Dr. Jamie Koufman, Respiratory Reflux Expert

01/13/2026

Does coffee/caffeine cause acid reflux? Caffeine is a stimulant that, at doses over 200 mg, can relax the lower esophageal sphincter and trigger acid reflux. A typical cup of coffee has about 90 mg. Side effects of caffeine include anxiety, rapid heart rate, shakiness, insomnia, headaches, dizziness, dehydration, and dependency.

Caffeine isn’t just in coffee—sodas and energy drinks can contain up to 500 mg, making them especially potent. Additionally, coffee itself (even decaf) can trigger reflux in 5–10% of people, regardless of caffeine.

Learn more: https://jamiekoufman.com/does-coffee-caffeine-cause-acid-reflux/

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Tune in monthly - 1st Wednesday - Reflux Hour at 12pm EST.

01/08/2026

Join us for this month’s Respiratory Reflux Hour with Dr. Jamie Koufman!

If you’ve been told “everything looks normal” but still don’t feel right, this conversation is for you.

Dr. K's Respiratory Reflux Hour is on her page LIVE every first Wednesday of the month at 12pm EST. All Reflux Hours are uploaded to her YouTube channel promptly.

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Join us for this month’s Respiratory Reflux Hour with Dr. Jamie Koufman! If you’ve been told “everything looks normal” but still don’t feel right, this conve...

01/07/2026

If you’re struggling with acid reflux, silent reflux (LPR), chronic cough, voice issues, or respiratory symptoms that just won’t go away — you’re in the right place. 👇

About Dr. Jamie Koufman
Dr. Koufman is a world-renowned physician, surgeon, and reflux expert — the doctor who coined the terms laryngopharyngeal reflux and silent reflux. Her groundbreaking research has transformed how reflux is understood and treated worldwide.

Watch All Past Reflux Hours
Every month Dr. K goes live with practical, science-based answers to your questions about reflux triggers, diet, symptoms, treatments, and so much more. If you miss a session live, you can catch every Reflux Hour here on YouTube!

What You’ll Learn on This Channel:
• How reflux really works (hint: it’s not just “heartburn”) and why it’s often misdiagnosed.
• Diet & lifestyle strategies that help reduce symptoms and support healing.
• Real talk about triggers like late-night eating, alcohol, carbonation, and more.
• Answers to your questions — from chronic cough to voice problems.

📌 Don’t forget to subscribe to get notified when New Reflux Hours and other educational videos are posted.

Your journey to understanding and managing reflux starts here:

Dr. Jamie Koufman has been a leading clinician and researcher in the fields of laryngology, acid reflux, chronic cough and the voice for decades. Dr. Koufman...

01/07/2026

Acid Reflux: Why Doesn't My Doctor Know About This?

01/02/2026

Who Should Take the Reflux Challenge? Reflux is not just about heartburn, so should you consider taking the Dry January Reflux Challenge? If you have laryngitis, sinus or respiratory problems, allergies, post-nasal drip, chronic throat-clearing, asthma, bronchitis, shortness of breath or chronic cough, DO IT! No heartburn? You still may have reflux.

Even moderate alcohol consumption can significantly increase the risk of acid reflux. Alcohol relaxes the lower esophageal sphincter—the valve between the stomach and the esophagus—making reflux more likely. If you fall asleep with even a slight buzz, reflux can occur throughout the night, often presenting as Silent Respiratory Reflux (LPR).

Read more: https://jamiekoufman.com/take-the-dry-january-reflux-challenge/

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Take the challenge

12/29/2025

First Reflux Hour of 2026! Join us next Wednesday, January 7th at 12 noon EST. Post your questions below or send us a DM!

12/24/2025

Gastrointestinal specialists (GIs) have largely ignored research on Respiratory Reflux (LPR) and lack effective tests or treatments for it.

While focusing on esophageal reflux (GERD), they often overlook respiratory reflux, which is far more common. Financial incentives tied to procedures and surgery centers create conflicts of interest.

For respiratory reflux symptoms, seeing an otolaryngologist (ENT) is often a better choice than a gastroenterologist.

Read more here: https://jamiekoufman.com/why-doesnt-my-gastroenterologist-understand-my-acid-reflux-2/

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Acid Reflux, Specifically Respiratory Reflux, Aka LPR, Is the Most Common Cause of Laryngitis, a Term That Implies Hoarseness and Inflammation of the Vocal Cords

12/14/2025

With the holidays coming up, let’s revisit the best and worst candy for acid reflux!

The main ingredients in candy that can worsen acid reflux are: fat, chocolate, caffeine, and mint. These can relax the muscle that acts as a barrier between the stomach and esophagus, making reflux symptoms more likely.

Chewing gum or sucking on hard candy may actually help with reflux by increasing saliva production and swallowing.

Twizzlers are unlikely to trigger reflux. Dutch licorice is traditionally made with real licorice root, unlike most U.S. varieties – which are often artificially flavored.

Learn more: https://jamiekoufman.com/best-and-worst-candy-for-acid-reflux-twizzlers/

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Looking for candy for acid reflux? Learn which options are better for heartburn, which to avoid, and how Twizzlers compare to other popular treats.

12/14/2025

On this month's Reflux Hour, Dr. Koufman discusses symptoms of silent acid reflux and answers followers' questions.

Tune in every 1st Wednesday of the month for Dr.K's Reflux Hour on her page.

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On this month's Reflux Hour, Dr. Koufman discusses symptoms of silent acid reflux and answers followers' questions. Tune in every 1st Wednesday of the month ...

12/03/2025

Reflux in children often presents as respiratory reflux, without heartburn, and may mimic asthma or chronic cough, hoarseness, noisy breathing, and trouble inhaling, especially after meals or at night.

Many cases (mis-) diagnosed as asthma may be reflux, especially if symptoms don’t improve with inhalers. Asthma affects exhalation, while reflux-related breathing issues typically affect inhalation.

Simple diet and lifestyle changes can often manage and heal reflux without relying on medication.

Learn more here: https://jamiekoufman.com/reflux-in-children/?utm_source=Klaviyo&utm_medium=email&_kx=EY0ThzQ5WH7vXi6TSy_is0BBliarkAlkI9nbvPu5rf5-vgXFXuBjoOQ2-o1HACK9.WThP46

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Reflux in children is often mistaken for asthma. Learn how to recognize the symptoms and manage reflux naturally—without long-term medication.

12/03/2025

How do I know if I have silent reflux