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Acid reflux in throat ( LPR)
Hello sir /ma'am,.
I am suffering from throat pain due to Acid reflux from past 2 yrs. No permanent relief from medicine.
As long as I take strong Acid blocking PPI drugs it stays calm and then flares up on stopping. I am lean slim person and follow a healthy life style. (alcohol once in 10 days, pure Veg)
My Gastro has now reffered to Psychiatrist.
pls let me know if you can provide any long term relief, I am feeling very very depressed due to this consistent pain in throat.
Answers (6)
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Psychiatry assessment advised as there are psychogenic factors, medicine definitely help
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Hi.. consult online for treatment
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We can understand your distress
To comment and plan a management in form of medications, detailed assessment regarding personality, mood, coping skills, sleep pattern will be needed
Duration of mood symptoms frequency it's association with GIT Symptoms all need to be explored
Do not worry,you must plan a consultation with a Psychiatrist with all previous medical records for proper evaluation and treatment plan
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Hello, Thanks for reaching out!
Your symptoms are real and distressing, and it is understandable that persistent throat pain for such a long duration has affected your mood. The referral to a psychiatrist does not mean the pain is “imaginary” or “only in the mind.” Many patients with long-standing acid reflux- related throat symptoms have a functional or hypersensitivity component along with reflux.
When pain persists despite adequate PPI treatment, possibilities include:
• Laryngopharyngeal reflux (LPR) with heightened throat sensitivity
• Visceral hypersensitivity (throat nerves become over-responsive)
• Stress-related muscle tension around the throat and neck
• Co-existing anxiety or low mood, which amplifies pain perception
In such cases, acid alone is not the only driver of symptoms, which is why PPIs help temporarily but do not give lasting relief.
Next Steps
A psychiatrist can help by treating pain sensitisation and associated anxiety/depression
• Certain low-dose neuromodulator medicines (not sedatives) are commonly used to reduce throat pain sensitivity
• Stress-management and relaxation techniques (especially throat/neck relaxation) play an important role
• Continue gastroenterology follow-up, but focus on a combined gut- brain approach
• Do not stop PPIs abruptly without medical advice- tapering is often needed
Health Tips
• Chronic pain often worsens mood, and low mood further worsens pain- this is a treatable cycle
• Being lean and having a healthy lifestyle does not rule out reflux hypersensitivity
• Avoid repeatedly focusing on the pain sensation- it increases nerve sensitisation
• With proper treatment, significant long-term improvement is very much possible
For more queries, Reach out for an online or in-person consultation:
📞 NEURONAL FIX CLINIC, RAMPRASTHA COLONY, Ghaziabad, (near Shreshtha Vihar, Delhi)- +91- 74XX52XX97XX67XX61
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Dr. Indraja Sharma
Psychiatrist
7 yrs exp
Kota
Hello, I understand how distressing chronic throat pain can be. In many cases of LPR, anxiety, stress, and heightened throat sensitivity can worsen symptoms even when acid is controlled. Psychiatric treatment focuses on reducing this hypersensitivity and associated low mood using stress-management, psychotherapy, and sometimes low-dose neuromodulating medicines. This often gives long-term relief when PPIs alone are not enough. Please consult a psychiatrist—help is definitely possible, and you don’t have to suffer like this.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.