Why Gaviscon Advance is the Best Gaviscon for Reflux

gaviscon advance lpr

If you suffer from GERD (Gastroesophageal Reflux Disease) or LPR (Laryngopharyngeal Reflux) you will most likely have heard of Gaviscon. It commonly comes in liquid form from which you are meant to take after meals and at bedtime to help prevent reflux.

It works relatively well for treating reflux for both GERD and LPR though Gaviscon Advance is definitely a superior version particularly when it comes to treating LPR.

The Secret Ingredient – Alginate

Gaviscon Advance importantly the UK version is the best option out there when it comes to Gaviscon. This is primarily because of its high concentration of (sodium) alginate. If you didn’t know alginate is an extract from seaweed so its completely natural which is a nice bonus.

The main effect of this alginate is once taken after eating it creates something like a foam like barrier on top of the stomach contents. This barrier will help a lot with stopping against acid reflux and other problematic digestive enzymes like pepsin being refluxed (which is specifically important for people who suffer with LPR). You can read more about pepsin in my complete LPR guide.

When comparing the UK version of Gaviscon Advance with the regular US version the concentration of alginate is significantly lower US version. This means that this barrier like effect is basically nonexistent in comparison to the UK version of Gaviscon Advance.

In addition to the barrier like effect will have an almost binding like effect that can grab and attach to any acids or digestive enzymes that have refluxed up and out of the stomach and bring them back down into the stomach where they belong which will directly help with reflux symptoms.

Finally you also have the anti-acid effect too which helps lower the acidity of the stomach somewhat.

Treating GERD with Gaviscon Advance

When it comes to directly treating GERD with Gaviscon Advance it has been shown to be effective in studies. You can check out this study here.

That study in particular showed it was more effective when compared with regular Gaviscon and that GERD symptoms improved when taking it. This is mainly because of the reasons I mentioned in the above section. It’s also worth mentioning you can also take it alongside PPIs (proton pump inhibiters) tablets to get a bonus effect (read more about it in this study).

For more information on GERD check out – Acid Reflux / GERD – Ultimate Guide.

Treating LPR with Gaviscon Advance

Just like with GERD there have been studies done to show its effectiveness in treating LPR. In this study patients showed great improvements over each of the time brackets.

For me Gaviscon Advance(UK version) is easily the best Gaviscon for LPR / silent reflux and the best medication which can be used to treat LPR, and unlike GERD which can be also treated with PPI anti-acid tablets whereas LPR has been shown to not be positively affected by PPI treatment in this study.

Gaviscon Advance Side Effects

The great thing about Gaviscon Advance is that it has little to no side effects and the Gaviscon Advance ingredients are not harmful in anyway. This is because one of the main active ingredients is totally natural and the base liquid isn’t like a traditional anti-acid solution. In fact, its effect in lowering stomach acid is quite low when compared with other similar liquid combinations which means a more natural stomach acidity which is important for nutrient absorption and general digestion.

It also has no aluminum unlike other US versions of Gaviscon which use aluminum as one of their active ingredients which has been shown to be problematic for some people taking it in the long term.

There have been some studies linked to Alzheimer’s disease and aluminum intake but there is no clear link between them as of now. Anyway, you don’t have to worry about that as the UK version of Gaviscon Advance doesn’t contain any aluminum.

Gaviscon Advance Peppermint Flavor?

If you didn’t know peppermint causes reflux so at first when I saw a peppermint flavor for a reflux medication I was confused.

Later down the line I learned that this peppermint flavor isn’t from real peppermint and is only an artificial flavor and therefore will not cause any reflux issues. Finally, my own confusion was solved!

How to Take Gaviscon Advance.

If you weren’t already aware the best way to take Gaviscon is after eating and not directly after as I used to do myself for a long time.

In fact, taking it about 30 minutes after eating will give the best effect. This is because 30 minutes after eating is when digestion is at the most active stage and when digestive enzymes are at their most active point in the stomach. So, taking the Gaviscon at this time will give the biggest benefit.

How Long Does Gaviscon Last

Usually after you take Gaviscon it should offer you protection for about 2-4 hours time. Keep in mind that if you drink or eat soon after taking it, that it can somewhat lessen the effect that it will help you, so ideally try to not eat/drink soon after taking it (45-60 mins) for the utmost benefit.

Where to Buy Gaviscon Advance UK Version


Luckily if you are based in the US it is quite easy to get the UK version of Gaviscon Advance. It is available here on Amazon.

