Reflux isn’t just about heartburn or retrosternal burning. In many cases, it manifests outside the esophagus — affecting the larynx, upper airways, and even the bronchi. Chronic cough, constant throat clearing, hoarseness, recurrent laryngitis, and even bronchospasms may originate from extraesophageal reflux — often silent and unresponsive to standard PPI therapy. In such cases, the most appropriate test is Impedance-pH monitoring with a proximal sensor, which can detect reflux episodes that rea
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