Find Information About:

Drugs & Supplements

Get information and reviews on prescription drugs, over-the-counter medications, vitamins, and supplements. Search by name or medical condition.

Pill Identifier

Pill Identifier

Having trouble identifying your pills?

Enter the shape, color, or imprint of your prescription or OTC drug. Our pill identification tool will display pictures that you can compare to your pill.

Get Started

My Medicine

Save your medicine, check interactions, sign up for FDA alerts, create family profiles and more.

Get Started

WebMD Health Experts and Community

Talk to health experts and other people like you in WebMD's Communities. It's a safe forum where you can create or participate in support groups and discussions about health topics that interest you.

  • Second Opinion

    Second Opinion

    Read expert perspectives on popular health topics.

  • Community


    Connect with people like you, and get expert guidance on living a healthy life.

Got a health question? Get answers provided by leading organizations, doctors, and experts.

Get Answers

Sign up to receive WebMD's award-winning content delivered to your inbox.

Sign Up

Heartburn/GERD Health Center

Select An Article

Laryngopharyngeal Reflux (Silent Reflux)

Font Size

Diagnosis of LPR

Although silent reflux is harder to diagnose than GERD, a doctor can diagnose it through a combination of a medical history, physical exam, and one or more tests. Tests may include:

  • An endoscopic exam, an office procedure that involves viewing the throat and vocal cords with a flexible or rigid viewing instrument
  • pH monitoring, which involves placing a small catheter through the nose and into the throat and esophagus; here, sensors detect acid, and a small computer worn at the waist records findings during a 24-hour period.

Treatment of LPR

Silent reflux treatment for infants and children may include:

  • Smaller and more frequent feedings
  • Keeping an infant in a vertical position for at least 30 minutes after feeding
  • Medications such as H2 blockers or proton pump inhibitors, as directed by the pediatrician
  • Surgery for any abnormalities that can't be treated in other ways

Silent reflux treatment for adults may include these lifestyle modifications:

  • Lose weight, if needed.
  • Quit smoking, if you are a smoker.
  • Avoid alcohol.
  • Restrict chocolate, mints, fats, citrus fruits, carbonated beverages, spicy or tomato-based products, red wine, and caffeine.
  • Stop eating at least three hours before going to bed.
  • Elevate the head of the bed about 4 to 6 inches.
  • Avoid wearing tight-fitting clothes around the waist.
  • Try chewing gum to increase saliva and neutralize acid.

You may also need to take one or more types of medicine such as:

Some people respond well to self-care and medical management. However, others need more aggressive and lengthy treatment. If this is not effective or if symptoms recur, your doctor may suggest surgery.

Next Article:

Today on WebMD

Woman eating pizza
How it starts, and how to stop it.
man with indigestion
Get lifestyle and diet tips.
woman shopping for heartburn relief
Medication options.
man with heartburn
Symptoms of both.
digestive health
Heartburn or Heart Attack
Top 10 Heartburn Foods
Is it Heartburn or Gerd
digestive myths
Extreme Eats
graphic of esophageal area