If you can’t get access to the UK version easily wherever you are then the alternative option is to find something where you have the important ingredient sodium aliginate included. The more of it the better really. As a reference the sodium alginate in the UK version has 1000mg per 2 teaspoons.

Though if you can find an alternative with 250mg per 2 teaspoons or more that should work well. It’s quite common to find ones that have either 250mg or 500mg per 2 teaspoons. Keep in mind that one version of Gaviscon in one country can have a different makeup that in another country so it’s always important to check the label beforehand.

Why is Gaviscon Advance Not Sold in the US?

It’s worth mentioning about Gaviscon advance in the US. Sometimes I am asked why is Gaviscon advance not sold in the US? Well it actually is sold in the US though it does not included the same ingredients that the UK version does.

Importantly it only includes a fraction of the alginate that the UK version has and thus doesn’t have the same barrier effect that the UK version make up does. It also includes a form of aluminium which is not ideal for taking long term. People want Gaviscon without aluminium so the US version is no good for that.

Treating the Root Cause

While Gaviscon Advance will undoubtedly help with your GERD and LPR symptoms its important to know that it will not treat the root cause of your problem. You need to truly target the root cause to get everything healed and back to normal – for a lot of people this would be treating a malfunctioning LES (stomach sphincter).

Also, for both GERD and LPR I recommend following a low acid diet like the Wipeout Diet which will target the root cause and get you healed and back to normal as soon as possible. You can read more about this diet in my complete LPR guide (the treatment section).

If you want more advice or guidance on how to properly treat your acid reflux consider a private consultation here.

More Frequently Asked Questions

What is Gaviscon Advance Used For?

Typically Gaviscon Advance is used for helping to lessen and aid the symptoms from acid reflux like heartburn and indigestion.

Is Gaviscon Advance Better than Gaviscon?

This is dependant on opinion and can be different for everyone. The UK version for Gaviscon advance for example I believe is a better combination than the standard version and the US version.

This is because the active ingredient sodium alginate helps create a foam like barrier on top of the stomach contents which greatly prevents acid reflux. The great thing about that is its an extract from seaweed!

Is Gaviscon Advance Good for Acid Reflux?

Yes, usually it will help common acid reflux symptoms because of the barrier like effect it creates on top of the stomach and also lowering the acid level of the stomach.

What are the Side Effects of Taking Gaviscon?

It depends what version you are taking, for example the US version of Gaviscon advance contains aluminium which isn’t ideal for taking especially long term. In comparison the UK version doesn’t have aluminium and there is no concern about that there. It’s worth noting the side effects that are possible are nausea, headache, constipation or diarrhea. Though do keep in mind that they are quite uncommon.

Can I Drink Water After Taking Gaviscon?

Ideally after taking Gaviscon it is best not to drink water for at least 30-60 minutes. This is because of the barrier effect the Gaviscon creates on top of the stomach. If you go and drink water after taking it this will make the barrier break down somewhat and become less effective. So as I already mentioned try to wait ideally 60 minutes after taking it for the best effect. Of course you can drink it before this time but it will definitely lessen the Gaviscons effectiveness.

Why Does My Acid Reflux Get Worse at Night?

Usually acid reflux gets worse at night because you don’t have the advantage of gravity helping keep the acid down in the stomach. This means more pressure on the valve above the stomach which should stay closed but when you are laying down you have more pressure on it so it makes it more likely to open and for you to get acid reflux symptoms.

More Talking Points –

Gaviscon Advance Dosage for LPR

Ideally take 1-2 teaspoons 30 minutes after a meal and just before sleeping. It doesn’t have to be 30 minutes exactly every time but this is when you will get the biggest benefit from taking it. I personally take it roughly 15-30 minutes after eating which works great for me.

Gaviscon Advance Tablets

Just like the liquid you can get Gaviscon Advance tablets. Just like the liquid you would take them ideally 30 minutes after eating and just before sleeping. When compared with the liquid I feel they are inferior and less effective but they are a good option when you are travelling or at work when carrying the liquid isn’t practical. Ideally take the liquid but the tablets are also helpful.

Gaviscon Advance Alternatives

Any alternative medicine that has a solid amount of sodium alginate – I am considering a good amount at least 250mg per teaspoon. As a reference Gaviscon Advance the UK version has 500mg per teaspoon.

