--- title: Silent Acid Reflux description: silent reflux, LPR is a part of gastroesophageal reflux disease (GERD), throat pain, hoarseness and throat clearing can be seen. image: https://www.starpoli.com/hs-fs/file-14342629-jpg/images/Pic_11.jpg --- [![Header Logo](https://www.starpoli.com/hs-fs/hubfs/GVG_Deep%20Blue.png?width=194&height=96&name=GVG_Deep%20Blue.png "Header Logo")](https://www.starpoli.com) - [Reflux / Heartburn](https://www.starpoli.com/reflux-gerd-heartburn) - [Acid Reflux / Heartburn](https://www.starpoli.com/heartburn) - [GERDX](https://www.starpoli.com/gerdx) - [The EsophyX TIF Procedure](https://www.starpoli.com/esophyx) - [Stretta](https://www.starpoli.com/stretta) - [GERD Treatment Options](https://www.starpoli.com/gerd-options) - [BARRX Ablation Procedure](https://www.starpoli.com/treating-barretts-esophagus-0) - [Treating Barrett's Esophagus](https://www.starpoli.com/treating-barretts-esophagus) - [Abdominal Pain](https://www.starpoli.com/helio) - [Gastritis / Helicobacter Pylori](https://www.starpoli.com/helio) - [Peptic Ulcer Disease](https://www.starpoli.com/peptic) - [IBS / Constipation](https://www.starpoli.com/irritable-bowel-syndrome-nyc) - [Irritable Bowel Syndrome](https://www.starpoli.com/irritable-bowel-syndrome-nyc) - [Constipation](https://www.starpoli.com/constip) - [Lactose Intolerance](https://www.starpoli.com/lactose) - [Bacterial Overgrowth (SIBO)](https://www.starpoli.com/bacterial) - [Fecal Incontinence and Solesta](https://www.starpoli.com/fecal-incontinence-and-solesta) - [Probiotic Supplements](https://www.starpoli.com/probiotics) - [Hemorrhoids](https://www.starpoli.com/hemorrhoids) - [Hemorrhoids / CRH Hemorrhoidal Banding](https://www.starpoli.com/hemorrhoids) - [Infrared Coagulation](https://www.starpoli.com/hemorrhoids) - [Colitis](https://www.starpoli.com/colitis) - [Colon Polyps & Cancer](https://www.starpoli.com/colon) - [Liver Disorders (e.g. Hepatitis)](https://www.starpoli.com/hepatis) - [Weight Loss](https://www.stopobesity.com) - [Overweight Facts](https://www.stopobesity.com) - [Intragastric Balloons for Weight Control](https://www.stopobesity.com) - [Endoscopic Sleeve Gastroplasty](https://www.stopobesity.com) - [Gastric Bypass Failure - Revision & Repair](https://www.stopobesity.com) - [Nutritional & Behavioral Weight Management](https://www.stopobesity.com) - [BMI Calculator](https://www.starpoli.com/obesity-0/bmi-calculator) - Procedures - [GERDX](https://www.starpoli.com/gerdx) - [The EsophyX TIF Procedure](https://www.starpoli.com/esophyx) - [Stretta](https://www.starpoli.com/stretta) - [Stomach Balloons for Obesity](https://www.starpoli.com/obesity-balloons) - [Endoscopic Suturing for Obesity](https://www.starpoli.com/esg) - [CRH Hemorrhoidal Banding](https://www.starpoli.com/roids-0) - [Colonoscopy](https://www.starpoli.com/procedures/colonoscopy) - [Upper Endoscopy](https://www.starpoli.com/procedures/upper-endoscopy) - [BARRX Ablation Procedure](https://www.starpoli.com/treating-barretts-esophagus-0-0) - [Radiation Change Therapy](https://www.starpoli.com/radiation) - [Infrared Coagulation](https://www.starpoli.com/roids-0) - Aesthetics - [Medical Body Shaping of the Hudson Valley](https://www.hvbodyshaping.com) - Store and media - [Health Supplements & More](https://www.starpoli.com/supplements) - [Dr. Radio](https://www.starpoli.com/blog/dr-radio) - [In the News](https://www.starpoli.com/files-links) - [Video Forum](https://www.starpoli.com/forum) - [Dr. Starpoli's Blog](https://www.starpoli.com/blog) # Silent Acid Reflux [By Anthony A. Starpoli, MD](https://www.starpoli.com/blog/author/anthony-a-starpoli-md) February 20, 2014 - - - ![Pic_11](https://www.starpoli.com/hs-fs/file-14342629-jpg/images/Pic_11.jpg?width=81&name=Pic_11.jpg) Silent acid reflux, also known as Laryngopharngeal Reflux or LPR, is a condition that you could be suffering from without even knowing it, and can have many negative impacts on health. Similar in many ways to Gastroesophageal Reflux Disease (better known as GERD), there are a few critical differences that can make silent reflux very difficult to treat, and even harder to diagnose.  As opposed to traditional GERD, silent acid reflux may not present itself with symptoms normally associated with the condition. Normally reflux disease causes a burning sensation in the chest or throat, as well as the stomach. LPR is called silent reflux because often it does not cause these same problems, but can cause a number of other symptoms--including, but not limited to: - Chronic couging or hoarseness  - Asthma or breathing problems - Sleep apnea - Constant need to clear the throat - Excess mucus build up Caused by a weakness in the muscles between the esophagus and the stomach, silent reflux can have many negative long and short term implications such as recurring ear infections, ulcers in the stomach and throat, scarring of the throat and voice box, in addition to very serious conditions like emphysema and cancer.    The diagnosis of LPR can be very difficult and often produces unclear results. There is a way to measure the acidity in the upper esophageal area as well as using techniques, such as combined pH and impedance monitoring. Often, there is a need to make a trial of a variety of medication's to try and eliminate the symptoms. And evaluation by an ear nose and throat doctor is essential to our other causes such as postnasal trip. It takes a very skilled Gastroenterologist to diagnose silent acid reflux--if you suspect you may have the condition, it is important to consult a Physician immediately. [Reflux](https://www.starpoli.com/blog/topic/reflux) [All posts](https://www.starpoli.com/blog) ##### You might also like ![ppis-causing-bone-fracture-is-not-proven-ppis-are-not-risk-free](https://www.starpoli.com/hs-fs/file-14342168-jpg/images/mp900387804.jpg?width=193&height=130&name=mp900387804.jpg) [PPIs causing bone fracture is not proven.  PPIs are not risk free.](https://www.starpoli.com/blog/side-effects-of-proton-pump-inhibitor-therapy-for-gerd) February 20, 2014 ![a-beginner's-guide-to-tif-for-gerd-everything-to-know](https://www.starpoli.com/hs-fs/hubfs/file-14341824.webp?width=193&height=129&name=file-14341824.webp) [A Beginner's Guide to TIF for GERD: Everything to Know](https://www.starpoli.com/blog/a-beginners-guide-to-tif-for-gerd-everything-to-know) February 20, 2014 ![the-many-dangers-(and-solutions)-to-untreated-acid-reflux](https://www.starpoli.com/hs-fs/hubfs/file-599168658_2.webp?width=193&height=129&name=file-599168658_2.webp) [The Many Dangers (And Solutions) to Untreated Acid Reflux](https://www.starpoli.com/blog/the-many-dangers-and-solutions-to-untreated-acid-reflux) February 20, 2014 [Faqs](https://www.starpoli.com/cs/c/?cta_guid=e719a302-ea8a-4fdb-ad84-47850a76ff86&signature=AAH58kGsrRgKAN0zr4UmTRP9NNWkF9L1Kw&pageId=67839153800&placement_guid=23b7209b-b2b1-4235-b4bf-5360dac0570c&click=bff54823-edee-4353-b576-80e8a483bf51&hsutk=9491909e9aaba689d64791264c2af579&canon=http%3A%2F%2Fwww-starpoli-com.sandbox.hs-sites.com%2Facid-reflux&portal_id=47367&redirect_url=APefjpFn_Ipt0XN47bdT02dCjskilMAij2owVci3uUz_x1Hwky1D16RQZDTV3NCGhZAYJrC-AIHFHAEvSn16D6RoyfTKuKGaL2Scq5ajNTSPJJh9laST0eXdp5TvPc56ta7Hy32Dw0zGjA0KwsY5B2xY2DMlkd3y6zL_JIJmZrvY7Cbd3x5JCYAsLhmqHloew_UQEJWvuydy8TCJ2qQQhrYFk4Ga9NRivTA-dqmToztLQCOr985swynfQ7VPLEM-X12vXY6CgyuX&__hstc=233546881.9491909e9aaba689d64791264c2af579.1646575594428.1646575594428.1646575594428.1&__hssc=233546881.1.1646575594430) [Ask the Doctor](https://www.starpoli.com/cs/c/?cta_guid=7b24f21f-19e8-40cb-a264-bc6d55874c7c&signature=AAH58kF8ewQAXB13c3M7YcEuvBeVAICE1g&pageId=67839153800&placement_guid=fbf72da4-a7b3-4a45-aa84-3e34e6b13c93&click=97b7ef4c-baca-4c4a-9d91-10b06f9ca46b&hsutk=9491909e9aaba689d64791264c2af579&canon=http%3A%2F%2Fwww-starpoli-com.sandbox.hs-sites.com%2Facid-reflux&portal_id=47367&redirect_url=APefjpESUTC7EufKxE0fU_vjEsydbZ4zNf7vZafH0T94QRVQw8AY98tlGIo4FzfhbKi31x_H-yEHyfgb5jrmWCDRl8ReSR2w63piwbBHVVqQ-SisG_Cq2nPZI4w2zE--jYPPHgUamwCSc6APCVlBzOXRJZXuCuD9HQpQIPbOw-EFsHqau6gM6aHQabN9x0YWEiYylz_g6JG1ZDRVoD_ovV7YQ7xi7J_xPZ2xFfTejDtLUkMAFcK1SCp58XjSRGIJrOrbjz7B3jEv&__hstc=233546881.9491909e9aaba689d64791264c2af579.1646575594428.1646575594428.1646575594428.1&__hssc=233546881.1.1646575594430) [Patient Portal](https://1209.portal.athenahealth.com/?&__hssc=&__hstc&hsCtaTracking=42d519d5-7dc8-4894-93e5-675f6d134128%7Cec669b6d-1a66-47e8-ac5d-9d55d49c8dfa) [Schedule with us](https://www.starpoli.com/schedule-appt/?hsLang=en-us) [![Greenwich Village Gastroenterolog](https://www.starpoli.com/hs-fs/hubfs/New-website/footer_logo.png?width=141&height=70&name=footer_logo.png) ](https://www.starpoli.com) ** 80 5th Ave. Suite 1605 New York, NY 10011 ** 55 Montgomery St. Poughkeepsie, NY 12601 **[ 212 673 2721](tel:12126732721) **[ 845 471 1354 ](tel:18454711354) ** info@starpoli.com - [*facebook*](https://www.facebook.com/Dr.Anthony.Starpoli/) - [*instagram*](https://www.instagram.com/starpoligi/) - [*twitter*](https://twitter.com/StarpoliMD) - [*linkedin*](https://www.linkedin.com/company/greenwich-village-gastroenterology) - [Home](https://www.starpoli.com/) - [Reflux / Heartburn](https://www.starpoli.com/reflux-gerd-heartburn) - [Abdominal pain](https://www.starpoli.com/helio) - [Hemorrhoids](https://www.starpoli.com/roids) - [Weight Loss](https://www.starpoli.com/american-obesity-center-home) - [Procedures](https://www.starpoli.com/esophyx) - [Facial Tox](https://www.starpoli.com/facial-tox) - [Dr. Starpoli's Blog](https://www.starpoli.com/blog) - [IBS](https://www.starpoli.com/bowels) © 2025 AA Starpoli, MD |[Office Policies ](https://www.starpoli.com/office-policies) |[Privacy Policies ](https://www.starpoli.com/privacy-policy) ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Anthony A. 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