How common is postnasal drip in acid reflux?

Refluxed stomach contents can irritate the throat and voice box, leading to throat clearing, a lump sensation, hoarseness, cough or the feeling that mucus is collecting at the back of the throat. Allergy, infection, dry air and nasal inflammation can produce similar symptoms. Heartburn may be present, but throat symptoms can occur without it.

Keep a note of symptoms, meals, drinks and when you lie down. Smaller meals, avoiding lying down soon after eating, and identifying personal triggers may reduce reflux symptoms for some people. See a clinician if symptoms persist, disturb sleep or affect eating, voice or daily comfort; they can consider reflux and other nasal or throat causes.

Seek prompt assessment for trouble swallowing, painful swallowing, food sticking, vomiting blood, black stools, unexplained weight loss, persistent vomiting or a new neck lump. Urgent care is appropriate for breathing difficulty, severe chest pain or symptoms of a serious allergic reaction.

Ask whether reflux is a likely contributor, whether nasal allergy or sinus disease should be considered, and which lifestyle or medicine options suit you. Mention hoarseness, cough, swallowing problems and any medicines that seem to worsen symptoms.