New non-surgical treatments for extra-oesophageal reflux:
The results of a limited clinical trial published in Gastroenterology in 2012 [r-xxxix], revealed, "All patients tolerated the device well and completed the study. There were no complications or complaints for the use of the device."
A questionnaire is provided for prospective users. (Compare the list of symptoms described in the chapter on Extra-Oesophageal Reflux).
Are you Affected by these problems? If so, rate them from 0 (No problem) to 5 (Severe problem).
Clearing your throat
Excess throat mucous or postnasal drip
Difficulty swallowing food, liquids, or pills
Coughing after eating or after lying down
Troublesome or annoying cough
Sensations of something sticking in your throat or a lump in your throat
Heartburn, chest pain, indigestion, or stomach acid coming up
Total your score.
A total score of more than 13 is considered a positive diagnosis of acid reflux in the throat and lungs.
To reduce nocturnal reflux, patients are advised to raise their bed head or use a wedge pillow and to sleep on their left side.
MedCline is a device designed to make that easier to achieve.
A paper published by the Cleveland Clinic in 2014 [r-xl] conlcuded, "In patients with nocturnal heartburn and regurgitation despite PPI use, the Medcline Sleep Positioning Device significantly reduced nocturnal symptoms, morning impact of nocturnal GERD, and concern about nocturnal GERD after two weeks of use."