Laryngopharyngeal Reflux (LPR) &
Gastroesophageal Reflux (GERD)
Reflux Laryngitis
Reflux esophagitis may result in both hoarseness and throat pain, especially if the irritation of the laryngeal mucosa is so great that granuloma tissue or contact ulcers have formed. Pharmaceutic management with over-the-counter or prescription antacids, coupled with a behavioral anti-reflux protocol, can generally bring symptoms under control. Recently, otolaryngologists have augmented the effects of antacids with aggressive medical treatment of LPR using other medications, including proton pump inhibitors and H2 blockers. Other behavioral aspects of an anti-reflux protocol may include recommendations for changes in diet, losing excess weight, elimination of caffeine, alcohol, and other substances that can aggravate or inhibit digestion, wearing loose clothing that does not bind the midriff, elevating the head of the bed at night, and avoiding unnecessary bending for activities such as bowling or gardening.
gastric
