Often caused by primary sinus problems, persistent chemical irritation of the throat by reflux will cause identical symptoms. The sensation of excessive mucus accumulating in the back of the nose dripping down the back of the throat.
Throat clearing can be worsened by eating or when lying down at night but often there is no identifiable precipitant. Very often their partners notice it more than patients themselves and it can be an extremely irritating symptom. Patients with LPR often describe a persistent feeling of mucous in their throat and the associated need to clear it. Otherwise called “dysphonia”, LPR can cause voice weakness, huskiness and for singers subtle difficulties in reaching certain notes. There can be associated upper abdominal pain or discomfort. Patients describe “gassiness”, abdominal discomfort usually after eating and in some cases bloating can become severe enough that it produces a perceptible swelling of the abdomen. While not caused by reflux, bloating can be associated with reflux symptoms especially when belching is involved.
It's certainly true that there is evidence that reflux can cause these symptoms but in clinical practice it can be very hard to obtain proof from tests. Some patients ascribe discomfort in their ears to reflux. In the past this was sometimes thought to be caused by “hysteria” but we now know that it is associated with LPR and sometimes dysfunction of the cricophayngeus muscle (upper oesophageal sphincter). Globusĭescribed as a lump in the throat or neck and sometimes associated with a sensation of “sticking” in the throat on swallowing. Weight loss can be secondary to other serious disease and should be investigated by a doctor. Occasionally patients’ reflux symptoms will be sufficiently severe that they can lose weight, primarily because they tend to avoid eating but occasionally because of associated depression. Occasionally patients learn sub-consciously to help their reflux symptoms with “supra-gastric belching”, when gas is belched from the oesophagus rather than the stomach. However, in patients with SIBO and gas production belching can cause reflux symptoms and in those with slow gastric emptying belching will cause reflux symptoms for the same reasons. It can be caused by a weak lower oesophageal sphincter and often occurs after eating as the pressure differential between the stomach and the oesophagus changes. Reflux is associated with burping for several reasons. However, there are other serious causes of dysphagia including cancer and therefore new dysphagia should always be assessed by a doctor. Acid reflux can cause inflammation in the oesophagus (oesophagitis), is associated with motility problems in the oesophageal muscle or cause scarring and narrowing. Otherwise known as dysphagia this can be a symptom associated with reflux. It can be related with oesophageal spasm but a cardiac cause must be ruled out before reflux recorded as the cause. It may be associated with eating or wake people from their sleep. It can be severe and even mimic a heart attack. Reflux is the most common cause of “non-cardiac chest pain”. Dyspepsia has many causes and is not specific to reflux. It is describes a variety of symptoms including heartburn, upper abdominal discomfort, burping, nausea and fullness after eating. This is a term used by doctors and not by patients. Frequently precipitated by eating and bending over, regurgitation is often worse at night can wake people from their sleep in a panic with a “feeling of dread” and food in their mouths. It can be associated with a sour or bitter taste. It is a sensation of acid or other stomach contents coming up into behind the breast bone into the throat or mouth. Regurgitation is usually caused by a weak lower oesophageal sphincter. It is often helped by anti-acid medications. This is often worse at night, after eating or bending over and the discomfort can move up to the throat or neck. Some people describe a sharp pain or a tightening sensation or alternatively burning. Heartburn is a pain in the chest behind the breast bone. The important questions are always could my symptoms be caused by reflux and is there another potentially serious or treatable cause? Heartburn Some will have just one symptom, for instance heartburn or a cough and others a multitude of different problems. Some people will have symptoms confined to the stomach and oesophagus (Intestinal symptoms), some the throat (LPR) and some the airways and lungs (Respiratory). Often they can occur suddenly but in most are long-standing and slowly progressive.
Many people can have reflux and no symptoms at all. Reflux can cause a wide variety of symptoms.
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