Heartburn isn’t the only reflux symptom. In fact, you can have severe reflux and never have heartburn a day in your life. Here’s what you need to know: a type of reflux Laryngopharyngeal Reflux (LPR) often doesn’t involve heartburn usually. It isn’t just about acid reflux reaching the throat. While stomach acid traveling up (proximal reflux) can irritate the throat, LPR can also be pepsin-mediated. Pepsin is a digestive enzyme that can damage throat tissues even when acid levels are low or absen
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