If you have ever experienced that burning sensation in your chest after eating, you know how uncomfortable and concerning it can be. But did you know that not all reflux is created equal?
Millions of Canadians suffer from some form of reflux, yet many do not realize there are distinct types, each with different symptoms, causes, and treatment approaches. Understanding whether you have acid reflux, GERD, or LPR (silent reflux) is crucial for finding the right treatment and preventing long-term complications.
In this article, our naturopathic doctors explain the key differences and share evidence-based natural approaches to address the root cause of your reflux.
Reflux occurs when stomach contents flow backward into the esophagus. While a small amount of reflux is normal, when it becomes frequent or severe, it can cause symptoms and damage to the esophageal lining.
The key difference between types of reflux lies in what is being refluxed and where it travels:
Acid reflux is the most common form, characterized by stomach acid flowing back into the esophagus. It typically occurs after meals and causes a burning sensation in the chest (heartburn).
GERD is diagnosed when acid reflux occurs more than twice per week or when symptoms are severe enough to impact quality of life. Unlike occasional heartburn, GERD can lead to inflammation and damage to the esophageal lining.
LPR occurs when stomach acid travels all the way up to the throat, voice box (larynx), and even the nasal passages. Because symptoms often do not include classic heartburn, it is called "silent reflux" and frequently goes undiagnosed.
Why "Silent"?
Many people with LPR never experience heartburn because the acid
briefly touches the esophagus and rises quickly. The tissues of the
throat are more sensitive to acid than the esophagus, so even small
amounts can cause significant symptoms.
Conventional medicine often treats reflux with proton-pump inhibitors (PPIs) or antacids. While these can provide symptom relief, they do not address why reflux is occurring in the first place.
From a naturopathic perspective, reflux is rarely just about "too much stomach acid." Research suggests that many cases of reflux are actually caused by:
Excess bacterial fermentation in the small intestine produces gas, increasing pressure on the lower esophageal sphincter and causing reflux.
Chronic stress impairs digestion and weakens the esophageal sphincter, contributing to reflux symptoms.
Hidden sensitivities to gluten, dairy, or other foods can trigger inflammatory responses that weaken the esophageal lining.
Paradoxically, low stomach acid can cause reflux by impairing digestion and allowing bacterial overgrowth.
A structural issue where part of the stomach protrudes through the diaphragm, impairing the anti-reflux barrier.
Certain medications (NSAIDs, blood pressure drugs, antidepressants) can relax the esophageal sphincter.
At MARM Health, our naturopathic doctors take a comprehensive approach to treating reflux by addressing the underlying causes:
We use functional lab tests including SIBO breath tests, food sensitivity panels, and comprehensive digestive stool analysis to identify root causes.
Evidence-based herbal formulas (like berberine, mastic gum, and oil of oregano) to address bacterial overgrowth without disrupting gut flora.
Personalized dietary protocols that eliminate trigger foods, support healing, and restore gut microbiome balance.
Techniques to support the parasympathetic nervous system and improve digestive function through mindfulness, adrenal support, and lifestyle modifications.
Meal timing strategies, proper eating posture, elevation techniques, and sleep optimization to reduce reflux triggers naturally.
Not all reflux is the same – Acid reflux, GERD, and LPR have different symptoms and require different approaches.
LPR is often misdiagnosed – Silent reflux affects the throat and airways, not the chest, making it easy to miss.
PPIs do not fix the root cause – While helpful for symptom relief, acid-suppressing medications do not address why reflux is occurring.
Root cause matters – SIBO, food sensitivities, stress, and low stomach acid are common underlying factors.
Naturopathic medicine offers answers – A functional approach can identify and address the underlying causes of your reflux for lasting relief.
Yes, this is common with LPR (silent reflux). The acid may not stay in the esophagus long enough to cause heartburn, but it can still affect your throat, voice, and airways. Symptoms like chronic throat clearing, hoarseness, or a lump in the throat may be the only signs.
Research suggests that hypochlorhydria (low stomach acid) can contribute to reflux. When stomach acid is insufficient, digestion is impaired, leading to bacterial overgrowth and increased pressure that pushes acid upward. This is why some people feel better with digestive bitters or apple cider vinegar before meals.
SIBO (Small Intestinal Bacterial Overgrowth) produces excess gas as bacteria ferment carbohydrates. This gas increases pressure in the digestive tract, which can push stomach contents upward through a weakened lower esophageal sphincter. Studies show that SIBO is present in up to 78% of GERD patients.
Never stop prescription medications without consulting your healthcare provider. However, if you have been on long-term PPI therapy, discuss a tapering plan with your doctor. Our naturopathic doctors can work alongside your conventional care to address underlying causes and potentially reduce medication reliance over time.
We offer comprehensive functional testing including SIBO breath tests, food sensitivity panels (IgG and IgE), comprehensive digestive stool analysis, leaky gut assessment, and hormone testing. These tests help us identify the root cause of your reflux rather than just treating symptoms.
Book a free discovery call with our naturopathic doctors to explore root cause treatment options for your reflux.