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	<title>Comments for Jamie A. Koufman, M.D., F.A.C.S.</title>
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	<link>http://www.jamiekoufman.com</link>
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		<title>Comment on Laryngopharyngeal Reflux (&#8220;Silent Reflux&#8221;): The Basics by Jamie A. Koufman, M.D., F.A.C.S.</title>
		<link>http://www.jamiekoufman.com/2010/01/08/silent-reflux-laryngopharyngeal-reflux-lpr-is-ubiquitous/comment-page-1/#comment-272</link>
		<dc:creator>Jamie A. Koufman, M.D., F.A.C.S.</dc:creator>
		<pubDate>Thu, 10 Nov 2011 16:31:18 +0000</pubDate>
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		<description>You can schedule an appointment by calling the Voice Institute of New York at 212-463-8014.</description>
		<content:encoded><![CDATA[<p>You can schedule an appointment by calling the Voice Institute of New York at 212-463-8014.</p>
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		<title>Comment on Laryngopharyngeal Reflux (&#8220;Silent Reflux&#8221;): The Basics by Rena Herson</title>
		<link>http://www.jamiekoufman.com/2010/01/08/silent-reflux-laryngopharyngeal-reflux-lpr-is-ubiquitous/comment-page-1/#comment-270</link>
		<dc:creator>Rena Herson</dc:creator>
		<pubDate>Wed, 09 Nov 2011 03:46:49 +0000</pubDate>
		<guid isPermaLink="false">http://www.jamiekoufman.com/?p=168#comment-270</guid>
		<description>I&#039;ve been dealing with the symptoms you describe for a decade, seeing gastroenterologists and taking PPIs and wondering why there was little improvement except with diet modification. The article in today&#039;s Times indicating that it is pepsin in the throat and not necessarily acid from the stomach that causes the damage is really a revelation. How can I get an appointment?</description>
		<content:encoded><![CDATA[<p>I&#8217;ve been dealing with the symptoms you describe for a decade, seeing gastroenterologists and taking PPIs and wondering why there was little improvement except with diet modification. The article in today&#8217;s Times indicating that it is pepsin in the throat and not necessarily acid from the stomach that causes the damage is really a revelation. How can I get an appointment?</p>
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		<title>Comment on Laryngopharyngeal Reflux (&#8220;Silent Reflux&#8221;): The Basics by Diana Demers</title>
		<link>http://www.jamiekoufman.com/2010/01/08/silent-reflux-laryngopharyngeal-reflux-lpr-is-ubiquitous/comment-page-1/#comment-269</link>
		<dc:creator>Diana Demers</dc:creator>
		<pubDate>Tue, 08 Nov 2011 20:45:13 +0000</pubDate>
		<guid isPermaLink="false">http://www.jamiekoufman.com/?p=168#comment-269</guid>
		<description>Have had this chronic cough due to Acid Reflux (family physician had me tested and it was confirmed) but nothing seems to help. Have tried food combining (protein with no starch etc.) so now I cannot wait to get your book and hopefully that will give me relieve!
Diana</description>
		<content:encoded><![CDATA[<p>Have had this chronic cough due to Acid Reflux (family physician had me tested and it was confirmed) but nothing seems to help. Have tried food combining (protein with no starch etc.) so now I cannot wait to get your book and hopefully that will give me relieve!<br />
Diana</p>
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		<title>Comment on Laryngopharyngeal Reflux (&#8220;Silent Reflux&#8221;): The Basics by Deborah Beasley</title>
		<link>http://www.jamiekoufman.com/2010/01/08/silent-reflux-laryngopharyngeal-reflux-lpr-is-ubiquitous/comment-page-1/#comment-268</link>
		<dc:creator>Deborah Beasley</dc:creator>
		<pubDate>Fri, 28 Oct 2011 05:06:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.jamiekoufman.com/?p=168#comment-268</guid>
		<description>I have had choking episodes for many years. I went to an ENT specialist who examined my vocal chords and found no irritation. He made no recommendations but did say I had larynogospasms. 
I do have constant phlegm in my throat with incessant clearing of the throat. 
What type of doctor would you recommend? I live in the Dallas, TX area.
