Reflux Laryngitis & Esophagitis
What is Reflux?
“Acid Reflux Disease” is the inflammation of the esophagus (swallowing tube), pharynx (throat), and larynx (voice box) caused by the back flow of stomach acid and stomach contents. When the acid goes up into the throat or the larynx (voice box), it is termed Laryngopharyngeal Reflux (LPR). In LPR, this acid causes irritation of the delicate tissues that cover the inside of the larynx and back of the throat. This results in various symptoms including:
What is the treatment?
The goal of treatment is to keep stomach acid and other irritating substances from rising up into the throat. Treatments include lifestyle changes and often medications that help decrease the production of stomach acid.
Lifestyle changes to decrease GERD/LPR
a) Elevate the head of your bed 2-6 inches with wood blocks or bricks. Using extra pillows is NOT a good substitute. Use of a foam wedge beneath the upper half of the body is an alternative. Wait 3 hours after eating before you lie down.
b) Medicationssuch as Prilosec, Nexium, Prevacid, Aciphex, and/or antacids can be used with your doctor’s approval.
c) Stop smoking.If you cannot stop, decreasing the number of cigarettes you smoke may help.
d) Eat smaller meals. Don’t overfill your stomach. Eat more slowly.
e) Maintain your ideal weight. Excess weight increases the amount of pressure constantly placed on your stomach. Even small amounts of weight loss may help. Avoid tight clothing: tight belts, tight pants, or girdles can increase the pressure on the abdomen and stomach.
f) Avoid foods that cause your symptoms. These include spicy and fatty foods, tomato and citrus juices (such as grapefruit and orange juices), chocolate, dairy products, peppermint and spearmint, coffee, tea, colas, and alcoholic beverages. Especially avoid anything bubbly (carbonation).
All of the above measures must be observed to control the symptoms of reflux. When symptoms are not controlled, abdominal surgery may be necessary. Serious complications of uncontrolled reflux, such as noisy breathing, choking, and scarring or cancer of the esophagus, throat, or voice box have been reported.
We accept your direct communication through the portal! Please log in to send direct messages to our providers or office staff.