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Doctor insights on: Laryngopharyngeal Reflux Lpr

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Is laryngopharyngeal reflux (lpr) a dangerous condition in a short term? What additions/changes to my diet can I make to ease it?

Is laryngopharyngeal reflux (lpr) a dangerous condition in a short term? What additions/changes to my diet can I make to ease it?

Depends: Avoid alcohol and consider going gluten and dairy free. If you are gluten sensitive, it can beat up your gut. Healing can take at least 6 months, and often longer. Also consider other food sensitivities. ...Read more

Dr. Katharine Cox
3 doctors shared insights

Reflux (Definition)

Acid reflux is defined as the presence of acidic gastric contents in the esophagus causing irritation. It's cause is blamed on the a lax gastroesophageal shpincter that permits usch regurgitation. Vesicoureteral reflux is regurgitation (backing up) of urine in the bladder into the ureter ...Read more


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I think I may have Laryngopharyngeal Reflux (LPR). What are the best over-the-counter medications or combination of medications for this?

I think I may have Laryngopharyngeal Reflux (LPR). What are the best over-the-counter medications or combination of medications for this?

2 meds: Prilosec, 20 mgm. before breakfast and dinner and zantac (ranitidine) 150 mgm. at time of sleep. High reflux or LPR often is associated with obesity. If the meds I recommend are not helpful, seek an appointment with a GI specialist. ...Read more

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Will an endoscopy alone detect laryngopharyngeal reflux disease (lpr) or throat cancers?

Will an endoscopy alone detect laryngopharyngeal reflux disease (lpr) or throat cancers?

Not always.: Although it is possible to detect these problems during outpatient endoscopy, imaging in the form of ct scans or pet scans may be required to detect some throat tumors. Often an exam under anesthesia is also required to biopsy and detect full extent of throat tumors. ...Read more

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How do I cure laryngopharyngeal reflux?

How do I cure laryngopharyngeal reflux?

Control, no cure: First see an ENT and/or GI doc to present them your symptoms - and after this has been diagnosed and everything else has been ruled out - the GI doc will probably give you medications, diet advice and possilbe weight loss advice to control your reflux. ...Read more

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What is a good diet for laryngopharyngeal reflux?

What is a good diet for laryngopharyngeal reflux?

Tricks to help GERD: Over 70 million americans have gerd, and most will benefit from acid blocker medications. Behavior and diet can help by minimizing dietary fats and grease, mints, alcohol, tobacco, spicy and large volume meals, caffeine, chocolate. Minimize salicylates (like aspirin), avoid laying down or bending over 2-3 hours after eating, cut out bedtime snacks, and keep your weight under control. Good luck! ...Read more

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What are most common symptoms of Laryngopharyngeal reflux ?

What are most common symptoms of Laryngopharyngeal reflux ?

After prolonged: and untreated reflux the most common signs are continually "clearing your throat" and a raspy voice from the inflammatory stimulus gastric acid has on the larynx ...Read more

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Can Laryngopharyngeal reflux take a year or more to recover from?

Can Laryngopharyngeal reflux take a year or more to recover from?

More than LPR?: In our clinic, most patients see improvement in their LPR within 3 months. May be time for a reevaluation. ...Read more

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What happens if I get my laryngopharyngeal reflux (silent reflux) symptoms under control is there still a risk?

Acid reflux: Generally no. Some people control with diet control and others with meds. See a GI for an upper endoscopy to look at the esophagus and stomach and have an ENT look at your throat and vocal cords. ...Read more

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Can an upper GI test pick up on laryngopharyngeal reflux?

Can an upper GI test pick up on laryngopharyngeal reflux?

Detects reflux: It can detect acid going into the lower esophagus or in rare cases higher up into the esophagus, but LPR is diagnosed by the history and physical findings on exam. Just because acid is seen going up high in the esophagus and possibly into the throat, doesn't mean you would have symptomatic LPR. Symptoms are pain, lump sensation, phlegm, constant clearing, dry cough, and hoarseness. Seen an ENT. ...Read more

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What distinguishes acid reflux from laryngopharyngeal reflux?

