Discussions that mention aciphex

Allergies board


Ohdonna,

I don't think you have regular allergies. You have the same exact signs and symptoms of a form of acid reflux called "laryngopharyngeal reflux" (LPR). You're coughing, not from allegies, but because a small amount of acid is backflowing to the top of your esophogous and splashing your larynx - which BTW, has no natural protection against acid. Not just any acid, but HCL, which has a pH of 2 to help you dissolve tough meat. You are constantly clearing your throat and coughing to get the acid off the sensitive laryngeal tissue.

This condition mimics asthma, and can actually cause asthma when the acid gets into the throat and then is aspirated back into the lungs. However, you have to treat reflux first. If treated correctly, you can probably stop treating the asthma and allergies. Now I do think that untreated laryngopharyngeal reflux can lead to the worsening of existing allergies, because that same acid gets sucked up into the throat, which then gets spread around the nasal passages, causing erosions. Those erosions make you super-senstive to allergens.

So to treat LPR, you need 2 doses a day of a proton pump inhibitor (PPI). A PPI will reduce the amount of acid in your stomach. Less acid in the stomach = less acid on your larynx. There are 6 or 7 different PPIs and most people with LPR find that Nexium or Aciphex are the most effective. In addition, there is Prilosec BRAND, Prevacid, Protonix and Zegerid. There is also Prilosec OTC, but that's total crap , and only works for the other kind of acid reflux that you know as heartburn.

If you don't believe me, go and do a few searches on the term "laryngopharyngeal reflux" and match up the symptoms. Chronic cough and constant throat clearing are the big ones. Sinusitis-like and asthma-like symptoms are also significant. A lot of people with LPR experience a sensation of having something stuck in their throat, but I never did have that one myself.

For a diagnosis, you need to visit an ENT. The ENT will use a laryngoscope to view your larynx (putting a thin wire with a camera at the end up your nose and down your throat). If your larynx is red and swollen, you have LPR.

Remember - treatment is 2 doses a day of a PPI, not 1. If they give your 1, they don't know what they are doing. Standard treatment for LPR is ALWAYS ALWAYS ALWAYS 2 doses a day.

LPR is here to stay - it never goes away. But about 85% of people can successfully manage the condition and control the cough through PPIs. There is also surgery as a last resort. Visit the acid reflux message board and ask the others there what they think. Half the posters have LPR.