Silent Reflux (LPR): When Heartburn Shows Up in Your Throat

What is Silent Reflux (LPR)?

Silent Reflux (LPR) is a condition where stomach acid travels up to the throat and voice box. Unlike classic heartburn, you may not feel burning in your chest. Instead, the acid irritates your throat. Because of this, many people do not realize they have it. Doctors call it “silent” because the signs are often easy to miss. In the US and UK, Silent Reflux is common, but many people are unaware of it.

Common Symptoms and Warning Signs

Silent reflux symptoms can be different from regular acid reflux. Often, you may notice problems in your throat or voice. For example, you might feel a lump in your throat. Or, you may have a cough that will not go away. Here are some common warning signs:

  • Hoarse or weak voice
  • Chronic cough, especially at night
  • Frequent throat clearing
  • Feeling of a lump or something stuck in your throat
  • Sore throat that keeps coming back
  • Difficulty swallowing
  • Bitter taste in the mouth
  • Post-nasal drip (mucus in the back of the throat)
  • Sometimes, you may not notice any chest pain at all. However, these throat symptoms can be bothersome and affect daily life.

    Causes and Risk Factors

    Silent reflux happens when the muscle at the top of your stomach does not close tightly. Because of this, acid can flow up into your throat. Several things can increase your risk:

  • Being overweight or obese
  • Eating large meals or eating late at night
  • Drinking alcohol, coffee, or carbonated drinks
  • Smoking tobacco
  • Pregnancy
  • Wearing tight clothing around your waist
  • Having a hiatal hernia (a small bulge in the upper stomach)
  • Additionally, certain foods like spicy dishes, chocolate, and fatty foods can make symptoms worse. Even stress may play a role in some people.

    How Silent Reflux (LPR) is Diagnosed

    Doctors use several methods to diagnose Silent Reflux (LPR). First, they will ask about your symptoms and medical history. Next, they may look at your throat and voice box using a small camera. This is called a laryngoscopy. Sometimes, they may suggest a test that measures acid in your throat over 24 hours. This is known as pH monitoring. In some cases, they may order other tests to rule out different problems. Because symptoms can be mild, it is important to share all your concerns with your doctor.

    Treatment Options for Silent Reflux (LPR)

    Treatment for silent reflux often includes both medicine and lifestyle changes. Your doctor may suggest:

  • Medicines that reduce stomach acid, such as proton pump inhibitors (PPIs) or H2 blockers
  • Antacids for quick relief
  • Voice therapy if your voice is affected
  • In addition, lifestyle changes can help manage symptoms. For example, you can:

  • Eat smaller meals more often
  • Avoid eating close to bedtime
  • Raise the head of your bed by 6-8 inches
  • Lose weight if needed
  • Quit smoking and limit alcohol
  • Avoid trigger foods like spicy or fatty meals
  • With the right treatment, most people feel better within a few weeks. However, you should always follow your doctor’s advice for the best results.

    Prevention Tips and Daily Management

    There are simple steps you can take every day to prevent silent reflux symptoms. For example, you can:

  • Eat slowly and chew your food well
  • Stay upright for at least two hours after eating
  • Wear loose clothing around your waist
  • Drink water instead of soda or coffee
  • Keep a healthy weight
  • Additionally, keeping a food diary may help you spot foods that trigger your symptoms. Over time, these habits can make a big difference in your comfort and health.

    When to See a Doctor

    Sometimes, silent reflux symptoms can be mistaken for other problems. However, you should see a doctor if you have:

  • Hoarseness or voice changes lasting more than two weeks
  • Difficulty swallowing or pain when swallowing
  • Unexplained weight loss
  • Severe sore throat or cough that will not go away
  • Early diagnosis and treatment can prevent long-term problems. If you live in the US or UK, you can find help from an ENT specialist or your primary care doctor.

    Conclusion

    Silent Reflux (LPR) can lead to throat irritation, voice changes, and discomfort—even without the usual signs of heartburn. The good news is that, with the right treatment, these symptoms can be effectively managed.

    For personalised guidance and proper evaluation of Silent Reflux (LPR), consult the ENT specialists at Asian ENT Care Center. Our experts can help you find the most suitable treatment plan for lasting relief.