What are some other symptoms of silent reflux disease (GERD) besides bad breath?

 Silent reflux disease, also known as laryngopharyngeal reflux (LPR) or silent GERD, shares many symptoms with typical GERD but lacks the characteristic heartburn. Some common symptoms include chronic cough, hoarseness, throat clearing, difficulty swallowing, sensation of a lump in the throat (globus sensation), and a persistent sore throat. Patients may also experience a feeling of postnasal drip, frequent throat clearing, and irritation or inflammation in the throat. 

Other less common symptoms may include asthma-like symptoms such as wheezing, shortness of breath, and recurrent pneumonia. Some individuals with silent reflux may also develop dental problems, including erosion of tooth enamel due to the acidity of refluxed stomach contents.

These symptoms can vary in severity from person to person and may come and go. Since silent reflux often goes undiagnosed or misdiagnosed due to the absence of heartburn, it's essential to consult a healthcare professional if experiencing any persistent symptoms, especially if they interfere with daily life or worsen over time. Treatment options typically include lifestyle changes, dietary modifications, medication, and in some cases, surgery. Regular monitoring and management can help alleviate symptoms and prevent complications.