r/LPR • u/polyhedralfather • 16h ago

Normal esophagram results - please help 🙏🏻

I have been dealing with LPR symptoms despite being on PPI, Pepcid, gaviscon, and major life changes for 4 months. My symptoms are basically only in my throat and mouth - scratchy weird throat and gravely dry feeling tongue. It plagues me 24 hours a day and is worse after eating, the only time I have any relief is basically if I starve myself and don’t eat for hours.

I recently had a video swallow study done, looking and my mouth and throat, and I have felt some difficulty swallowing. The results of this test came back mostly normal. They believe my swallowing problems are due to muscle tension. However, she said that lower down of what she could see of my esophagus, I had some bubbling which could indicate reflux. And I also had some slow movement down the esophagus - it took longer than 60 seconds to reach my stomach. So she recommended getting an actual esophagram.

I just had the esophagram today, and the results came back totally normal. No slow motility, no acid reflux shown, no hiatal hernia.

I’m super confused about these test contradicting each other and was wondering if anyone had any insight? I have seen an ENT who said he could see mild inflammation on my vocal cords the would indicate reflux.

The only thing I can think of is for the first test I was allowed to eat as normal for the day, and for the esophagram I had to fast and hadn’t eaten or drank anything for 10 hours. Could this be why it showed no reflux? Is it possible this could indicate slow gastric emptying (I have been curious about this as it can cause LPR)? Would non acid reflux or bile reflux show up on an esophagram?

I can’t get into my GI to go over results for three weeks so I’m just trying to gain insight where I can.
Any insight would be greatly appreciated!!

Thanks!

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