{"id":17276,"date":"2024-11-26T12:44:43","date_gmt":"2024-11-26T11:44:43","guid":{"rendered":"https:\/\/refluxkrankheit.ch\/?page_id=17276"},"modified":"2026-05-26T15:27:07","modified_gmt":"2026-05-26T13:27:07","slug":"silent-reflux","status":"publish","type":"page","link":"https:\/\/refluxkrankheit.ch\/en\/reflux-disease\/silent-reflux\/","title":{"rendered":"Silent Reflux"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"17276\" class=\"elementor elementor-17276 elementor-17275\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6de584b elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"6de584b\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3386a48\" data-id=\"3386a48\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1c052b7 elementor-widget elementor-widget-text-editor\" data-id=\"1c052b7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>Overview<\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-069e0bb\" data-id=\"069e0bb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-4b991aa elementor-section-full_width elementor-section-height-default elementor-section-height-default qodef-elementor-content-no\" data-id=\"4b991aa\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-eba8734\" data-id=\"eba8734\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-279ef70 elementor-widget elementor-widget-promedica_core_image_with_text\" data-id=\"279ef70\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_image_with_text.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-image-with-text qodef-layout--simple qodef-image-action--custom-link \">\n\t<div class=\"qodef-m-image\" >\n\n\t\n\t\t\t<a itemprop=\"url\" href=\"#symptome\" target=\"_self\">\n\t\n\t\t<img fetchpriority=\"high\" decoding=\"async\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2024\/11\/stiller_reflux_2-400x250.jpg\" alt=\"\" width=\"400\" height=\"250\" data-ratio=\"1.6\" \/>\n\t\t\t<\/a>\n\t\n\t<\/div>\n\t<div class=\"qodef-m-content\">\n\t\t\t\t<div class=\"qodef-m-title-button-holder\">\n\t\t\t\t<h6 class=\"qodef-m-title\" style=\"margin-top: 25px;font-size: 16px\">\n\t\t\t\t\t<a itemprop=\"url\" href=\"#symptome\" target=\"_self\">\n\t\t\t\t\tSymptoms\t\t\t\t\t<\/a>\n\t\t\t<\/h6>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-807f229\" data-id=\"807f229\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4ac5fdd elementor-widget elementor-widget-promedica_core_image_with_text\" data-id=\"4ac5fdd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_image_with_text.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-image-with-text qodef-layout--simple qodef-image-action--custom-link \">\n\t<div class=\"qodef-m-image\" >\n\n\t\n\t\t\t<a itemprop=\"url\" href=\"#diagnose\" target=\"_self\">\n\t\n\t\t<img decoding=\"async\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/magen-headerbild-400x250.jpg\" alt=\"\" width=\"400\" height=\"250\" data-ratio=\"1.6\" \/>\n\t\t\t<\/a>\n\t\n\t<\/div>\n\t<div class=\"qodef-m-content\">\n\t\t\t\t<div class=\"qodef-m-title-button-holder\">\n\t\t\t\t<h6 class=\"qodef-m-title\" style=\"margin-top: 25px;font-size: 16px\">\n\t\t\t\t\t<a itemprop=\"url\" href=\"#diagnose\" target=\"_self\">\n\t\t\t\t\tDiagnosis\t\t\t\t\t<\/a>\n\t\t\t<\/h6>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-1dca7da\" data-id=\"1dca7da\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e962657 elementor-widget elementor-widget-promedica_core_image_with_text\" data-id=\"e962657\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_image_with_text.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-image-with-text qodef-layout--simple qodef-image-action--custom-link \">\n\t<div class=\"qodef-m-image\" >\n\n\t\n\t\t\t<a itemprop=\"url\" href=\"#therapieoptionen\" target=\"_self\">\n\t\n\t\t<img decoding=\"async\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/operation-stimmungsbild-5-400x250.jpg\" alt=\"\" width=\"400\" height=\"250\" data-ratio=\"1.6\" \/>\n\t\t\t<\/a>\n\t\n\t<\/div>\n\t<div class=\"qodef-m-content\">\n\t\t\t\t<div class=\"qodef-m-title-button-holder\">\n\t\t\t\t<h6 class=\"qodef-m-title\" style=\"margin-top: 25px;font-size: 16px\">\n\t\t\t\t\t<a itemprop=\"url\" href=\"#therapieoptionen\" target=\"_self\">\n\t\t\t\t\tTreatment Options\t\t\t\t\t<\/a>\n\t\t\t<\/h6>\n\t\t\t\t\t<\/div>\n\t<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-584d623 elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"584d623\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7cff569\" data-id=\"7cff569\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-dfff027 elementor-section-full_width elementor-section-height-default elementor-section-height-default qodef-elementor-content-no\" data-id=\"dfff027\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-7cdf4d4\" data-id=\"7cdf4d4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0085421 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-promedica_core_section_title\" data-id=\"0085421\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_section_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-section-title qodef-alignment--left  \">\n\t\t<h2 class=\"qodef-m-title\" >\n\t\t\t\t\tSilent Reflux: An Under-Recognized Disorder With Non-Specific Symptoms\t\t\t<\/h2>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-29ee5a4 elementor-section-full_width elementor-section-height-default elementor-section-height-default qodef-elementor-content-no\" data-id=\"29ee5a4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-4385990\" data-id=\"4385990\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-404bbf0 elementor-widget elementor-widget-text-editor\" data-id=\"404bbf0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>What is Reflux?