Discussions that mention aciphex

Allergies board


I'm betting that acid reflux is the main culprit. If it is, you need to be treated with Proton Pump Inhibitors (PPIs). These pills reduce the amount of acid your stomach produces, thereby limiting the amount of acid that can escape your stomach and esophogous. See, stomach acid is called hydrochloric acid, and it has a pH of 2 - that is crazy acidic. Your stomach can handle it, but your esophogous and throat have no natural protections against it. And yes, that acid can somehow defy gravity and go north into and out of your esophogous.

You probably want to do some searches and familiarize yourself with the following terms: The Cough-Variant of acid reflux disease is called "Laryngopharyngeal Reflux" or LPR. Sometimes it is referrered to as "Laryngeal Pharyngeal Reflux" or atypical reflux.


To treat LPR, you need 2 doses a day of a Proton Pump Inhibitor. Your primary care can prescribe it, but it's a good idea to head to an ENT and get yourself scoped. He'll look at your larynx and see if it's all red and swollen and damaged.

If the PPIs don't work, you'll probably need to see a gastroenterologist and have some more tests done.

There are 5 or 6 brands of PPIs. LPR is harder to treat than the GERD-variant of acid reflux, so as I said you need a double dose. But brand is important. Simply but, Nexium and Aciphex are the gold standards.

In my opinion, I'll rank them in order of effectivenss:

1. Nexium
2. Aciphex
3. Prevacid
4. Zegrid
5. PRilosec (Brand name) by prescription only
6. Protonix
7. Prilosec OTC


Prilosec OTC doesn't work for LPR at all. I've never communicated with an LPR patient who was successfully treated with the OTC stuff.

Get a script for Nexium, 40 mg 2 x a day (2 x a day on a prescription is written "BID"), so you'll be taking a total of 80 mg a day. Take the pills together first thing in the morning.

While you're recovering, please stay away from coffee, caffeine, alcohol, and anything that you do that crunches your stomach like sit ups.

And visit the acid reflux message board!