What Is Silent Reflux?
It is a condition in which stomach acid flows back into the back of the throat, larynx and even nasal passages from the stomach. It is also known as LPR (laryngopharyngeal reflux). It can damage the throat and vocal cords. It is similar to GERD (gastro esophageal reflux disease) that also results from back-flow of stomach acid but the symptoms vary. Symptoms (like heartburn) do not occur always in LPR, that is why it is known as silent reflux.
Homeopathic Treatment
Homeopathy is very effective in managing cases of silent reflux. Homeopathic medicines are of natural origin that help in reducing acid reflux and its associated symptoms. Homeopathic medicines are recommended when the symptoms are mild to moderate in intensity. In severe cases having serious symptoms like difficulty in breathing, wheezing, feeding problems, failure to thrive (in children), it is strictly advised to take help from conventional mode of treatment. Silent reflux can have serious complications. So one should take homeopathic medicine under the supervision of a homeopathic physician who can prescribe the best medicine according to the case after detailed case analysis, and in case of serious issues or emergency, conventional treatment is recommended.
Top Homeopathic Medicines To Manage Silent Reflux In Adults
1. Natrum Phos – Top-grade medicine
It is one of the best medicines in homeopathy to manage acid reflux. The first indication for using it is sensation of a lump in the throat. Second symptom where this medicine helps is difficulty in swallowing. It is useful to manage dropping of mucus, usually yellow, from posterior nares. It gets worse at night awakening a person from sleep. Other than this, it is indicated to manage cough with clear, white phlegm dripping from the posterior nares. It is accompanied by much hawking (forceful clearing of throat to get rid of phlegm). Lastly, inflammation of throat can be there when this medicine is required.
2. Carbo Veg – For Managing Cough And Difficult Swallowing
It is a very prominent medicine for cases of acid reflux. The main indicating symptom to use it is sensation of something acrid and corroding in throat that incites cough. Another symptom is difficulty in swallowing food. Other than this, rawness, burning and a biting feeling in the throat is felt. The throat feels dry. Lastly, there is tough mucus in the throat with the feeling of a lump.
3. Robinia – To Manage Acid Reflux
It is prepared from fresh bark of young twigs of the plant ‘Robinia pseudacacia’. This plant belongs to family Leguminosae. It is another well-indicated medicine that helps to manage acid reflux. Acidity gets worse at night, persons needing it have dry scratchy throat. The throat feels rough and sore.
4. Arum Triphyllum – For Hoarseness And Throat Clearing
It is useful for cases in which there is hoarseness and a need to clear the throat frequently. The person feels stinging and burning sensation in the throat. He/She may complain of difficult swallowing.
5. Causticum – For Managing Hoarseness
It is an important medicine to manage hoarseness of voice, which gets worse in the morning and evening. It is accompanied by scraping in the throat (lump-like-feeling). In some cases, it is attended with dry, tickling cough. Larynx may be be inflamed.
6. Kali Bichrome – To Manage Postnasal Drip
This medicine works well in cases where postnasal drip (PND) is marked. There is hawking of thick, tenacious, yellow mucus. Mucus is so viscid (thick and large) that it can be drawn out like a long thread. It is attended with cough. Other than this, dryness and burning are felt in the throat which gets worse in the morning.
7. Lycopodium – For Burning And Lump In Throat Sensation
This medicine is prepared from plant Lycopodium Clavatum, commonly known as ‘club moss’. This plant belongs to family Lycopodiaceae. It is indicated for sensation of a lump moving up and down the throat,especially in the left side of throat. Lycopodium is indicated for burning pain in throat. Sometimes there is sore throat and difficult swallowing also.
8. Belladonna – For Sore Throat And Cough
This medicine is a top-listed medicine for managing sore throat. It is prepared from the plant ‘deadly nightshade’. It belongs to family Solanaceae. In cases needing it, the throat is red and inflamed. The throat is also dry, attended with burning sensation in the throat. A sensation of lump is felt in throat making swallowing difficult, especially liquids. It is well indicated for cases of cough. The cough is dry, short and tickles the throat which gets worse at night.
Homeopathic Medicine For Managing Its Symptoms In Children
1. Aethusa – To Manage Vomiting
This medicine is prepared from plant Aethusa Cynapium commonly called ‘fool’s parsley’. It belongs to family Umbelliferae. It is one of the most effective medicines to manage vomiting in children. The vomiting is of curdled milk or cheesy matter, sometimes white frothy matter is also expelled.
2. Ipecac – To Manage Vomiting And Cough
It is prepared from dried root of a plant Cephaelis Ipecacuanha. It belongs to family Rubiaceae. It is very beneficial in managing vomiting and cough. The vomiting can be of white, slimy mucus or watery fluid. If administering Ipecac for cough, the main indicating feature is cough accompanied by nausea and vomiting.
