Dr. Jamie Koufman, Respiratory Reflux Expert

07/04/2026

Emerging insights point to silent respiratory reflux as a major, often overlooked factor behind a range of health issues. It may play a role in pneumonia—one of the leading causes of death among elderly nursing home residents—especially in cases where no clear infection is found. It can also contribute to or accelerate COPD, even in those who have never smoked.

Over time, this “silent” reflux may be linked to sleep apnea, often developing gradually over decades and, in some cases, being reversible with proper diagnosis. Even more concerning, it has been observed in patients with laryngeal and lung cancers—including lifelong nonsmokers—suggesting a deeper connection worth understanding.

The takeaway? Symptoms aren’t always obvious, but the impact can be significant. Learning to recognize and address respiratory reflux could be a key step in protecting long-term health.

Learn more: https://jamiekoufman.com/can-respiratory-reflux-cause-death-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

03/04/2026

On this month's Respiratory Reflux Hour, Dr. Koufman discusses Symptoms, Diseases, and Other Manifestations of Respiratory Reflux. https://www.youtube.com/watch?v=LzqB0aJ6K90

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On this month's Respiratory Reflux Hour, Dr. Koufman discusses Symptoms, Diseases, and Other Manifestations of Respiratory Reflux. Follow me on FB: Facebook....

01/04/2026

Symptoms, Diseases, and Other Manifestations of Respiratory Reflux

26/03/2026

Join Dr. Koufman next Wednesday, April 1st for her Respiratory Reflux Hour! This month’s topic is “Symptoms and Manifestations Caused by Respiratory Reflux.”

Submit your questions below or send us a DM!

24/03/2026

Over-the-Counter Acid Reflux Medications: Which Ones Work?

Safer, effective alternatives to PPIs include OTC options like famotidine (Pepcid), which often work well with fewer risks than drugs like omeprazole or Nexium.

For nighttime relief, alginates such as Gaviscon Advance or RefluxRaft form a protective barrier to help prevent reflux, especially before bed.

Alkaline water (pH 9.5+) can also support treatment—both by drinking and throat spraying—particularly for those with respiratory reflux symptoms.

Learn more: https://jamiekoufman.com/over-the-counter-acid-reflux-medications-which-ones-work/

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Discover the safest, most effective OTC acid reflux medications, including famotidine, alginates, and alkaline water. Say goodbye to PPIs and their risks!

16/03/2026

Respiratory reflux (formerly called LPR) mainly affects the throat, sinuses, airways, voice, swallowing, breathing, and postnasal drip. It often occurs at night during sleep and usually happens without heartburn.

GERD, on the other hand, primarily affects the esophagus and is typically marked by heartburn.

If you suspect respiratory reflux, the best specialist to see is an otolaryngologist (ENT), as gastroenterologists typically focus on GERD and esophageal reflux.

Learn more here: https://jamiekoufman.com/understanding-the-difference-between-respiratory-reflux-and-gerd-beyond-heartburn-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

05/03/2026

This month on Dr. Koufman’s Respiratory Reflux Hour, Dr. Koufman dives into the essentials of anti-reflux treatment and what it really takes to get reflux under control: https://youtu.be/ZoKu6n4ktgs

From lifestyle changes and diet adjustments to treatment strategies that protect the throat, lungs, and voice, Dr. K breaks down practical steps you can start using right away. If you or someone you love struggles with reflux-related symptoms, this episode offers helpful insights and guidance for taking control of your health and improving your quality of life.

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This month on Dr. Koufman’s Respiratory Reflux Hour, Dr. Koufman dives into the essentials of anti-reflux treatment and what it really takes to get reflux un...

04/03/2026

Understanding Acid Reflux Treatment

03/03/2026

Even if you eat clean and skip alcohol, a late-night snack can trigger silent reflux that lingers all night. If you struggle with acid reflux, having a nightcap close to bedtime can make symptoms significantly worse.

Some foods are especially problematic in the evening. Chocolate, pizza, soda, and fatty meats like hamburgers and hot dogs are among the biggest culprits. Ideally, your final meal shouldn’t be your heaviest of the day, and you should aim to finish eating 3–5 hours before going to bed.

Read up on the blog here: https://jamiekoufman.com/acid-reflux-the-dangers-of-midnight-snacking-2-2/

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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

24/02/2026

Join in next week on Wednesday, March 4th at 12 noon EST for Dr. K's Respiratory Reflux Hour! This month's topic is "Understanding Anti-Reflux Treatment" - drop your questions below or send us a DM! See you then!

24/02/2026

According to the Asthma and Allergy Foundation of America, 25 million people (1 in 13) are diagnosed with asthma, costing an estimated $82 billion annually. However, many cases may be misdiagnosed.

Four red flags for asthma misdiagnosis:
1. Trouble breathing in (asthma typically causes trouble breathing out).
2. Shortness of breath without airway obstruction.
3. Chronic cough alone.
4. Asthma medications don’t improve symptoms.

Many acute breathing issues are actually caused by respiratory reflux (LPR), which is often “silent” and occurs without classic GERD symptoms like heartburn. Because this type of reflux is frequently overlooked, breathing problems are often labeled as asthma even when symptoms don’t fit.

In short: trouble breathing out suggests asthma; trouble breathing in may suggest reflux. More accurate diagnosis could reduce unnecessary costs and lead to more effective treatment.

Learn more: https://jamiekoufman.com/is-my-asthma-really-asthma/

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Not Doing Well on Your Meds? Asthma Is an Extremely Common Misdiagnosis. That’s Because Inspiratory Airway Obstruction (Trouble Getting Air IN) Isn’t Asthma; It’s Respiratory Reflux (aka LPR). Your Doctor Should Know this, but Most Don’t!

17/02/2026

Respiratory Reflux (LPR) can cause symptoms like postnasal drip, excess mucus, hoarseness, sore throat, chronic coughing, and shortness of breath. Unlike typical reflux, it does not usually involve heartburn or indigestion and is different from GERD.

Respiratory Reflux often affects the airways and may show up as symptoms that don’t immediately seem related to reflux, including asthma-like issues, ear pain, sinus pressure, and voice hoarseness.

Learn more: https://jamiekoufman.com/what-are-the-symptoms-of-respiratory-reflux-with-no-heartburn-or-gerd-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