Often patients complain of recurrent throat problems including sore throats, bad breath, coughing, itchiness, foreign body sensation, throat clearing, and swallowing difficulties. These complaints may be caused by acid reflux. Patients do not think they have acid reflux because they do not have heartburn. Laryngopharyngeal Reflux (LPR) is not associated with heartburn or a “burning“ sensation in the chest. Gastroesophageal Reflux Disease or GERD is acid reflux that causes heartburn. LPR and GERD are two separate entities that are a result of stomach acid entering into the esophagus (swallowing tube) or the throat (LPR).