One option that works well is Reflux Gourmet. It has a good amount of alginate included and is usually easy to get in the US. You can buy it here.

How Does Gaviscon Advance Work?

It creates a creates a foam like barrier on top of the contents of the stomach. This helps prevent acid from refluxing up into the esophagus and even the throat. It also has an alkalising effect helping to lower the acid in the stomach as well.

Gaviscons Effect on GERD/Heartburn?

It lowers the acidity of the stomach and also creates a foam like barrier on top of the stomach contents helping prevent acid from spilling up and causing heartburn etc.

Gaviscons Effect on Silent Reflux/ LPR?

The important effect for Gaviscon Advance on silent reflux and LPR is the barrier effect that it creates on top of the stomach contents. This is the primary benefit. Also when you take it, it can help bind to any pepsin in the throat which is the main cause for LPR so this effect also can help lessen the effects of LPR and silent reflux.

110 thoughts on “Why Gaviscon Advance is the Best Gaviscon for Reflux”

  1. Collins Acheampong

    Before I was having heart burns which along the line stopped, however I was still having indigestion and bloating. My throat and tongue burns really bad when I finish eating. I even noticed the back of my tongue began to whiten. I went to the hospital and was diagnosed with gastritis, now I understand the root cause of my reflux but the medication the doctor gave me does not improve my symptoms. My throat, tongue and even my ears burn after eating. Also I feel my throat becomes more dry in the middle of the night when I’m asleep. What is really causing this chronic sore throat, will the gaviscon help?

    1. Well if you believe you have LPR with a lot of the common symptoms it’s definitely worth trying Gaviscon advance. Based on the couple of symptoms you mentioned it definitely could help you.

  2. This is such a good blog, very informative. I’m on omeprazole currently in the evening at 7.30ish. Is it best not to take them at the same time, or leave a gap between it and the gaviscon advance?

    1. Thank you Lucy. The best time to take omeprazole is 30 minutes before you eat and the best time to take gaviscon advance is 30 minutes after you eat. That would be the ideal way to take them.

  3. Do you know why the UK formula for gaviscon advanced is not avaliable in the USA? Is the company just not offering it in the USA or does it have something to do with the FDA?

    1. I’m not sure really. I believe the US have their own version but it isn’t made up the same. It has very little of the sodium alginate which is the important ingredient and it also contains aluminium which isn’t ideal either. I believe Gaviscon are thinking more of treating the major market which is for GERD more so than LPR so their focus on that – the standard Gaviscon is still effective for normal acid reflux and GERD whereas for LPR it isn’t as effective.

      1. Yeah you could be correct on that. Though I am not certain. It does seem weird to omit it though because it’s both natural and effective.

  4. Yes, but Gaviscon advance contains saccharin which has been proven to cause cancer. If they would use stevia extract, then it would be more safe to consume.

    1. I have done some minor research on the saccharin before. Apparently it’s completely safe to take. I’m not worried about it especially it’s only a small amount used in the Gaviscon, there are much other worse things included in other medicines and foods/drinks I am sure.

  5. I agree! What are your thoughts on the steam inhalation of high pH alkaline water? I read where one man said he stumbled across a cure doing this. He said 5 minutes inhalation twice a day did it for him. Thank you for your blog!

    1. Hey Suzie, Yes I have heard of it and in theory it should help neutralise any pepsin in your sinuses in particular. I personally feel though you must be taking some other action like I mention on my site to stop the acid. If you do that alongside a diet and taking the gaviscon I think it could help speed on recovery for some people. Hope this helps 🙂

    2. Hi Suzie,
      I’m just curious as to where you read that? My main issue is shortness of breath/chest pressure and feel like the Pepsin could be in my lungs. This does sound like something that can help.

  6. I’m a bit concerned about the salt content in gavison. It does have a high sodium content warning on the bottle. I watch my salt intake as my blood pressure is moderately high although I am not on any medication. Is there any other product that you know of that works as well?

    1. Yes I am aware of another similar kind of product which I am currently looking into trying myself and some other people with LPR. If it turns out to be effective I will likely be doing an article on it and my thoughts in comparison to gaviscon.

