Laryngopharyngeal reflux

The ENT specialist frequently finds signs of inflammation of the throat or larynx. Although diseases of the throat or larynx usually are the cause of the inflammation, sometimes GERD can be the cause. Accordingly, ENT specialists often try acid-suppressing treatment to confirm the diagnosis of GERD. This approach, however, has the same problems as discussed above, that result from using the response to treatment to confirm GERD. GERD or acid reflux symptoms are caused by the regurgitation of acidic liquid stomach contents back up into the esophagus.

Some people respond well to self-care and medical management. However, others need more aggressive and lengthy treatment. If this is not effective or if symptoms recur, your doctor may suggest surgery. With LPR, you may not have the classic symptoms of GERD, such as a burning sensation in your lower chest (heartburn).

Branski R C, Bhattacharyya N, Shapiro J. The reliability of the assessment of endoscopic laryngeal findings associated with laryngopharyngeal reflux disease. 21. Merati A L, Lim H J, Ulualp S O, Toohill R J. Meta-analysis of upper probe measurements in normal subjects and patients with laryngopharyngeal reflux.

The X-rays were able to show only the infrequent complications of GERD, for example, ulcers and strictures. X-rays have been abandoned as a means of diagnosing GERD, although they still can be useful along with endoscopy in the evaluation of complications.

Direct and indirect irritation can have consequences for the vocal cords, such as vocal edema, pseudosulcus of vocal cords, contact ulcers, and contact granulomas associated with hoarseness, globus pharyngeus, and sore throat [14,18]. Pseudosulcus of vocal cords associated with infraglottic edema has been identified in 90% of patients with LPR [14,36]. The etiopathogenesis of LPR involves direct as well as indirect mechanisms. The reflux components, which contain hydrochloric acid, pepsin, and bile acids, can irritate the laryngeal mucosa [2,23-26].

To confirm the diagnosis, physicians often treat patients with medications to suppress the production of acid by the stomach. If the heartburn then is diminished to a large extent, the diagnosis of GERD is considered confirmed. This approach of making a diagnosis on the basis of a response of the symptoms to treatment is commonly called a therapeutic trial. Someone who has LPR will have symptoms typically in their throat. The is from the acid continuing to reflux fully up the esophagus and into the throat which usually doesn’t happen with a GERD patient.

These medicines either reduce stomach acid or prevent your stomach from creating as much stomach acid. Your primary care doctor may be able to diagnose you. If they think you’d benefit from a second opinion, they may refer you to a gastroenterologist.

Can Reflux Drugs Lead to Pneumonia?

pH testing has uses in the management of GERD other than just diagnosing GERD. For example, the test can help determine why GERD symptoms do not respond to treatment. Perhaps 10 to 20 percent of patients will not have their symptoms substantially improved by treatment for GERD. This lack of response to treatment could be caused by ineffective treatment. This means that the medication is not adequately suppressing the production of acid by the stomach and is not reducing acid reflux.

Eating habits, tight clothing, stress, and excess weight have also been shown to contribute to LPR. This condition is more common among people who habitually consume acidic, oily, or spicy preparations. The consumption of alcohol is also a contributory factor.

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