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Reflux doesn’t always present as heartburn. In laryngopharyngeal reflux (LPR), both acid and non-acid components of stomach contents — including pepsin and bile — can reach the throat, airway, and upper digestive tract. This leads to a pattern of non-classic GERD symptoms that are frequently mistaken for ENT, dental, pulmonary, or allergy conditions. Common LPR-associated symptoms include: • Ear fullness or ringing • Dental enamel erosion without cavities • Persistent lump in the throat (globus)
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