Understanding Alkaline Water and LPR
Laryngopharyngeal reflux (LPR) is a condition where stomach acid travels up the esophagus and irritates the back of the throat. This can cause unpleasant symptoms like hoarseness, sore throat, coughing, and a feeling like there is a lump in the back of the throat. While LPR shares some similarities with traditional acid reflux, there are also key differences.
Symptoms of LPR
Some of the most common symptoms of LPR include:
- Hoarseness
- Frequent throat clearing
- Coughing or choking episodes
- Sensation of a lump in the throat
- Sore throat
- Difficulty swallowing
- Excess mucus
These symptoms tend to get worse after eating and when lying down. While antacids can sometimes provide relief, LPR requires more specific dietary and lifestyle changes to manage symptoms.
How Alkaline Water Can Help with LPR
There is some evidence that drinking alkaline water can help improve LPR symptoms. Alkaline water has a higher pH level than regular tap water. Proponents argue this alkaline pH can help neutralize stomach acid and relieve acid reflux symptoms.
Studies on Alkaline Water and Acid Reflux
Several studies have analyzed the effects of alkaline water on acid reflux symptoms:
- A 2016 study found drinking alkaline ionized water improved the symptoms of patients with LPR over a 12-week period.
- Another study saw improvements in hoarseness and cough among LPR patients after 90 days of drinking high pH water.
- However, a 2021 review noted more rigorous longer-term studies are still needed to confirm benefits.
Tips for Managing LPR Symptoms
While the research is still emerging, alkaline water is thought to be helpful for reducing acid reflux symptoms alongside other lifestyle measures. Here are some tips:
1. Eat Smaller, More Frequent Meals
Eating large meals puts added pressure on the esophageal sphincter, increasing the likelihood of acid backups. Instead, aim to eat smaller meals more frequently throughout the day.
2. Avoid Common Triggers
Certain foods like caffeine, alcohol, citrus fruits, tomatoes can worsen reflux symptoms. Try eliminating suspected triggers for short time periods to evaluate your response.
3. Lose Weight If Needed
Excess weight puts more pressure on the stomach and esophagus which makes reflux events more likely. Losing even a modest amount of weight can bring significant relief.
4. Avoid Eating Before Bed
Eating too close to bedtime means food sits in your stomach longer while gravity isn't helping it move through. Give your body 2-3 hours to digest before lying down.
5. Sleep with Head Elevated
Sleeping completely flat makes it easier for stomach contents to come back up the esophagus. Raise the head of your bed 6-8 inches or sleep propped up on pillows.
6. Wear Loose Clothing
Tight clothes put extra pressure on your stomach. This pressure can lead to acid and food pushing up from the stomach into the esophagus.
7. Drink Alkaline Water
Sipping on alkaline water throughout the day can help neutralize stomach acid. Brands like Essentia and CORE Hydration sell higher pH bottled waters.
When to See Your Doctor
Implementing lifestyle changes should help most LPR cases, but some people may need stronger interventions like prescription medications or surgery. See your doctor promptly if you experience:
- No improvement after 8 weeks of conservative treatment
- Progressively worsening symptoms
- Trouble swallowing (dysphagia)
- Weight loss or appetite changes
- Blood in vomit or black/tarry stools
Severe, persistent LPR symptoms can sometimes indicate complications like strictures, ulcers or even cancer in rare cases. Getting evaluated quickly can prevent small issues from becoming serious problems.
The Bottom Line
Alkaline water alone likely won't cure LPR, but when combined with other treatments it may support symptom relief. Speak with your doctor before making major changes to your medications or routine. With a proactive treatment plan customized for your situation, most patients can effectively control LPR.
FAQs
Does alkaline water completely cure LPR?
No, alkaline water alone does not guarantee a complete cure for LPR in all cases. However, regularly drinking alkaline ionized water may help relieve certain throat and respiratory symptoms when combined with other treatments.
What's the best alkaline water pH level for LPR?
Studies have used alkaline water with a pH between 8 and 9 to treat LPR. This higher pH helps counteract the stomach acid causing damage. Many brands achieve pH levels between 8 and 10.
When should I drink alkaline water for maximum benefits?
Drink alkaline water first thing in the morning before food or medications. Sipping frequently throughout the day is ideal as well, as this helps continuously neutralize acids. Drink another 8 oz about 30 minutes before bedtime.
Can I drink alkaline water with meals?
Yes, drinking alkaline water with meals can further help neutralize stomach acid during the digestion process. Just be sure to sufficiently elevate your head while drinking and avoid gulping large amounts too quickly.
Are there side effects from drinking alkaline water?
For most people alkaline water is very safe, especially short term. However, extremely high intakes for long periods may impact mineral levels over time. Moderation is key, so keep intake reasonable if drinking daily.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.
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