Reflux Disease and Hidden Reflux

Foods pass from esophagus to stomach when you eat something. Food is mixed with asit and pepsin (secreted from stomach for digestion) for digestion. A mucsle band at the end of the esophagus and at the beginnig of stomach prevents this mixture pass from stomach to esophagus back. If this band does not work properly then contents of the stomach (with asit and pepsin) escapes to pharynx, larynx and even to upper parts (mouth, nose). This is called laryngopharyngeal reflux or silent reflux. Silent reflux can occur even if you do not eat anything. 

Silent reflux can cause the followings:
*A foreign body feeling it the throat
*Frequent pharynx cleaning (cough)
*Long term cough
*Voice hoarseness
*Stomach upset
*Pain or sensation in mouth.
*A bad or different taste especially in the morning.
*Postnasal drainage.
*Respiration problems like asthma
*Difficulty in singing especially in high tones. 

Proton pump inhibitor drugs are used in the treatment. But they are not efficient only by themselves, eating habits and some behavioral changes should accompany.
What can be done to prevent reflux?
*Foods: Stay away from foods that increase reflux. These are spicy and acidic foods, acidic drinks, fatty foods, coffee-tea and coffee included drinks, mint and alcohol.
*Avoid excessive eating.
*Try to not to eat and drink three hours before sleep.
*Decrease your psychologic stress.
*Weight loss
*Do not make exercise or difficult movements after eating
*Elevate your bed’s head part.
*Quit if you are smoking
*Use antiacid drugs or gaviscon if you eat before sleep.
*Chew a gum after meals for 10-15 minutes.

My persistent symptoms 31 May, 2013 - 12:14

I am writing to you from St. John's, Newfoundland (Canada). I have a sinus problem started in Nov 2008 upon working for more than a month in a gas plant. I did not have sinus problems prior to this date.

At that time, I may have been exposed to airborne asbestos and other irritants. In the place where I lived at that time, the Winter is so harsh. Temperature during Winter is normally at least 25 Cecilius below zero.

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