  7. hi David!
    I have nighttime LPR. I used to wake up wheezing and choking from it. Im currently taking Gaviscon -the US version which has antacid in it.I take 10 ml before bedtime. It helps. Now I would like to switch to this Gaviscon Advance, which is not an antacid. How do I switch?I know Gaviscon can cause acid rebound…so as im taking now 10 ml every night..do I have to wean myself off it or can i just simply use start using tonight the Gaviscon Advance? Im so afraid of the rebound-not particularly the burning senation but because of the asthamic-like symptoms i used to get..:(

    Thanks for your advice

    1. Hi Judit, I don’t think you should worry about rebound switching from the US to the UK gaviscon. If you really want to be safe you can start with 1 teaspoon of each for a few days if you prefer and then completely switch to the uk gaviscon. The uk gaviscon does have some antacid ingredients like potassium carbonate which will act as an antacid so switching over I highly doubt will give you any rebound effect.

      1. Hi David!

        Thanks for your answer. I have also bought your diet, i hope that helps too!Right now Im on the 4th day of UK Gaviscon….and i take about 10 ml at night before bed. It works perfectly for my nighttime reflux-i wake up without wheezing!
        However during the day sometimes i feel shortness of breath and sometimes I have to yawn and take some deep breath….could it be because im not taking the gaviscon during the day? or could it be an acid reboud symptm from US Gaviscon? I have read that rebound symptoms usually starts day 3,4.. after stopping the previous medication.
        Im from Hungary-and here the doctors really dont know much of LPR-all …so im very grateful that i found your site!
        Thank you

        1. Hey Judit,

          You are welcome and thank you for buying the guide. I don’t think you would get too much if any rebound from the gaviscon that you took before. Maybe it’s worth trying take gaviscon during the day after meals. You could try it out 2 spoonfuls after meals let’s say 2 meals per day and see what happens. I think it would help you.

          1. Michelle Walsh

            Hello sorry I am replying on someone elose post. I have burning throat and yellow phlegm in the morning that has and nasty odor. And I have tried lansprazole with famotidine and gaviscon advance in between and I am still really burning bad. Like nothing makes a difference. Can you help me in anyway to why this may be happening. Thank you

          2. It’s hard to know what is the root cause without having testing done but if it is LPR then a low acid diet should help along with gaviscon as mentioned here.

      2. I take the european standard version of gaviscon 10ml before going to bed. I want to stop using it since I am feeling quite well lately (due to better nutrition) but now I am affraid that stopping it will cause rebound. How scientifically proven is this thing ? I mean what s the best way to come out of taking it and not have rebound of acid ?

        1. Rebound in mostly prominent in PPI tablets and to a lessen extent H2 blockers. Gaviscon again even less so than that, so the rebound effect would be much less. Ideally you can lower it over the space of a few days and see how you fair.

  8. I also have high blood pressure and am concerned with the high sodium content in Gaviscon. Would you be willing to tell us the name of the similar product that you are looking into so we can do our own research? Thank you.

    1. I am currently doing some research into some similar products and hopefully will be doing an article on them soon. As for alternatives it’s always worth checking similar antacid liquids. The important ingredients to look for as I mentioned is alginate. 1000mg (1g) per 2 teaspoons is the dosage in Gaviscon advance. If you can get one with less sodium and even 500mg of the aliginate that would likely still be quite effective.

  9. Thank you for this information.
    My problem is a hoarse voice. It comes and goes.
    Now on acid free diet and taking Gaviscon Advance through the day and last thing at night.

  10. I am in perimenapause and have slight heartburn but reflux,constant need to clear throat ,hoarseness and blocked nose,GP has given me lansoprazole but read low acid is common in menapause causing reflux also-very confused of what to take

  11. I have a wet bubbly cough from LPR, which is most worst symptom. It sounds like a smokers cough. I’m wondering if the gaviscon advance would help alleviate it. Thank you!

  12. If I find Gaviscon Advanced on Amazon, here in the U.S., will that be the correct and more potent Gaviscon that I want? https://amzn.to/2WZUFhK I see Gaviscon Double Action on the Amazon U.K. site. Is that the one I want? My gastroenterologist here in the U.S. told me to buy Gaviscon Advanced from Amazon U.K., but I am a bit confused. He said certain people here in U.S. will sell it, so is the Gaviscon Advanced from our Amazon (in the U.S.), the correct one? I put the link up above in case someone can help me??? Thank you

    1. Gaviscon Advance is the one you want ideally. If you can’t find it try an alternative one, preferably the one with more alginate content.

  13. This sounds silly, but how do you get your Gaviscon Advance out of the bottle? I find it very difficult to get my full dosage as I reach the bottom of the bottle. Thanks!

