Q: What is reflux and why do I get it?

 

A: Reflux by any other name is called “heartburn”. Typically this might be seen as a gastrointestinal issue, which is not my specialty. Where I come in is when that reflux (backflow) makes it from your stomach all the way past your esophagus to classify it as “LPR Reflux”.

LPR stands for Laryngopharyngeal Reflux. Say that 3 times fast. 

In short, that means that your reflux is coming back to your larynx (voice box) or pharynx (throat).

Common symptoms or complaints of LPR include:

  • Hoarseness

  • Trouble swallowing

  • Too much throat mucous 

  • The feeling of a “lump” in your throat 

  • Chronic cough

  • Frequent throat clearing

It takes an examination by a physician to look in the throat, and more specifically the voice box and lower throat, to determine whether there is excessive swelling or redness.

Q: How is LPR treated? 

A: Treatment should be individualized based on your test results, which I would be happy to do for you. My suggestions may include lifestyle habits and diet to reduce reflux, different medications to reduce the stomach acid or protect the throat, or possibly surgery. 

That said, there a few things that you can easily do on your own and see if you’re able to find relief: 

  • If you use tobacco, quit. Smoking can cause or at least worsen reflux. 

  • Don’t wear clothing that is too tight, especially around your waist (tight pants, belts, girdles) 

  • Don’t lie down just after eating. Try not to eat within 3 hours of bedtime. 

  • Avoid caffeine (especially coffee and tea) and soda (especially sodas). 

  • Avoid mints if they worsen your symptoms. 

Q: Will I need LPR treatment forever? 

A: Short answer - if you’re LPR is mild to moderate, then you will probably have to practice long-term lifestyle changes. Some may be so fortunate as to ‘recover’ for months or even years but it can relapse. For those with severe cases or those who aren’t able to take the medicines prescribed for one reason or another may be candidates for an anti-reflux surgery.  This is usually done by a general surgeon and there are new procedures that can make a big difference.                  

 
 
 

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Teach & Learn, ThroatErin ShellenbergerLPR, throat, reflux, laryngopharyngeal reflux