying all the brands before he finds out which works best.

The only way to prevent the acid from splashing on the laryngopharynx is to reduce the amount of acid in the stomach with PPIs. There are no "natural" or "alternative" treatments. Diet usually helps regular acid reflux (heartburn), but LPR is stubbornly resistant to lifestyle modifications. Surgery (a nissen fundoplication) may be an option if the PPIs fail to work after 6 months.

You should really do some independent research on "LPR" and "laryngopharyngeal reflux" to see if his symptoms match up. I think they do. Chronic cough is the ultimate defining symptom, though some people get a sensation of a lump in the throat and/or chronic hoarseness. Sinusuitis-like symptoms are very common, and most people who get LPR think they have sinususitis and PND for years before they get a proper diagnosis.

To physically confirm the diagnosis, your husband needs to visit a good ENT, and have a "scoping" done. The ENT will put a thin wire with a camera at the end up the nose and down the throat. The image will be projected onto a monitor. THe ENT is looking for signs of redness and swelling of the larynx, which is usually confirmation of LPR.

However, it is now considered a diagnosis in itself if the patient responds to PPIs, period.