<\/h3><p>The term reflux refers to the backflow of gastric contents into the esophagus. In this process, gastric acid\u2014often in combination with digestive enzymes and bile acids\u2014comes into contact with the esophageal mucosa, which is not adequately protected against these aggressive substances. This may lead to typical symptoms such as heartburn, acid regurgitation, and pain behind the breastbone. Reflux is caused by an insufficient closure mechanism at the level of the lower esophageal sphincter, often in association with a hiatal hernia.   <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-002f2d3\" data-id=\"002f2d3\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a2a5fc7 elementor-widget elementor-widget-text-editor\" data-id=\"a2a5fc7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3>What is Silent Reflux?<\/h3><p>Silent reflux, also referred to as laryngopharyngeal reflux (LPR), represents a specific form of reflux disease. In this condition, gastric contents not only reach the esophagus but may also ascend as an aerosol of fine droplets into the laryngeal and pharyngeal regions. Unlike gastroesophageal reflux, typical symptoms such as acid regurgitation are often absent. Instead, silent reflux leads to nonspecific symptoms caused by damage to the sensitive mucosa of the upper airway and throat structures, particularly the larynx.  <\/p><p>Pepsin appears to play an important role. Under normal conditions, pepsin is active in the stomach, where it digests proteins. In the laryngeal and pharyngeal regions, however, pepsin may become reactivated\u2014especially upon contact with acidic foods or beverages\u2014and contribute to mucosal injury. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6d8e908 elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"6d8e908\" data-element_type=\"section\" data-e-type=\"section\" id=\"symptome\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-18157aa\" data-id=\"18157aa\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4444931 elementor-widget-tablet__width-inherit elementor-widget elementor-widget-promedica_core_section_title\" data-id=\"4444931\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_section_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-section-title qodef-alignment--left  \">\n\t\t<h2 class=\"qodef-m-title\" >\n\t\t\t\t\tSymptoms of Silent Reflux\t\t\t<\/h2>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d8bbe3 elementor-widget elementor-widget-text-editor\" data-id=\"4d8bbe3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The symptoms of silent reflux are often non-specific and diverse. These may include: <\/p><ul><li>Recurrent hoarseness, particularly in the morning<\/li><li>Chronic dryness or pain in the throat<\/li><li>Persistent coughing and frequent throat clearing<\/li><li>Sensation of a lump in the throat<\/li><li>Sour or bitter taste in the mouth<\/li><li>Chronic laryngitis<\/li><li>Excess mucus production in the nasal and pharyngeal region<\/li><li>Sinusitis<\/li><li>Respiratory symptoms, often misdiagnosed as asthma<\/li><\/ul><p>Because typical symptoms such as heartburn are absent, the condition is often diagnosed late and frequently misinterpreted. Patients often consult multiple specialists before the correct diagnosis is established. This delay may lead to significant impairment in quality of life, including social withdrawal and depressive symptoms.  <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5ca392f\" data-id=\"5ca392f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-894796a elementor-widget elementor-widget-promedica_core_single_image\" data-id=\"894796a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_single_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-single-image qodef-layout--default \">\n\t<div class=\"qodef-m-image\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2024\/11\/stiller_reflux_2-800x1200.jpg\" alt=\"\" width=\"800\" height=\"1200\" data-ratio=\"0.66666666666667\" \/>\t<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3754668 elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"3754668\" data-element_type=\"section\" data-e-type=\"section\" id=\"diagnose\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-85f19e4\" data-id=\"85f19e4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9bfcb02 elementor-widget elementor-widget-text-editor\" data-id=\"9bfcb02\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2>Diagnosis of Silent Reflux<\/h2><p>Diagnosis initially relies on a detailed medical history. This is often followed by upper endoscopy to assess the mucosa, the function of the lower esophageal sphincter, and the presence of a hiatal hernia. In silent reflux, findings are often unremarkable.  <\/p><p>Additional testing may include esophageal pH monitoring or impedance testing to quantify acid exposure. Measurements in the pharyngeal region (e.g., Restech) were used more frequently in the past but are no longer considered standard, as they often do not reliably reflect the actual presence of reflux. Accordingly, they are now used only in selected individual cases.   <\/p><p>Overall, the diagnosis of silent reflux is considerably more challenging than that of classic reflux disease.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-bfce2b0\" data-id=\"bfce2b0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c086bb9 elementor-widget elementor-widget-promedica_core_single_image\" data-id=\"c086bb9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_single_image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-single-image qodef-layout--default \">\n\t<div class=\"qodef-m-image\">\n\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"682\" src=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/fe89d7494de0344df39901dcb353b8f6-xxlarge-1024x682.jpeg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/fe89d7494de0344df39901dcb353b8f6-xxlarge-1024x682.jpeg 1024w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/fe89d7494de0344df39901dcb353b8f6-xxlarge-300x200.jpeg 300w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/fe89d7494de0344df39901dcb353b8f6-xxlarge-768x512.jpeg 768w, https:\/\/refluxkrankheit.ch\/wp-content\/uploads\/2023\/08\/fe89d7494de0344df39901dcb353b8f6-xxlarge.jpeg 1451w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t<\/div>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-be7718f elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"be7718f\" data-element_type=\"section\" data-e-type=\"section\" id=\"therapieoptionen\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6e1fb3b\" data-id=\"6e1fb3b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-32e620d elementor-widget-tablet__width-inherit elementor-widget elementor-widget-promedica_core_section_title\" data-id=\"32e620d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_section_title.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"qodef-shortcode qodef-m  qodef-section-title qodef-alignment--left  \">\n\t\t<h2 class=\"qodef-m-title\" >\n\t\t\t\t\tTreatment Options for Silent Reflux\t\t\t<\/h2>\n\t\t<p class=\"qodef-m-subtitle\" style=\"font-size: 20px\">\n\tTreatment for silent reflux involves a multi-step approach, following the guidelines for managing classic reflux disease:\t<\/p>\n\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-2603acf elementor-section-full_width elementor-section-height-default elementor-section-height-default qodef-elementor-content-no\" data-id=\"2603acf\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-0cd39a0\" data-id=\"0cd39a0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5484613 elementor-widget elementor-widget-text-editor\" data-id=\"5484613\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Lifestyle and Dietary Modifications<\/strong><\/p><ul><li>Avoidance of acid-promoting foods such as coffee, alcohol, spicy foods, fried meals, and acidic fruits or juices.<\/li><li>Intake of at least 2.5 liters of fluid per day.<\/li><li>Avoidance of late meals (at least three hours before bedtime).<\/li><li>Lifestyle adjustments include sleeping with a slightly elevated head position (4\u20135 cm), preference for the left-side sleeping position, humidification of bedroom air, and smoking cessation.<\/li><li>Lozenges or chewing gum may be used to stimulate saliva production.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-c93d3f3\" data-id=\"c93d3f3\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3b74892 elementor-widget elementor-widget-text-editor\" data-id=\"3b74892\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Medical Therapy<\/strong><\/p><p>Medical treatment is always aimed at protecting the mucosa of the throat and pharynx from stomach acid. Different mechanisms of action are available for this purpose:<\/p><ul><li><strong>Alginates<\/strong> (e.g., Gaviscon) form a protective barrier on top of the gastric contents, reducing the contact between acid and the mucosal surfaces.<\/li><li><strong>Antacids<\/strong> (e.g., Rennie) neutralize excess gastric acid.<\/li><li><strong>Proton pump inhibitors<\/strong> (PPIs, e.g., esomeprazole) inhibit gastric acid production. These medications are considered the standard of care for conservative treatment of reflux disease.