    1. I understand what you mean Steph. Best thing I can suggest is to really shake it well each time before you take it. That balances the mixture out more evenly I feel.

  14. Its been a month now taking Gaviscon Advance. I’m extremely happy to say that my mucous buildup has decreased SIGNIFICANTLY! I find myself having to spit less. (You out there know what I mean!) I had worn a Reflux band around my neck for 4 or 5 months solid every night and it really didn’t help much. I wish I would have taken the Gaviscon Advance instead of the Reflux band. Would have saved myself a lot of suffering and loss of sleep. Not to mention all the coughing and hacking.

  15. Brilliant website. Thank you. I relied upon Gaviscon Advance for 3 years plus the low acid diet. I suddenly developed heartburn too but all the PPIs and H2 receptor antagonists made me very poorly and even worsened my throat. The worst thing is that for a couple of months now, I have been unable to take my Gaviscon as it burns like crazy. Has anyone else had this or found a way around it?
    I am currently struggling to eat
    Without the Gaviscon life is unbearable. I have written to the makers asking if they do a milder tasting or less irritant version but had no reply yet. Any help gratefully received

    1. Hey Shirley, thank you! Sorry to hear that, I haven’t quite heard of something like that before though there is a potential alternative I will send to your email.

    1. Yes I have heard of it and am wanting to try it out in the near future, I want to test it myself before recommending it though.

  16. Hi David,

    In my country (Australia) they don’t have Gaviscon Advance, instead they have something called Gaviscon Double Strength (liquid). On the package it says each 10ml dose contains 1000mg sodium alginate, 200mg potassium bicarbonate and 200mg calcium carbonate. Is that the same as UK’s Gaviscon Advance? The sodium alginate concentration seems to be the same, and the label recommends the same dosage (5-10ml, maximum 4 times a day). The label also says it was made in the UK.

    Of course, I would have bought it online from the UK but there are no suppliers doing that right now due to the global health concerns, so I just want to make sure I’m using it right with no potential issues like rebound or anything else. I’m using it for LPR if that distinction is important. Thanks!

    1. Hey Ken,
      I know for sure the alginate is the same dosage and that’s the most important thing. So it should have the same affect as the one from the UK. So I would recommend getting that one.

  17. I’ve been taking Gaviscon Advance for about 3 or 4 weeks now. It’s really a blessing. I used the Reflux Band for 6 months prior. Didn’t really help. What G.A. did for me was like lightning speed compared to the Reflux Band!!! I still have some mucus to deal with but not before. Now I won’t leave the house without my G.A.!

    1. Amazon is usually my recommendation though I believe they are out of stock for the time being. If you can search in local stores and pharmacies for other gaviscon options or different brands. Ones that have sodium alginate as one of the ingredients is what you want. Ideally you would want at least 250mg of sodium alginate per 2 teaspoons, though more would be preferred. The advance one has 1000mg per 2 teaspoons just as a reference.

  18. Hi david, will GA helps with shortness of breath, ringing in ear, bloated feeling, and neck tightness/stiffness?
    I have GERD, but my symptoms more like LPR.

    1. Hi Zali,
      It would be best to follow a low acid diet like my wipeout diet plan along with taking gaviscon advance (UK) or reflux gourmet (US) after meals and before bedtime to stop the acid and pepsin from coming up. For the sinus problem it would be good to make an alkaline mixture using alkaline water and baking soda and to spray into the nose after eating and before bedtime (before taking the gaviscon or reflux gourmet) as explained in this video – https://youtu.be/2H_VvFO3Fp8

  19. Hi David,
    A month ago I was diagnosed over the phone (due to my doctor not seeing patients amidst Covid) with LPR. I was put on PPI’s eventually 2 per day. I started your program and would like to wean off the PPI’s. I can’t find Gaviscon Advanced on line anymore. Can you please give me an alternative suggestion! Thanks

  20. Hi there David, such a great blog you have hear and very useful.
    I’ve recently had severe silent reflux issues with swelling feeling at the top of my throat, no heartburn hence silent. I’m 41 and never had issues with this before. I’ve started taking Gaviscon Advance and feel it’s working which is good, but do have this plugging of the upper stomach feeling – which I suppose is the purpose to stop acid coming up; however will this plugging feeling go away? Am I likely to be dependant on Gaviscon daily/long term or will the reflux die down itself? Can I expect the swelling feeling in my throat to go away once the acid reflux die’s down?
    I’ve not had this explained to me by my GP and unsure how long to expect this for?
    Thanks very much for your help.

