Greeetings, LPR does not presents with symptoms in
many ocations unless trigger by an episode of forcefull use
of voice like being in a kariokee for example.
The symptom improvement should fall iwith in 3 month period. The recommended treatment is 90 days use of an antiacid of the PPI class, ( Proton Pump Inhibitors ), like Omeprazole, ( Prilosec ), or Pantoprazole, ( Protonix ) for example, at low dose but TWICE a day BEFORE meals.