Silent Reflux and Sinusitis

Silent Reflux and Sinusitis

Do You Have Reflux & Not Even Know?

As I have discussed before, there many other factors to managing your chronic sinusitis. A silent, but often hazardous major factor that allergy and sinusitis sufferers deal with is Laryngopharyngeal Reflux (LPR).  LPR  is similar to Gastroesophageal Reflux (GERD) without the obvious upset stomach and heartburn.

Relux and sinus infectionsMost patients with LPR are unaware of the constant gastrointestinal acid that accumulates in their throat, particularly, when they are sleeping. Patients experiencing LPR usual have a feeling of a lump in their throat, dry cough, and chronic sinus infections. As with GERD, the danger with LPR is bacteria from your stomach acid that travels through your sinus cavity harvesting colonies and resulting in infection. To better manage and prevent sinus infections it is important to address all the contributing factors.

LPR can easily be managed through a lifestyle and diet change, and over the counter antacid medication.  A key factor is to monitor your diet by staying away from foods that trigger reflux like heavy base red sauces, hot sauces, chocolate, spicy foods, alcohol, and peppermint. Late night eating and a sedentary lifestyle can increase LPR flare-ups.  Hope this helps! I’m always open to questions and feedback!

By | 2018-06-04T15:15:18-04:00 May 24th, 2018|Chronic Sinusitis|

About the Author:

I am a passionate blogger, author, speaker and 3X Board Certified MD in Infectious Disease, Internal & Sleep Medicine. I currently am an infectious disease physician in Atlanta, GA for Infectious Disease Consultants.


  1. Darion October 14, 2014 at 12:23 am - Reply

    A simple change in diet can help minimize silent reflux immensely, but not every healthy diet is good for preventing reflux.

  2. Kristi October 22, 2014 at 9:23 pm - Reply

    Hi – I have GERD & suspected LPR but am on PPIs & have radically altered my diet to be low-acid & low-fat. However I am still constantly congested in my nasal passages. Clear mucus & not much of it, rarely other allergy symptoms, use Flonase daily & saline sinus rinses. Don’t take decongestants very often due to insomnia & HTN side effects. Any suggestions or advice? Thanks!

    • Dr. Andrew Pugliese October 24, 2014 at 10:41 am - Reply

      Thank you for taking the time to read my post and ask a question!

      My Opinion: You should have a work up done by a physician (more info in this post: and others) because there are other causes of sinusitis including Allergic Fungal Sinusitis (AFS) and CVID if that hasn’t been done.

      Also, I see patients who have congestion with Flonase for one of two reasons 1) fluticasone and 2) it’s mixed in alcohol which can act as an irritant.

      Hope that helps!

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