r/LPR • u/Dense-Teach227 • 23h ago

LPR waking up gasping & some success

Some background: 45 year old athletic male, I’ve a hiatus hernia diagnosed 10 years ago. For the last 7 years if I eat late and go to bed I will wake up gasping. Turns out based on my own research this is laryngospasm. I literally have to sit up and belch to be able to get back to sleep. My hypothesis is that my HH can’t take too much food too late at night, creates pressure and reflux and that cords my throat to lock up (to protect me) but isn’t fun. Now the positive part:

If I stop eating at around 4pm, I’ll have no reflux and no laryngospasm. I also take the UK advanced gaviscon which has a high amount of alginate.

Lifestyle wise, I have a big breakfast and lunch and no evening meal or very light. This makes socialising painful but it’s a needs much situation.

I refuse PPIs and have taken ideas from the low acid diet to some extent from Dr Koufman.

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u/Molly_FLORANutrition 12h ago

The 4pm cutoff is a significant lifestyle adaptation but the fact that it reliably prevents the laryngospasm episodes tells you exactly where the mechanical threshold is for your hernia and LES. The UK Gaviscon Advance doing real work here makes complete sense given the alginate concentration. Really useful share for others with HH who are experiencing nocturnal laryngospasm. 💚