Heartburn and GERD: Overview

My doctor told me to stay away from spicy, greasy and caffeinated food. I obliged.

Going to Bed on a Full Stomach

The train started back in the early ’90s in Winston-Salem when Don Castell and Joe Richter were working with James Koufman, and they put together some very interesting work on the relationship between gastroesophageal reflux and extraesophageal disease. Lo and behold, the larynx was part of this focus, and Dr. Koufman really took off on this and started to educate laryngologists that this can occur.

Can Acid Reflux Cause Mucus & Wheezing After Eating?

Laryngopharyngeal reflux (LPR) occurs when gastric contents pass the upper esophageal sphincter, causing symptoms such as hoarseness, sore throat, coughing, excess throat mucus, and globus. The pattern of reflux is different in LPR and gastroesophageal reflux. LPR usually occurs during the daytime in the upright position whereas gastroesophageal reflux disease more often occurs in the supine position at night-time or during sleep. Ambulatory 24-h double pH-probe monitoring is the gold standard diagnostic tool for LPR. Acid suppression with proton pump inhibitor on a long-term basis is the mainstay of treatment.

This backflow is called laryngopharyngeal reflux (acid that reaches the level of the throat). Stomach fluids contain acids and enzymes that help digest food in the stomach, but cause problems elsewhere in the food pipe [esophagus, throat, and voice box]. Reflux disease can be acid or non-acidic.

gerd mucus morning

  • These babies do better if they are constantly fed a small amount of milk.
  • Once acidic digestive juices move upward, they can cause swelling in the throat, forming a “shelf” on which mucus accumulates.
  • H.

Although Hanson et al[34] have described a 50% response rate to these measures alone in patients with chronic laryngitis, there are minimal supportive data on the efficacy of these measures in LPR. Medical acid suppression is the most important and common method of treatment.

An allergist has told me I am allergic to certain weeds, trees, and grass. My general doctor does not know what it is. I am at a loss right now because I have had these symptoms for almost a year. I have not found a direct correlation to these symptoms.

But if the sphincter relaxes or weakens when it shouldn’t, stomach acid can flow back up, leading to inflammation and those delicious burning food burps. is administered, causing the opening between the stomach and the esophagus (gastroesophageal sphincter) to relax. Improper positioning of the patient during anesthesia, as well as a failure to fast the dog properly prior to anesthesia, can result in gastroesophageal reflux.

the outlook for GERD?

Traditional diagnostic tests for GERD lack both sensitivity and specificity for LPR. As mentioned before, these two patient groups differ in terms of symptoms and diagnosis. Barium esophagography, radionuclide scanning, the Bernstein acid-perfusion test, and esophagoscopy with biopsy are all often negative in LPR patients[21]. This is probably because most LPR patients do not develop esophagitis, because esophageal mucosa is more resistant to acid- and pepsin-related injury than the laryngeal and pharyngeal mucosa is[21,23].

Avoid highly acidic or spicy foods and beverages such as citrus fruits and juices, tomatoes, salad dressings, and barbecue or hot sauces. These foods irritate the tissues lining the throat and voice box. Avoid caffeine, alcohol, chocolate, and peppermint, which weaken both esophageal sphincters. Even decaffeinated teas and coffees contain enough caffeine to cause trouble.

gerd mucus morning

Leave a Reply