That’s a fair question, and it’s actually one of the reasons LPR is so debated and confusing.

PPIs/GERD medications reduce stomach acid, but they don’t necessarily stop reflux itself from happening. Some researchers also believe pepsin, bile reflux, throat sensitivity, or non-acid reflux may still cause symptoms even when acid is reduced.

That said, you’re also correct that not every throat symptom automatically means LPR. There can absolutely be other causes, which is why proper evaluation is important rather than assuming reflux is the answer to everything.

She says the GERD meds did not help. So how can someone still have LPR acid if the GERD meds did reduce the acid, which presumable they would definitely help at least somewhat. It would seem to indicate her problem is NOT LPR.

Ideally you need to see someone who specializes or is knowledgeable in LPR, they are more likely to be able to help you. Try and find some clinic that focus on acid reflux ideally as close to you as possible because the average gastro doctor may not be knowledgeable enough. Also a skilled ENT could also be worth visiting.

Glad to have helped Wilma.

You are welcome Wilma, happy to help.