Dr. Jamie Koufman, Respiratory Reflux Expert

10/21/2025

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 at the latest blog here: https://jamiekoufman.com/reflux-in-children/

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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.

10/14/2025

Acid reflux can cause tinnitus (ringing in the ears) by irritating the openings of the eustachian tubes.

There are more common causes of tinnitus, but it occurs in about 10% of people with respiratory reflux.

Symptoms like ear fullness, ear pain, popping, muffled hearing, and tinnitus can accompany reflux.

Respiratory reflux often occurs without heartburn, making it easy to overlook. Treating reflux may relieve ear-related symptoms, including tinnitus, in some patients.

Learn more at my latest blog: https://jamiekoufman.com/can-acid-reflux-cause-tinnitus-exploring-the-surprising-link/

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Can acid reflux cause tinnitus? Learn how respiratory reflux affects the ears—and see one patient’s recovery in this real-world case study.

10/07/2025

Silent reflux (also known as LPR or respiratory reflux) happens when stomach contents flow up into the throat and airways, causing symptoms like chronic cough, throat clearing, post-nasal drip, and hoarseness, often without heartburn.

Unlike GERD, which mainly causes heartburn, silent reflux affects the voice box, throat, sinuses, and lungs.

Management includes:
-A low-acid diet
-Lifestyle changes (especially around eating and sleep habits)
-Medications: H2 blockers (e.g., Pepcid) and alginates (e.g., Gaviscon Advance, RefluxRaft) are more effective than PPIs

A comprehensive treatment plan combining diet, lifestyle, and the right medications is key to symptom relief and preventing long-term damage.

Learn more: https://jamiekoufman.com/a-doctors-guide-to-treatment-of-silent-reflux-respiratory-reflux-and-lpr-2/

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Understanding Different Types of Reflux Effective treatment begins with understanding that not all reflux is the same. While GERD (gastroesophageal reflux disease) is the most widely recognized, it is neither the most prevalent nor the most harmful type of reflux. Silent reflux, which is harder to d...

10/02/2025

Yesterday's Reflux Hour was a great one! If you didn't catch it, you can always re-watch on Dr. K's YouTube channel.

On this month's Reflux Hour, Dr. K discusses ear, nose & throat manifestations of silent respiratory reflux and answers follower questions.Subscribe to get h...

10/01/2025

What bad can acid reflux do to the ears, nose, sinuses, and/or throat?

10/01/2025

The U.S. spends over $330 billion annually on respiratory diseases—many actually caused by undiagnosed respiratory reflux.

Conditions like asthma, allergies, sinusitis, COPD, and sleep apnea are often misdiagnosed, as reflux typically occurs silently during sleep and is hard to detect. Most doctors, even specialists, receive little training in recognizing or treating it—leaving patients with years of ineffective care.

Learn more at my most recent blog: https://jamiekoufman.com/acid-reflux-misdiagnosis/

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Many cases of asthma, allergies, sinusitis, COPD, and sleep apnea are acid reflux misdiagnoses. Learn how respiratory reflux is the real cause.

09/30/2025

Tomorrow!

Make plans to join us next Wednesday, October 1st for Dr. K's Reflux Hour. This month's topic is "Ear, Nose & Throat Manifestations of Silent Respiratory Reflux." Please submit your questions below or send us a DM.

09/24/2025

Make plans to join us next Wednesday, October 1st for Dr. K's Reflux Hour. This month's topic is "Ear, Nose & Throat Manifestations of Silent Respiratory Reflux." Please submit your questions below or send us a DM.

09/23/2025

Alkaline water for reflux isn’t just a trend — it’s backed by research and may play a key role in reducing symptoms and promoting recovery. Alkaline water helps neutralize pepsin, the enzyme that causes tissue damage in reflux.

To be effective, the water’s pH must be 8.0 or higher. Both bottled and filtered options (like pitchers) can be effective and convenient for daily use.

Learn more here: https://jamiekoufman.com/alkaline-water-and-acid-reflux/

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What is the best alkaline water for acid reflux, and how does it work? Backed by research—plus when to drink it and how to choose the right kind.

09/21/2025

Using fewer egg yolks helps retain flavor while lowering fat content in a reflux-friendly omelet. Lightly sauté all vegetables before adding them to improve digestibility. 🍳

Avoid common reflux triggers like onions, bell peppers, and processed meats. Choose gentle protein additions such as smoked salmon or extra egg whites.

Prepare vegetables at dinner the night before to simplify your morning breakfast.

Learn more here: https://jamiekoufman.com/how-to-make-a-reflux-friendly-omelet/

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Eggs are a staple across many cultures—in the American breakfast tradition, they’re beloved for their versatility and flavor. But, if you’re managing acid reflux, you may wonder if eggs can be part of a reflux-friendly breakfast. The answer lies not only in the egg itself, but also in the ingr...

09/18/2025

The gut microbiome—made up of bacteria, viruses, and fungi—plays a vital role in overall health. When unbalanced, it can lead to digestive, inflammatory, autoimmune, and even mental health issues.

Acid reflux can damage the microbiome, allowing harmful microbes like Candida to thrive and worsening symptoms. It may also trigger inflammation and weaken the digestive barrier.

While PPIs (like Nexium or Prilosec) ease symptoms, they can further disrupt gut balance. Poor diet and lifestyle habits often drive both reflux and microbiome imbalance.

Learn more here: https://jamiekoufman.com/gut-health-and-acid-reflux/

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Discover how gut health and acid reflux are deeply connected—and what steps you can take to restore balance, reduce symptoms, and support long-term healing.

09/09/2025

Here is last week's Reflux Hour on YouTube: https://www.youtube.com/watch?v=7i8o3_RUQ58

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On this month's Reflux Hour, Dr. Koufman discusses if Acid Reflux can cause Chronic Cough. She takes follower questions and chats on all things Respiratory R...