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-595f647\" data-id=\"595f647\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c3712ce elementor-widget elementor-widget-text-editor\" data-id=\"c3712ce\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Surgical Therapy<\/strong><\/p><p>If conservative measures are insufficient, surgical treatment may be considered. Patients with an associated hiatal hernia in particular benefit from surgical restoration of the barrier between the esophagus and the stomach, even in the presence of silent reflux. The modified BICORN procedure is performed using a minimally invasive, function-preserving approach and has shows favorable outcomes:<\/p><ul><li>Symptom resolution in approximately 70% of patients<\/li><li>Significant improvement in an additional 20% of patients<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8c1988d qodef-elementor-content-grid elementor-section-full_width elementor-section-height-min-height elementor-section-height-default elementor-section-items-middle\" data-id=\"8c1988d\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-05f582d\" data-id=\"05f582d\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9a969bc elementor-widget__width-initial elementor-widget-tablet__width-initial elementor-widget-mobile__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"9a969bc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4><span style=\"color: #ffffff;\">Silent reflux is a distinct form of reflux disease. Gastric acid and digestive enzymes\u2014particularly pepsin\u2014reach the larynx and pharynx as fine aerosolized microdroplets, causing irritation and damage to the mucosa. Symptoms predominantly affect the throat. <\/span><\/h4><p><span style=\"color: #ffffff80;\">Mischa Feigel, MD<br><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e6ba841 elementor-section-full_width qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"e6ba841\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-e7e2d75\" data-id=\"e7e2d75\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b2f494c elementor-widget elementor-widget-text-editor\" data-id=\"b2f494c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4 style=\"margin-top: 10px;\">Recommendation in Case of Suspected Silent Reflux<\/h4>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-8afe54e\" data-id=\"8afe54e\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3ed40c8 elementor-widget elementor-widget-text-editor\" data-id=\"3ed40c8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>As the exact mechanisms of laryngopharyngeal reflux are not yet fully understood, this condition represents a significant diagnostic and therapeutic challenge. If silent reflux is suspected, evaluation by a specialist in reflux disease is recommended. Interdisciplinary collaboration between different specialties is often beneficial. A structured diagnostic approach and individualized treatment are essential to relieve symptoms or at least improve them and to achieve a sustained improvement in quality of life.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3d9107d elementor-section-full_width elementor-section-content-middle qodef-elementor-content-grid elementor-section-height-default elementor-section-height-default\" data-id=\"3d9107d\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bf2e3d5\" data-id=\"bf2e3d5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8cf1912 elementor-widget-tablet__width-initial elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"8cf1912\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2 style=\"text-align: center;\"><span style=\"color: #ffffff;\">Do you have any questions? Contact us.<\/span><\/h2>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fba219a elementor-widget-tablet__width-initial elementor-widget elementor-widget-promedica_core_button\" data-id=\"fba219a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"promedica_core_button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<a class=\"qodef-shortcode qodef-m  qodef-button qodef-layout--filled qodef-size--large qodef-html--link \" href=\"https:\/\/refluxkrankheit.ch\/en\/contact\/\" target=\"_self\"  >\n\t<span class=\"qodef-m-text\">Contact<\/span>\n<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Overview Symptoms Diagnosis Treatment Options Silent Reflux: An Under-Recognized Disorder With Non-Specific Symptoms What is Reflux? The term reflux refers to the backflow of gastric contents into the esophagus. In this process, gastric acid\u2014often in combination with digestive enzymes and bile acids\u2014comes into contact with the esophageal mucosa, which is not adequately protected against these [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":16875,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-full-width.php","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"class_list":["post-17276","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Silent Reflux - Reflux Surgery - Center for Visceral Surgery and Bariatrics<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/refluxkrankheit.ch\/en\/reflux-disease\/silent-reflux\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Silent Reflux - Reflux Surgery - Center for Visceral Surgery and Bariatrics\" \/>\n<meta property=\"og:description\" content=\"Overview Symptoms Diagnosis Treatment Options Silent Reflux: An Under-Recognized Disorder With Non-Specific Symptoms What is Reflux? 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