Silent reflux, also known as laryngopharyngeal reflux (LPR), is a condition in which the contents of the stomach flow back into the throat and voice box.

Unlike gastroesophageal reflux disease (GERD), silent reflux doesn’t typically cause the classic symptoms of heartburn and indigestion. Instead, it primarily affects the upper throat, resulting in various symptoms that are often overlooked or attributed to other causes. Identifying the symptoms of silent reflux is crucial for early diagnosis and effective management of this condition.

1. Chronic cough

One common symptom of silent reflux is a persistent cough that doesn’t seem to go away. The refluxed stomach acid irritates the throat, triggering a reflex that leads to coughing.

This cough is often worse after meals or when lying down, as the reflux is more likely to occur in these positions.

2. Hoarseness or voice changes

Individuals with silent reflux may also experience hoarseness or voice changes. The acid irritating the throat can cause inflammation and swelling of the vocal cords, leading to a raspy or hoarse voice.

In some cases, there may be a loss of range or control in the voice.

3. Throat clearing

Excessive throat clearing is another telltale symptom of silent reflux. The constant irritation caused by the acid reflux prompts the need to clear the throat frequently. This symptom is often misunderstood and attributed to allergies or sinus issues.

4. Difficulty swallowing

Some individuals with silent reflux may experience difficulty or discomfort when swallowing. This symptom, known as dysphagia, occurs due to the inflammation caused by the refluxed stomach acid.

The sensation of something being stuck in the throat or chest may also be present.

5. Postnasal drip

Postnasal drip is a common symptom of silent reflux. The excessive mucus production triggered by the acid reflux can lead to a constant feeling of mucus running down the back of the throat.

This can cause a cough, throat clearing, or a sensation of needing to clear the throat frequently.

6. Sore throat

Silent reflux often presents with a persistent sore throat. The acid irritating the throat can cause redness, swelling, and discomfort.

The sore throat may be especially prominent in the morning upon awakening, as lying flat allows the acid to pool in the throat.

7. Laryngitis

Repeated episodes of silent reflux can result in laryngitis, which is inflammation of the voice box. Laryngitis may cause pain or a burning sensation in the throat, a weak or hoarse voice, and difficulty speaking.

8. Asthma-like symptoms

Silent reflux can often mimic asthma due to similar symptoms such as wheezing, shortness of breath, or a chronic cough. The refluxed acid can irritate the airways, leading to bronchoconstriction and triggering asthma-like symptoms.

Misdiagnosis as asthma is not uncommon in individuals with silent reflux.

9. Dental problems

Over time, the acid from silent reflux can damage tooth enamel, leading to dental problems such as cavities or tooth sensitivity. The acid weakens the protective layer of the teeth, making them more susceptible to decay.

10. Sleep disturbances

Due to the discomfort caused by silent reflux, it can also disrupt sleep patterns. Individuals may experience difficulty falling asleep, waking up frequently during the night, or a feeling of not being well-rested in the morning.

If you suspect you may be experiencing symptoms of silent reflux, it’s important to consult with a healthcare professional for an accurate diagnosis.

They may recommend lifestyle modifications, dietary changes, medications, or other treatment options to manage the symptoms and prevent complications.