    1. Hi Paul,
      Thank you very much. If you are doing the right things the feeling should likely calm down yes. It’s different for each person when it comes to the gaviscon some people may need to take it longer term and others may only need it initially or when they have a flare up. It’s always a good idea when you are more stable to try and lower your dosage to see if you can maintain symptoms with a lower dosage and continually look to do that every few months. Yes the swelling will go down once the pepsin and acid are under control.

    1. I think once your symptoms have lessened you should try to lower the dose gradually until you get to a point where you don’t need it at all or until you are taking a lower dose.

  21. Hi i am taking Gaviscon peppermint liquid as per physician prescription.. but i feel dizziness after taking it ( two table spoons) .
    Is that’s common or i should stop taking it.

    1. Per dosage 2 tablespoons is far too much. Instead you should take 1-2 teaspoons after meals and at bedtime. (for reference 1 tablespoon is 15ml and 1 teaspoon is 5ml)

  22. Milagros Lacey

    Hello David, I came across your website and it has been a blessing, I was having sore throat, some ear pains, really shortness of breath to the point that I was going to the emergency room thinking I was having asthma sort of, the same day I received the Gaviscon Advance and before i headed out to the emergency room I decided to tried i did and within 30 minutes my symptoms got better. I was taking PPI too for about 2 weeks but I decided to stopped them because they weren’t doing anything for me. My concern is the shortness of breath, reading your website I don’t know if the reflux reached my air ways. My question is: I am taking Gaviscon according with the instructions on the bottle that says 1-2 tablespoons , I am taking just one after each meal and one before going to sleep. In the morning I feel as is not enough because i feel my throat a little irritated., however you said only a teaspoon? Probably I will benefit from your diet book as well. Thank you

    1. Hi Milagros,
      Happy to help 🙂 I definitely would suggest at least eliminating the trigger foods if you haven’t already and if you want to go the extra step you can try my wipeout diet plan of course. Yes I said in teaspoons not tablespoons just to clarify. 1-2 tablespoons would be triple the recommended dosage per meal.

  23. Hi I’ve been on PPI’s for two months now and I’ve found out I’ve got Silent Reflux. Do PPI’s make Silent Reflux worse? And how do I come off of it? Or should I stay on the PPI’s whilst taking gaviscon and being on a low acid diet and also drinking alkeline water until I’m better?

    1. I wouldn’t say they make LPR worse but for some people they do actually. Studies have shown a low acid diet is the best way to fix LPR even when taking them alongside diet they show no improvement than just diet alone with alkaline water. You can read here for my advice on stopping PPIs – getting off PPIs.

  24. I take Gavison Advance for my LPR. However I take it sporadically. Would I get a much better benefit from it by taking it every day after I eat and before I go to bed?

    Thank you,

    1. I think you don’t have to take it regularly if it’s not needed. Though you could try before bedtime, it seems to have the best effect especially if you feel you suffer from nighttime reflux.

  25. Hi, my heartburn and Gerd has been making me very dizzy. Been on Gaviscone Advance for 5 days now, it has helped with my burping and acid build up. Anyone know how long I have to take this till I get healed or dizziness goes? Or if there are any other remedies.

    Thank you

    1. I’m not sure the gaviscon will directly help with the dizziness. But it could if it’s due to a higher acidity in the stomach. Gaviscon will help though a low acid diet is usually needed to get the best healing effect. I would suggest a low acid diet like my wipeout diet plan. Most people see an improvement within 2 weeks of starting the diet typically.

  26. Thank you so much for this helpful post! I’ve been taking the Gaviscon Advance tablets–one after every meal and before bed. My main symptom used to be coughing, but it’s now a feeling like there’s something caught in my throat. It’s gotten much better, but I still have symptoms in the morning. I feel fine when I wake up, but as soon as I have a few sips of water, I almost immediately feel a lump in my throat. (I went to my ENT to make sure I don’t have a tumor or anything; they confirmed it’s LPR). Have you heard of people like this, who have the most amount of problem with drinking/eating in the morning? A friend suggested maybe taking a tablet in the morning when I wake up. Any thoughts about that?

    Also, I just read about not taking medication within 2 hours of Gaviscon Advance. Is that for all medication? I take high blood pressure meds, but my blood pressure seems fine and I’ve been on Gaviscon Advance for a month. I also take very low dose adderall or modafinil for menopausal brain fog. Would that be affected by taking Gaviscon Advance?

