The Study of Eustachian Tube Dysfunction and Laryngopharyngeal Reflux

Inclusion Criteria: * They complain of symptoms of ear fullness, ear pain, and/or ear pressure, either unilateral or bilateral * They are willing to participate in the study. * They are between the ages of 18 to 80 Exclusion Criteria: * They have had major ear surgery (not including tympanostomy tubes) * They have a medical condition that is another possible etiology of ear pain or acid reflux and may require additional medical or surgical intervention such as: Acute or chronic otitis externa, Chronic otitis media, Temporomandibular joint dysfunction, Upper aerodigestive track neoplasm, History of head/neck radiation therapy. * They are pregnant. Proton pump inhibitors are a Category C drug with unknown pregnancy risks. * They do not wish to participate in the study * They are \<18 or \>80.