LOW-ACID DIET FOR RECALCITRANT LARYNGOPHARYNGEAL REFLUX: THERAPEUTIC BENEFITS AND THEIR IMPLICATIONS
Acid reflux is a common and expensive disease, also known as laryngopharyngeal reflux (LPR), gastroesophageal reflux disease (GERD) and “silent reflux.” Actually, the term “acid reflux” is a misnomer, since tissue damage is caused by a stomach enzyme, pepsin. The confusion stems from the fact that pepsin requires acid for its activation. In a recent study, Dr. Jamie Koufman showed that 95% of reflux patients who were failing medical treatment with twice-daily proton pump inhibitors (PPIs) such as Nexium, Prilosec, Protonix, and Zegerid, responded to a strict low-acid (almost acid-free) diet. Some of the patients on the low-acid diet became completely free of symptoms.
Reflux is epidemic and now affects 40% of Americans. And half of them don’t even know they have it because they have silent reflux. In addition, reflux-related esophageal cancer has increased 850% since the 1970s. This article explains the why, how, and when of the reflux epidemic.