LPR not GERD: LPR is irritation of the larynx from reflux of stomach enzymes or acid. Many patients do not experience heartburn. In our practice we recommend a 1 month trial of TWICE A DAY PPI prior to meals (Nexium, Prilosec) for LPR (usual dose for GERD is once a day). If symptoms improve, may extend for 2 more months, then wean.
Answered 3/11/2016
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