Understanding silent reflux: Causes and symptoms
What is silent reflux?
Silent reflux is also known as laryngopharyngeal reflux (LPR) and is caused when stomach acid travels back into the throat and larynx. Silent reflux differs from typical acid reflux as it doesn't always cause the characteristic heartburn and indigestion sensations which is why it can sometimes be overlooked.
What is the difference between reflux and silent reflux?
Unlike typical acid reflux, silent reflux does not cause heartburn. Instead, it primarily affects the upper respiratory tract, leading to symptoms like hoarseness, irritable cough, and difficulty swallowing. Recognising the distinction between the two types of refluxes is essential for accurate diagnosis and effective treatment.
Common symptoms of silent reflux
Silent reflux can manifest in various ways, making it challenging to diagnose. Some common symptoms include:
- Irritable cough or choking episodes
- Difficulty swallowing
- Hoarseness
- A sensation of a lump in the throat
- Sore or burning sensation in the throat
- Excess mucus in the throat
- Bitter/acidic taste in the throat
- Worsening asthma
Who gets silent reflux?
Silent reflux can affect people of all ages, from infants to adults, particularly:
- Newborns: Reflux/silent reflux is common in babies and usually occurs in newborns because their food pipes are not yet fully developed, so milk comes back up easily. Babies can show signs of reflux without bringing up milk which is known as silent reflux.
- Overweight individuals: Excess body weight can increase abdominal pressure, leading to a higher likelihood of acid reflux, including silent reflux.
- Pregnant women: Hormonal changes during pregnancy and the pressure of the growing baby on the stomach can cause or exacerbate silent reflux symptoms.
- Certain lifestyle factors: Dietary choices, excessive alcohol consumption, and eating large meals close to bedtime can also contribute to silent reflux.
It is important to note that while these factors may increase the risk of silent reflux, anyone, regardless of age or background, can experience this condition. If you are experiencing silent reflux symptoms, it is advisable to consult a healthcare professional for guidance on managing the condition. This may include considering solutions like Gaviscon Double Action Tablets.
Diagnosis and treatment options for silent reflux
Diagnosing silent reflux
Most people with silent reflux can start with modifying how and when they eat to see if this helps with their symptoms. As well as this, you can try taking over the counter antacids/alginate preparations (e.g. Gaviscon Double Action) medication to help.
If you are taking medication for other conditions, it is advised that you consult your doctor before trying over-the-counter reflux medications. Diagnosing silent reflux can involve an assessment of your symptoms and medical history by a healthcare provider.
How do you get rid of silent reflux?
Managing silent reflux typically involves a combination of lifestyle changes, medications, and occasionally surgical interventions:
- Dietary modifications: Adjusting your diet can be beneficial in managing silent reflux, as specific foods and drinks, such as acidic items, spicy dishes, caffeine, and carbonated beverages, are known to trigger symptoms.
- Lifestyle changes: Elevating the head of your bed, avoiding late-night meals, and maintaining a healthy weight can reduce the risk of reflux episodes.
- Medications: Alginates such as Gaviscon Double Action Tablets work by forming a barrier over the stomach contents so that if anything spills back it is less damaging.
Proton pump inhibitors (PPIs) may be recommended for other patients and can also help relieve symptoms for those who suffer from silent reflux frequently, however these should be prescribed by your doctor, and you should always take them as recommended.
Most people with silent reflux report improvement in symptoms after 2-3 months of treatment but it may take 6 months or longer for the throat and voice symptoms to improve.
Preventing silent reflux
Preventing silent reflux involves adopting healthy habits that minimise the risk of acid regurgitation, such as:
- Eat smaller, more frequent meals
- Avoid lying down immediately after eating
- Stay upright for at least 3 hours after meals
- Quit smoking, as it can worsen reflux symptoms
- Manage stress, as it can contribute to reflux episodes
- Avoid wearing clothing that is too tight around the waist
- Reduce intake of caffeine, fizzy drinks and alcohol
Is silent reflux serious?
While silent reflux may not cause the intense heartburn associated with traditional acid reflux, it can still lead to complications if left untreated. Early diagnosis and appropriate management are crucial to prevent potential complications.
For people with severe silent reflux, surgery (to restore a new and better stomach valve) may be recommended.
This article is not intended to treat or diagnose, please reach out to a healthcare professional in case of any doubts.