Thank you. Your website is the most informative of anything I have found.</description>
		<content:encoded><![CDATA[<p>I have had choking episodes for many years. I went to an ENT specialist who examined my vocal chords and found no irritation. He made no recommendations but did say I had larynogospasms.<br />
I do have constant phlegm in my throat with incessant clearing of the throat.<br />
What type of doctor would you recommend? I live in the Dallas, TX area.<br />
Thank you. Your website is the most informative of anything I have found.</p>
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		<title>Comment on Laryngopharyngeal Reflux (&#8220;Silent Reflux&#8221;): The Basics by sally lannan</title>
		<link>http://www.jamiekoufman.com/2010/01/08/silent-reflux-laryngopharyngeal-reflux-lpr-is-ubiquitous/comment-page-1/#comment-267</link>
		<dc:creator>sally lannan</dc:creator>
		<pubDate>Thu, 20 Oct 2011 17:06:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.jamiekoufman.com/?p=168#comment-267</guid>
		<description>Great book, recently diagnosed with silent acid reflux, went to my dr after seven yrs of on and off chronic cough episodes, seemingly activated by using my voice, coughed through all 3 pregnancies (as well as had heartburn), had never thoguht of the connection, until the cough returned after not being preganant and without any  heartburn,my father was diagnosed with acid reflux (coughed for yrs), I thought perhaps even though I never have heartburn (outside of pregnancy) the cough could signify reflux, I was correct! Currently on 80 mgs of protonix, no more coughing, but after reading your book I plan to, effective immediately, attempt to manage with diet! I saw no mention of pregnancy related coughing and definitly feel that it was a huge part of figuring out this was reflux as I experienced the heartburn as well only during that time, happy to have solved this medical case for myself after 7 yrs of suffering!</description>
		<content:encoded><![CDATA[<p>Great book, recently diagnosed with silent acid reflux, went to my dr after seven yrs of on and off chronic cough episodes, seemingly activated by using my voice, coughed through all 3 pregnancies (as well as had heartburn), had never thoguht of the connection, until the cough returned after not being preganant and without any  heartburn,my father was diagnosed with acid reflux (coughed for yrs), I thought perhaps even though I never have heartburn (outside of pregnancy) the cough could signify reflux, I was correct! Currently on 80 mgs of protonix, no more coughing, but after reading your book I plan to, effective immediately, attempt to manage with diet! I saw no mention of pregnancy related coughing and definitly feel that it was a huge part of figuring out this was reflux as I experienced the heartburn as well only during that time, happy to have solved this medical case for myself after 7 yrs of suffering!</p>
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		<title>Comment on Laryngopharyngeal Reflux (&#8220;Silent Reflux&#8221;): The Basics by Joe S</title>
		<link>http://www.jamiekoufman.com/2010/01/08/silent-reflux-laryngopharyngeal-reflux-lpr-is-ubiquitous/comment-page-1/#comment-266</link>
		<dc:creator>Joe S</dc:creator>
		<pubDate>Fri, 14 Oct 2011 20:48:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.jamiekoufman.com/?p=168#comment-266</guid>
		<description>Thanks for the helpful write-up.  I noticed you mentioned twice-a-day PPIs... are Protonix, Nexium, or anything similar ever prescribed twice a day?  I tried Omeprazole twice per day and it turns out that I&#039;m allergic to it.</description>
		<content:encoded><![CDATA[<p>Thanks for the helpful write-up.  I noticed you mentioned twice-a-day PPIs&#8230; are Protonix, Nexium, or anything similar ever prescribed twice a day?  I tried Omeprazole twice per day and it turns out that I&#8217;m allergic to it.</p>
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		<title>Comment on Laryngopharyngeal Reflux (&#8220;Silent Reflux&#8221;): The Basics by Robert Cola</title>
		<link>http://www.jamiekoufman.com/2010/01/08/silent-reflux-laryngopharyngeal-reflux-lpr-is-ubiquitous/comment-page-1/#comment-265</link>
		<dc:creator>Robert Cola</dc:creator>
		<pubDate>Mon, 10 Oct 2011 20:26:54 +0000</pubDate>
		<guid isPermaLink="false">http://www.jamiekoufman.com/?p=168#comment-265</guid>
		<description>I  recenlty visited an Otolaryngologist. I had difficulty swollowing.  He put a scope through my nose a suggested i take a PPI.  He gave me Dexilant, but only 1 time per day.  I belive you suggest 2x/s per day.  I don&#039;t want to second guess my doctor.  It&#039;s been about 1 week and I&#039;m feeling better.  Any thoughts. Thanks</description>
		<content:encoded><![CDATA[<p>I  recenlty visited an Otolaryngologist. I had difficulty swollowing.  He put a scope through my nose a suggested i take a PPI.  He gave me Dexilant, but only 1 time per day.  I belive you suggest 2x/s per day.  I don&#8217;t want to second guess my doctor.  It&#8217;s been about 1 week and I&#8217;m feeling better.  Any thoughts. Thanks</p>
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		<title>Comment on Laryngopharyngeal Reflux (&#8220;Silent Reflux&#8221;): The Basics by Vikash (Mauritius Island)</title>
