Was deine Zunge mit Stillem Reflux zu tun hat
What does your tongue have to do with silent reflux? Much more than most people realize. In this episode, I'll take you on a journey through your own mouth and throat and show you the invisible cycle between pepsin, the base of the tongue, the airways, and sleep. You'll learn why the tongue is one of the most underestimated organs involved in silent reflux, how the vicious cycle of tongue base hypertrophy and sleep apnea develops, and which three exercises are scientifically proven to address multiple issues simultaneously. Also included: the story of Sabine, whose reflux puzzle only came together when a sleep lab was involved. You'll also hear Sabine's story. Topics in this episode: • How pepsin gradually changes the base of the tongue • The vicious cycle of tongue, airway, and sleep apnea • Ankyloglossia – the shortened frenulum of the tongue in adults • Three evidence-based exercises: diaphragmatic breathing, tongue resting position, myofunctional therapy • The order in which to incorporate them – without overexerting yourself Linked Stomach Compass resources: • Website article: Tongue position and silent reflux – the invisible cycle https://magenkompass.de/zungenpositio... • Further reading: Sleep apnea and silent reflux https://magenkompass.de/schlafapnoe-s... • Related: Jaw misalignment and silent reflux https://magenkompass.de/kieferfehlste... • Related: Silent reflux and tension Neck Muscles https://magenkompass.de/stiller-reflu... • Breathing Training Tool: Diaphragm Relaxation https://magenkompass.de/tool-zwerchfe... • Tool: Alternative Therapies for Silent Reflux https://magenkompass.de/tool-alternat... • Program: (VagusPower) [https://magenkompass.de/vaguspower-se... • Silent Reflux Compass (E-Book): to the book https://magenkompass.de/stiller-reflu... • Free Food Lists: (E-Book Download) https://magenkompass.de/e-news-mit-e-... Studies from this episode (selection): • Kim et al. (2016) - Pepsin and tongue base hypertrophy, PLoS ONE: (PMID 27058240)[https://pubmed.ncbi.nlm.nih.gov/27058240] • DelGaudio et al. (2008) – Reflux and Lingual Tonsil Hypertrophy: (PMID 18359357)[https://pubmed.ncbi.nlm.nih.gov/18359357] • Magliulo et al. (2018) - Meta-analysis LPR and OSA: (PMID 30224217)[https://pubmed.ncbi.nlm.nih.gov/30224217] • He et al. (2022) - Update meta-analysis LPR-OSAHS: (PMID 36545474)[https://pubmed.ncbi.nlm.nih.gov/36545474] • Eherer et al. (2012) – Diaphragmatic breathing in GERD, RCT: (PMID 22146488)[https://pubmed.ncbi.nlm.nih.gov/22146488] • Halland et al. (2021, Mayo Clinic) - LES pressure during diaphragmatic breathing: (PMID 33009052)[https://pubmed.ncbi.nlm.nih.gov/33009052] • Guimarães et al. (2009) – RCT: Oropharyngeal exercises in OSA: (PMID 19234106)[https://pubmed.ncbi.nlm.nih.gov/19234106] • Camacho et al. (2015) – Myofunctional therapy for OSA, meta-analysis: (PMID 25348130)[https://pubmed.ncbi.nlm.nih.gov/25348130] • Horova et al. (2025) - Respiratory physiotherapy in LPR, first RCT: (DOI 10.1007/s00405-025-09775-1)[https://doi.org/10.1007/s00405-025-09...] • Beckmann et al. (2025) – Ankyloglossia in Adults: (DOI 10.22514/jofph.2025.049) [https://doi.org/10.22514/jofph.2025.049] Silent Reflux – Facts and Solutions is the podcast for everyone who wants to understand their LPR symptoms holistically and improve them sustainably. Hosted by Andrea (Andy) Kuhl, Magenkompass. Music: Ronald Kah (ronaldkah.de). © 2026 Magenkompass.

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