5 Signs Your Reflux Might Actually Be LPR (Silent Reflux): ❌ Coughing when you lie down ❌ That “something stuck in your throat” feeling ❌ Constant throat clearing or mucus ❌ Shortness of breath or chest tightness ❌ Voice changes or hoarseness LPR can feel confusing — your reflux isn’t always about acid. Often, it’s about irritation from pepsin and pressure on the throat. Here’s what can make a difference: ✅ Build a mealtime strategy that supports digestion ✅ Use an elevated pillow to reduce nigh