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Have you tried everything to get rid of reflux and still no luck? I think I may be able to help.  It can be incredibly frustrating when you’ve done all the right things. You’ve seen specialists, had testing, adjusted your diet, and maybe even elevated the head of your bed. And yet, the symptoms remain. A drippy nose, hoarseness, sore throat, or that persistent feeling that something is stuck in your throat. And it’s not just about the reflux. For those of us living with bronchiectasis, there is also the concern about how reflux, both acid and non-acid, may be contributing to disease progression. That uncertainty can create real anxiety. Let’s walk through a few commonly overlooked factors that may be playing a role: The Connection Between Reflux and Bronchiectasis Reflux is not always straightforward. While many people think only about acid reflux, non-acid reflux can also contribute to symptoms and may be harder to detect. In bronchiectasis, reflux can potentially:
Overlooked Triggers That May Be Worsening Your Reflux 1. Are You Using Albuterol Before Airway Clearance? Albuterol can be very helpful for opening the airways. For some people, it is an essential part of their routine. However, it is not always necessary for everyone. Because it relaxes smooth muscle, it may also relax the lower esophageal sphincter. This can allow stomach contents to move upward, contributing to reflux symptoms. You might consider asking during your next pulmonary function test if your breathing can be evaluated with and without albuterol. If it does not make a meaningful difference, it may be worth discussing whether you need it. 2. Are You Staying in Tight Clothing After Exercise? This is easy to overlook. Tight clothing, including workout wear, can increase pressure between the abdomen and chest. That pressure can contribute to reflux. A simple change into looser clothing after exercise may help reduce symptoms. 3. Are You Bending at the Waist Throughout the Day? Even if you avoid eating late and elevate your bed, daytime habits matter. Activities like:
Try bending at the knees or hinging at the hips instead. 4. Could Your Supplements Be Contributing? This is a big one that is often missed. Some supplements, especially those with acidic components such as ascorbic acid (vitamin C), can trigger reflux symptoms in certain individuals. In addition, it may not be just one supplement. It could be:
5. Are You Drinking Carbonated Beverages? Carbonated drinks, including sparkling waters like LaCroix, Pellegrino, and Topo Chico, can increase stomach pressure. As much as many of us enjoy them, they may worsen reflux symptoms and are worth limiting. 6. How Is Your Stress Level? A certain amount of stress is part of life. In fact, it helps motivate us. But chronic stress can impact gut function and worsen reflux symptoms. Incorporating stress management practices, even small ones, can make a meaningful difference over time. Why Reflux Can Feel So Hard to Control One of the most challenging aspects of reflux is that it is often not caused by just one factor. It is usually a combination of:
A Gentle Reminder
If you are dealing with ongoing reflux, you are not alone. Sometimes it is not about finding one perfect solution. It is about identifying several small factors that, when adjusted, can collectively make a difference And as always, any changes should be discussed with your medical team.
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Let’s Talk Morning Routines! These are my top 3 products I use every morning. I thought I’d made a quick video to show you how and why they are my favorites! www.refluxraft.com/?utm_source=lindaesposito&utm_medium=social&utm_campaign=affiliate
💡 A Simple Tool to Help Manage Reflux and Protect Your Lungs Did you know that reflux and aspiration can contribute to worsening lung conditions like bronchiectasis? That’s why managing reflux is such an important part of my daily routine. One product I’ve added to my Reflux Tool Kit is RefluxRaft. It forms a protective raft-like barrier on top of stomach contents, helping to reduce acid reflux—especially after meals and while lying down. I personally use RefluxRaft after breakfast and before bed to help minimize the chance of aspiration into the lungs, which is a known risk factor for lung inflammation and damage in people with bronchiectasis. ✨ It’s become an essential part of my Reflux Tool Kit! Click here to learn more about RefluxRaft and how alginate therapy works to reduce reflux and support both digestive and respiratory health. ‼️ Important Note: As always, please consult your healthcare provider before making changes to your current care routine. BE CLEAR with Bronchiectasis, LLC is proud to collaborate with RefluxRaft.  Blocks under the head of my bed aren’t exactly a design statement I’d choose.But their function far outweighs their aesthetics—they help reduce the chance of stomach contents refluxing into my lungs, triggering inflammation and worsening my bronchiectasis.
Seven years ago, I underwent 24-hour impedance monitoring to assess gastric reflux. The results? “Normal” (32 events, but still within normal range‼️). Oddly, I had no reflux while sleeping! I welcomed this as good news back then, but that was a while ago. Now, at 69, my situation may have changed. That’s why I take every precaution. I avoid airway clearance or intense exercise right after meals and stop eating and drinking after dinner. While my husband enjoys a late-night treat—like apple crisp with vanilla ice cream—I stay firm and look the other way. Because when it comes to reducing lung inflammation and healing, I’m determined to do everything within my power. |
AuthorLinda Cooper Esposito, MPH is a health educator with bronchiectasis. She developed the BE CLEAR Method to Living with Bronchiectasis and writes with compassion and humor about this chronic lung disease. Archives
April 2026
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