    Thank you so much again!

    1. Always glad to be able to help Angela. Yeah I had a similar experience before when I had a lump in the throat. What tablet is your friend suggesting? Of course I recommend a low acid diet and alkaline water to really help things heal alongside the gaviscon.

      That would just be for the Gaviscon, I think 2 hours is a bit much but ideally not eating or drinking within 1 hour after taking the gaviscon would be good. The Gaviscon shouldn’t affect the absorption of them medications no.

      1. Yes, I drink alkaline water throughout the day. (And I’m going to try the alkaline water steam inhalation, a suggestion from an earlier commenter!) My friend was suggesting gaviscon advance tablet first thing in the morning, since I’m having most trouble drinking even alkaline water first thing in the morning. That’s when I get the uncomfortable lump/gagging sensation! Should I try gaviscon advance on an empty stomach first thing in the morning?

        1. Yeah definitely let me know how the steam inhalation goes, I am interested to try it out myself soon. Before taking the gaviscon I would suggest to first eat your breakfast then afterwards take the Gaviscon. That makes the most sense to me. I often think eating actually helps if you are doing a natural and low acid diet. So firstly eating and then the Gaviscon afterwards.

    1. There are some studies showing how Gaviscon advance can help LPR for example this study. In terms of permanent use not really any study on that. Though the main ingredients are quite good so I wouldn’t be too concerned if you had to take it longer term.

  27. I wake up in middle of night with mucous in lungs and throat. At time so sticky I cant even cough it u p. I am on Tagament, as cant take any other meds. I hardly have feeling of burning in throat or stimach, but have feelings of lump and tightness and inflammation in throat. Where I have hiatal hernia and under my breast bones always hurts after eating most foods ? Does Gaviscan P lus help? When can I see results? Does chiropractor help with H Hernia?

    1. I would suggest considering the Iqoro device as I talked about here – Iqoro review. It’s been shown to help people with hernia particularly well. Yes the gaviscon I mentioned above definitely should help. If you take it, you should see results within a few days. I have heard chiropractor can help with a hernia though I haven’t seen an medical studies backing up this statement.

  28. I have mucus in lungs, throat mostly overnight even I stop eating around 5Pm and go to bed 3,4 hours later and pain in hiatal hernia and severe bloating under rib cage after eating. Most foods cause pain in that region. My throat and tongue inflamed and feels like a lump in my throat. Does Tagament help? Been on it, maybe worked a little, but then I lift heavy stuff feels like something coming up my throat. I have been on diet off and on but no permanent cure. Does Gaviscan plus work? Ifeel maybe it makes it tight around hernia and uppers GI, it normal? Thank you.

    1. Tagament is a H2 blocker and perhaps can help to a degree though it would not be something I would recommend usually. Gaviscon can help yes, though diet changes are most important. If you have a hernia consider the IQoro device.

  29. Hi David,

    Any new thoughts re gaviscon advance vs reflux gourmet?
    Trying to decide which to get.

    Great site!

    Thank you

    1. Hi Gale,

      Thank you. I think both are effective and good options. I suggest to go for the one that is most convenient/affordable for you. If you want to try them both you can and see which works better for you. In theory they should have a similar effect due to overlapping ingredients.

      1. I have tried the caramel reflux gourmet. I think gaviscon works a bit better. Caramel is better taste but gets to be too sweet after a day of it. Also someone on amazon said the ingredients have changed but i can’t say.

  30. Hi David,

    Thank you very much for your informative web page!

    I had a question about the root cause of LPR. Is it LES or UES? I have read somewhere that the main problem in LPR (in contrast to the “normal” GERD) is UES. Is that the case? And if so, is there anything one can do to remedy the root cause of LPR, i.e., can UES ever get back to normal?

    1. Hi Paulo,
      There are more than a couple causes than just LES or UES. Though out of them 2 it’s more likely to be related to the LES. There are multiple potential causes for example relating to the pyloric value or even the vagus nerve. There are even more as well. The UES can get back to normal if the pepsin and acid stops coming up yes.

  31. What a blessing you are! Thank you for helping so many of us get better.
    I want to explain that dizziness can be cause by acid reflux reaching the ears causing vertigo and balancing issues.
    I just learned that Gaviscon can help. I have Gaviscon liquid extra strength. Which is the best and more effective? My ears and dizziness are so bad n I just want to keep the acid from reaching all the way to my ears.
    Thanks so much!