		<link>http://www.jamiekoufman.com/2010/01/08/silent-reflux-laryngopharyngeal-reflux-lpr-is-ubiquitous/comment-page-1/#comment-264</link>
		<dc:creator>Vikash (Mauritius Island)</dc:creator>
		<pubDate>Sun, 09 Oct 2011 19:14:23 +0000</pubDate>
		<guid isPermaLink="false">http://www.jamiekoufman.com/?p=168#comment-264</guid>
		<description>I have found that your description of LPR is very documented and highly informative to LPR and GERD sufferers like me, compared to many articles I have gone through since a few years. Congratulations for this. I think I suffer from LPR more often than I suffer from GERD. I have seen a few gastroentorologists and ENT specialists. I have been and I am still on PPI : 20 mg in the morning everyday. But my doctors do not seem to understand my problem, they say its stress which is causing my hyperacidity, nausea, sour taste in the mouth, burning sensation at the back of my tongue, ear pain...One has even prescribed me Prozac for this. In fact, it is these symptoms that are depressing me. I don&#039;t think an anti-depression treatment will cure my LPR and GERD. I have persistent burning sensation on the left side of my throat. The papillae on the left side of my tongue have become enlarged  and also my gum pains in this region, especially during the day. I don&#039;t know what to do. I am suffering from all these symptoms since four years now and I fear this could result into cancer. Please, give me some medical advice as to how I can get rid of these problems and live a normal life.</description>
		<content:encoded><![CDATA[<p>I have found that your description of LPR is very documented and highly informative to LPR and GERD sufferers like me, compared to many articles I have gone through since a few years. Congratulations for this. I think I suffer from LPR more often than I suffer from GERD. I have seen a few gastroentorologists and ENT specialists. I have been and I am still on PPI : 20 mg in the morning everyday. But my doctors do not seem to understand my problem, they say its stress which is causing my hyperacidity, nausea, sour taste in the mouth, burning sensation at the back of my tongue, ear pain&#8230;One has even prescribed me Prozac for this. In fact, it is these symptoms that are depressing me. I don&#8217;t think an anti-depression treatment will cure my LPR and GERD. I have persistent burning sensation on the left side of my throat. The papillae on the left side of my tongue have become enlarged  and also my gum pains in this region, especially during the day. I don&#8217;t know what to do. I am suffering from all these symptoms since four years now and I fear this could result into cancer. Please, give me some medical advice as to how I can get rid of these problems and live a normal life.</p>
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		<title>Comment on Laryngopharyngeal Reflux (&#8220;Silent Reflux&#8221;): The Basics by sergio camacho</title>
		<link>http://www.jamiekoufman.com/2010/01/08/silent-reflux-laryngopharyngeal-reflux-lpr-is-ubiquitous/comment-page-1/#comment-262</link>
		<dc:creator>sergio camacho</dc:creator>
		<pubDate>Sun, 04 Sep 2011 03:00:40 +0000</pubDate>
		<guid isPermaLink="false">http://www.jamiekoufman.com/?p=168#comment-262</guid>
		<description>Dr. Koufman, I am a GERD patient from Mexico, I have a cholecistectomy 2 years ago,im 30 years old, 1 year ago i feel the symptons that you mentioned, lump in throat, mucus, a dry hoarness, i have taken ppi from 2 years, but know i feel that is not enough because the issue in my throat continues. Endoscopy: hiatal hernia 1 inch, Impedance: 142 if acid reflux and 40 non acid reflux, Result: pathologic acid reflux. What should i do? please help me.</description>
		<content:encoded><![CDATA[<p>Dr. Koufman, I am a GERD patient from Mexico, I have a cholecistectomy 2 years ago,im 30 years old, 1 year ago i feel the symptons that you mentioned, lump in throat, mucus, a dry hoarness, i have taken ppi from 2 years, but know i feel that is not enough because the issue in my throat continues. Endoscopy: hiatal hernia 1 inch, Impedance: 142 if acid reflux and 40 non acid reflux, Result: pathologic acid reflux. What should i do? please help me.</p>
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		<title>Comment on Laryngopharyngeal Reflux (&#8220;Silent Reflux&#8221;): The Basics by philip devlin</title>
		<link>http://www.jamiekoufman.com/2010/01/08/silent-reflux-laryngopharyngeal-reflux-lpr-is-ubiquitous/comment-page-1/#comment-257</link>
		<dc:creator>philip devlin</dc:creator>
		<pubDate>Thu, 11 Aug 2011 14:06:24 +0000</pubDate>
		<guid isPermaLink="false">http://www.jamiekoufman.com/?p=168#comment-257</guid>
		<description>Is it okay to gargle with a warm saltwater solution to alleviate the symptoms of a LPR inflamed throat? If so, how often?
Thanks for writing the book.It has been of great help to me.</description>
		<content:encoded><![CDATA[<p>Is it okay to gargle with a warm saltwater solution to alleviate the symptoms of a LPR inflamed throat? If so, how often?<br />
Thanks for writing the book.It has been of great help to me.</p>
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