4 doctors weighed in:

Frequent feeling of acid in throat it burns all day long nothing help not Nexium (esomeprazole) or pepto not sure if its GERD or acid reflux have it all day long?

4 doctors weighed in
Dr. Shaban Faruqui
Internal Medicine - Gastroenterology

In brief: LPR -should be in DD

The history is compatible with of Extra esophageal reflux- LPR- With throat burning and poor response to PPI.
.It is a variant of GERD with very little heartburn (also known as silent reflux).But with LPR, the sphincters don't work right. Stomach acid backs up into the back of your throat (pharynx) or voice box (larynx), or even into the NASAL airway's .managed with lifestyle changes. ...Continued

In brief: LPR -should be in DD

The history is compatible with of Extra esophageal reflux- LPR- With throat burning and poor response to PPI.
.It is a variant of GERD with very little heartburn (also known as silent reflux).But with LPR, the sphincters don't work right. Stomach acid backs up into the back of your throat (pharynx) or voice box (larynx), or even into the NASAL airway's .managed with lifestyle changes. ...Continued
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1 comment
Dr. Shaban Faruqui
Treatment of LPR Lifestyle changes w/PPI, just longer!! Something to tighten Upper and lower ESO. Sphincters. Tighten the shinctERS with , Baclofen, poss. Reglan small doses. SURGERY when nothing works. Untreated LPR also may play a role in the development of cancer of the voice box.. diagnose LPR with a combination of a medical history, physical exam, Laryngoscope, PH test.
Dr. Charles Cattano
Internal Medicine - Gastroenterology

In brief: Maybe not GERD...

To expand on dr. Dugan's prior answer, evaluation is key to determining if your symptoms are reflux-related or not.
Also, if reflux, is it acid or non-acid material that is involved? Sometimes, "sourbrash" (as you describe) may be due to pulmonary, ent, or dental issues. If unresponsive to therapeutic dosing of nexium, (esomeprazole) then start your evaluation with the gastroenterology specialist to determine rx.

In brief: Maybe not GERD...

To expand on dr. Dugan's prior answer, evaluation is key to determining if your symptoms are reflux-related or not.
Also, if reflux, is it acid or non-acid material that is involved? Sometimes, "sourbrash" (as you describe) may be due to pulmonary, ent, or dental issues. If unresponsive to therapeutic dosing of nexium, (esomeprazole) then start your evaluation with the gastroenterology specialist to determine rx.
Thank

In brief: GERD

It definitely sounds like gerd although i'm surprised the Nexium (esomeprazole) doesn't help.
You would definitely be a person i would recommend an egd with a bravo ph probe placement. This is a great test to really see if what you are feeling is reflux and how bad it is. There are good surgical options if it is gerd and the medications don't work.

In brief: GERD

It definitely sounds like gerd although i'm surprised the Nexium (esomeprazole) doesn't help.
You would definitely be a person i would recommend an egd with a bravo ph probe placement. This is a great test to really see if what you are feeling is reflux and how bad it is. There are good surgical options if it is gerd and the medications don't work.
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Dr. Michael Dugan
Internal Medicine - Hematology

In brief: GERD and

Reflux are the same.
Severe symptoms not relieved by medication require a consult and likely an egd (upper endoscopy).

In brief: GERD and

Reflux are the same.
Severe symptoms not relieved by medication require a consult and likely an egd (upper endoscopy).
Thank
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