What distinguishes acid reflux from laryngopharyngeal reflux?

Keep it simple here: Lpr is acid reflux from stomach that reaches your throat. There it may cause symptoms in that area like hoarseness, cough, sensation of something stuck there, throat clearing tendency. ...Read more

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What is the difference between acid reflux and laryngopharyngeal reflux?

What is the difference between acid reflux and laryngopharyngeal reflux?

Reflux: GERD is the basis of both. LPR has symptoms of hoarseness, occasionally pain, voice change, possible laryngospasm because the acid and pepsin are being aspirated to the area above the vocal cords and sometimes onto the vocal cords. Endoscopy a good idea if your have symptoms. ...Read more

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Need advice on what is the the difference between laryngopharyngeal reflux and acid reflux?

Location of symptom: Laryngopharyngeal reflux (lpr) and gastroesophageal reflex (gerd) differ mostly in the way a patient has symptoms. They are both ultimately caused by stomach contents moving backwards. In gerd, the predominant symptom is heartburn. In lpr, there are many possible symptoms including cough, hoarseness, sore throat, throat clearing, sensation of a lump in the throat. Treatment is similar for both. ...Read more

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What drug(s) would be useful to take for non-acidic laryngopharyngeal reflux to inhibit pepsin ?

PPIs;H2blockers: Proton pump inhibiters like omeprazole, nexium, Prevacid or dexelent by itself or in combination with h2 blockers like ranatadine; Reglan (metoclopramide) will relieve the symptoms of non acid laryngopharyngeal reflux.Robinul forte can also be used as it cuts down the pepsin secretion to some extent. Along with that life style modifications, elevating the head end of bed avoidfoods like dairy, wheat;eggs, wt loss. ...Read more

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How do you pronounce 'Laryngopharyngeal' please? & can Laryngopharyngeal reflux cause Cholesteatoma?

How do you pronounce 'Laryngopharyngeal' please? & can Laryngopharyngeal reflux cause Cholesteatoma?

Cholesteatoma: Its pronounced exactly as you would read it. No, refluxing your gastric content into your pharynx and larynx have absolutely nothing to do with developing keratinizing epidermal growth in the middle ear. ...Read more

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What causes laryngopharyngeal reflux? Cancer?

What causes laryngopharyngeal reflux? Cancer?

ENT / GI: You should see a ear-nose-throat (ENT) specialist and/or a gastroenterologist to help clarify. ...Read more

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I have symptoms of laryngopharyngeal reflux. Would a pH test diagnose this (differentiate it from allergies) and how is it done?

I have symptoms of laryngopharyngeal reflux.  Would a pH test diagnose this (differentiate it from allergies) and how is it done?

GI: The GI specialist would scope your esophagus and place a probe or two on it. YOu will be wearing a portable receiver to record the pH and frequency of reflux. The probe would come out with your bowel movement within a couple of days. Most of the time, LPR has some typical laryngorhinoscopic findings also. ...Read more

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I've had untreated laryngopharyngeal reflux since oct 12' and i fear it has caused irreversible damage. How do I begin to treat this other than diet?

I've had untreated laryngopharyngeal reflux  since oct 12' and i fear it has caused irreversible damage. How do I begin to treat this other than diet?

LPR: Diet is important, particularly avoidance of caffeine. This includes decaffeinated products. In addition you can consider taking Prilosec otc 1/2-1 hour before breakfast and dinner. It can weeks or even months to improve, but the only way to really know about damage is to see and ENT doc or GI doc with knowledge of this entity. ...Read more

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I am on nexium (esomeprazole) and renetedine due to laryngopharyngeal reflux for about 9 months. It is just not going away. What should I di?

I am on nexium (esomeprazole) and renetedine due to laryngopharyngeal reflux for about 9 months. It is just not going away. What should I di?

GERD: with today's medications, it is usually possible to control reflux fairly well. If your meds are not working, you should talk to your G.I. physician about options. In the meantime, be sure to follow anti-reflux precautions, avoid particular foods which make your reflux worse, stop caffeine, alcohol, tobacco, and tilt your bed up on blocks. If all else fails, there are surgical options also. ...Read more