    1. Hi Violet,
      Yes I believe that to be the case. Gaviscon is a good choice yes. What you want to look for is ones with a higher alginate amount as this is really what makes biggest difference for creating a protective barrier on the top of the stomach contents.

      Thank you 🙂

  32. Hello,
    Through my searches I have found a Gaviscon Advance Aniseed and Gaviscon Advance. I cannot find the difference between the two.
    Any ideas?
    Thank you,

    1. Actually, I did finally find out. Aniseed is just a flavor. 🙂

      I just wanted to make sure that the one I am buying contains the algae extract. I guess they both do.

    2. Hi,
      One may be from another country. Or perhaps they are the same thing, I would need to see the products in question to know for sure.

  33. Hi
    Do you have the research to back up why GA should be taken 30 minutes after as opposed to straight away?
    also if I am treating an LPR pt with GA, symptoms improve after 2-3 months, do you suggest a step down approach ?

    1. No I do not have research on that. Just if you think about digestion, it can last a longer period so delaying taking the Gaviscon may help offer protection longer if you delay taking it somewhat. I think yes try to gradually lower it until you notice symptoms coming back. For instance I used to take 10 teaspoons a day and now I can take about half that daily. Just slowly and gradually while monitoring how you are feeling.

  34. Hello!

    Thanks for your blog. I have recently been diagnosed with GERD although all my symptoms present as LPR – primarily minor throat irritation and post-nasal drip.
    While my symptoms have been mild, I am trying to get ahead of this. I am currently 2 weeks into a 4 week treatment on PPIs and have noticed a bit of a change but not much. I would love to try Gaviscon Advance, but can’t get my hands on it. Would a Sodium Alginate supplement work in a similar fashion?

    1. You are welcome. If your symptoms match LPR then you likely don’t have GERD at all, unless you have heartburn etc. then you may have both. Though typically PPIs don’t help with LPR symptoms much if at all as backed up by studies. The supplement wouldn’t work because it needs to interact with calcium to work properly. Also the dosage needs to be quite precise so trying it yourself is not recommended at all. If you in the US I would suggest reflux gourmet it has much the same effect as gaviscon advance and should be more assessable there.

  35. My husband has LPR. He eats and drinks with a G-tube directly to his stomach. Will the Gaviston Advance be too thick to go through his 6″ tube to his stomach? Not sure how thick Gaviston is. I could mix it with some water but would that dilute it too much to be effective? Not sure how to handle this. Lu

    1. I am not certain on that, but I imagine it should be okay to take it with his 6 inch tube. You should not mix it with water because that will negate the Gaviscons effect

  36. Katherine Anne Lipp

    I only have burning off throat, how long did it take you to get better after taken GA did you get better.
    And when a person is better can they have Chocolate, and coffee. Thanks

    1. I saw some improvement within a few days time. Though to get the best affect I had to follow a low acid diet like my wipeout diet. And yes later you can have chocolate and coffee too, I personally take them now in moderation without much concern.

  37. First thank you again for all your help. I’ trying very hard to stay away from PPI and appreciate your many suggestions and recipes.
    Its been suggested that with LPR we eat no bigger then our fist size and do multiple meals a day, that being said , do we take Gaviscon each of those times? How much is too much ?

    1. You are welcome Val. Yeah you can take Gaviscon after each time eating. The max you should take per day is 10 tea spoons (50ml). I suggest 2 teaspoons after bigger meals and at bedtime and 1 teaspoon after smaller meals.

  38. Hi there! I have purchased your wipeout diet plan and have just started a couple days ago. I have severe LPR. I’m weening off of Prilosec and am following your plan. When I started Prilosec 8 weeks ago (with a swollen voice box) it helped tremendously but now the LPR symptoms (lump in throat, burning, chest tightness, extremely painful sore throat)are all back with a vengeance. It’s the worse pain I’ve ever felt. I’m hoping your advice helps. My question is do you know if the tanning bed can potentially exacerbate LPR? I’m only going for a couple weeks before vacation but just wanted to ask in case it does worsen this condition.

    1. Hey Holly, thank you and yes it most likely will help just needs a little time. Definitely when you feel comfortable look into tapering off the PPIs though for now focusing on the diet and lifestyle things should be priority. The tanning bed should not make it worse, I doubt it at least. Only in the case maybe you overdid it and it made you dehydrated or something.

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