3. Belladonna – For Managing Sore Throat And Cough
It is helpful in managing sore throat and cough. The throat is inflamed, swollen and red where this medicine is required. Besides, there is short and dry cough 24X7. Tickling sensation in throat accompanies it.
4. Cina – For Managing Cough
It is prepared from plant Cina Maritima. It belongs to family Composite. Firstly this medicine is indicated for sudden attack of spasmodic cough, which gets worse at night. Next, it helps cases of hoarse gagging cough and also short hacking cough at night. There may be expectoration of whitish, slimy matter along with cough, .
5. Sambucus and Ammonium Carb – To Manage Nasal Congestion
These two homeopathic medicines are very useful to manage nasal congestion.
6. Kali Mur – To Manage Ear Infections
In cases needing it, the main symptom is ear discharge, usually white, along with pain in the ear .
What Are Its Symptoms?
Symptoms In Adults
There is a feeling of something being stuck in the throat, a need to clear throat frequently, difficulty in swallowing, hoarseness, coughing, postnasal drip (PND), bitter taste , sore throat, burning sensation in throat and difficulty in breathing. If left untreated, it can damage the vocal cords. Other complications include lung disorders, pneumonia (infection and inflammation of air sacs in lungs), laryngitis, and it can increase the risk of laryngeal cancer.
Symptoms In Infants And Children
In infants and children, the symptoms include chronic coughing, breathing issues (like noisy breathing, wheezing, apnea, difficulty breathing), vomiting, nasal congestion, respiratory illness (bronchitis – inflamed bronchial tubes), feeding difficulties, asthma, sore throat, ear infections and failure to thrive (when baby isn’t growing and gaining weight according to age).
What Is The Reason Behind It?
After eating, the food goes down the food pipe and then into the stomach.
Normally, the Lower Esophageal Sphincter (LES) which is a sphincter at the junction of lower end of food pipe and upper end of stomach prevents backflow of stomach contents. It only relaxes when food has to enter from the food pipe into the stomach. At all other times, it is closed to prevent backflow of stomach acid upwards. If the LES doesn’t work properly, it can result in a back-flow of stomach acid into food pipe.
Though anyone can suffer from silent reflux, some people are at a higher risk. People who are overweight, who consume alcohol/tobacco, malfunctioning of lower esophageal sphincter, delayed emptying of stomach can cause silent reflux, and pregnant women are also at risk.
The babies are at high risk because of underdeveloped or weak esophageal sphincters that become strong with age and overcome the complaint of acid reflux.
Total back flow of acid to mouth with less sleep discomfort all time recommend homeopathic sure cure medicine. It has become chronic.
I am having all silent reflux symptoms .. I took calc sulp and it helped in reducing . I was planning to add Nat mur . Can you suggest if this is ok . What do you suggest for silent reflux . Lpr . Right now my symptoms are throat clearing, hoarseness , sometime lump like feeling which goes away . All my symptoms last for sometime and go away on their own . Lemon juice i put in all my food . This helps . Morning when I wake up i drink sendha namak with water . I started taking calc sulp three weeks back. It reduced symptoms but I cannot eat spicy food . Calcium sulphate . Calcium sulphuricum is the name . What can I add to this . I was planning to add Nat mur
Dear Dr. Sharma,
I (67 years, not overweight, non-smoker) probably have silent reflux – the main symptoms are sudden attacks of spasmodic cough, but never at night (although I sleep flat!), only during daytime and mostly – but not only – immediately after eating/drinking, even after drinking clear water. I also have a lot of whitish mucus, a hoarse voice and have to clear my throat constantly. Sometimes I even have difficulties with swallowing. But the most important symptom is my spasmodic cough. It makes me suffer a lot and I actually have it for decades. I cannot decide which medication to take and do not know either how strong (C 9, C12, etc.) how many times a day and for how long. My homeopathic specialist just did not give me anything for this problem, she said it could not be treated well with homeopathy. Could you perhaps suggest me something?
Thanks a lot,
Best regards,
Klara Szegzardy-Csengery
Hello Dr. Sharma.
My son has all these symptoms. All this started when he gained weight during lockdown. We have been giving him treatment for allergy but it is just getting worse.
He doesn’t chew his food properly.
Naps right after meals
Has phlegm coming out of her throat, gets worse at night.
He is 11 years
He has constitution too quite often.
We are worried about him. At night, when it gets worse, i can’t sleep at all.
Please help suggest a medicine.
Dr Sharma,
My children were treated for years by a homeopath in NYC. She retired this year, and shortly after, my son, was diagnosed with LPR. I have years and a supply of Boiron remedies in my home, and most of the ones you listed for treatment. If you have any suggested use (1, 2 or 3 times a day dosing), that would be appreciated. MANY THANKS. Our biggest problem right now is cough and burning in throat.