LPR affects the larynx, pharynx, bronchi, trachea, and possibly even one's lungs. Sort of like a "Silent reflux" ...lovely...

LPR occurs when the upper esophageal sphincter (UES) opens and allows reflux to enter the throat. You can read all about it here:

http://ezinearticles.com/?Acid-Reflux-Part-3---Laryngopharyngeal-Reflux-(LPR)&id=157576

The ENT told me that my one a day PPI wasn't enough and to take an additional OTC like pepcid ac in addition. So I have for 3 days now and it has not made a difference. I am still with several of the symptoms as listed in the article. He told me to see him in 6 weeks. I just can't take another 6 weeks of feeling like I have a glob in my throat and all the futile attempts of throat clearing only makes my throat sore. So now what? Do I wait 6 weeks? I've had this going on since before my surgery only then I hadn't focused on it but I did find out I had an hiatal hernia (which was repaired at the time of the sleeve surgery). Is there anyone who knows about this "silent reflux" or LPR? Anyone experiencing this? I can't believe that instead of coming off the PPI medication I'm looking at increasing acid blockers by taking more stuff! Why does this have to happen? I just want to be OK! I'm calling another gastroenterologist (the one who did my upper endoscopy pre surgery). I want to get his opinion and if another upper endo will help to really see what's going on then I want him to do it. I finally got the courage to be scoped by the ENT and now I've a hunch I'm gonna have to have probes attached to my esophagus that will transmit info about pH levels via radio frequency!