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Reflux Symptom Index 2doc  Form

Reflux Symptom Index 2doc Form

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so when we think about the two forms of reflux disease again esophageal reflux versus respiratory or LPR symptoms of reflux the reason why those symptoms are different is because these diseases are actually caused by two different problems in the esophageal reflux we're dealing more with stomach contents whether that the basic contents like bile or acidic contents like acid or digestive enzymes coming up and reacting with in the esophagus to cause symptoms but what's really unique about the respiratory or LPR form of reflux which makes it so different is it's mostly aerosolized or more like a spray a gaseous spray form of gastric contents that is predominantly going to be dominated by pepsin which is absorbed into the tissues in the upper airway than the larynx and then reactivated not by acid coming from the stomach but rather acid that we ingest as part of our diet this is what accounts for the difference in the symptoms

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