The Dreaded Diagnosis of Laryngopharyngeal Reflux Disease

agonists for the treatment of GOR related disorders. Notably, intraventricular administration of baclofen inhibits the cough evoked by capsaicin inhalation in cats and guinea pigs,55 which suggests that this drug or similar compounds may be particularly suitable for treating GOR related cough. For many people, reflux occurs most often at night and sets up the irritation that continues to bother during the daytime.

The classic symptom of GERD is heartburn. Many people have LPR without any associated heartburn and instead they experience chest pain, hoarseness, difficulty swallowing, excessive mucous, throat clearing, a sensation of a lump in the throat, sore throat, choking spells, wheezing, post-nasal drip, dry cough, or bad breath. Hoarseness; if acid reflux gets past the upper esophageal sphincter, it can enter the throat (pharynx) and even the voice box (larynx), causing hoarseness or sore throat. Treatment for GERD is aimed at reducing the abnormal backflow, or reflux of acid, into the esophagus; preventing injury to the esophagus or helping it to heal if injury has already occurred; preventing GERD from recurring; and preventing complications of GERD.

Heartburn / GERD Guide

It usually occurs shortly after eating and can last from a few minutes to several hours. It is important to remember that sometimes the pain of a heart attack can be confused with the burning pain of GERD, and it is always important to seek medical attention if there is any doubt as to the origin of this chest pain. Chronic dry cough, especially at night;GERD is a common cause of unexplained coughing. It is not clear how cough is caused or aggravated by GERD. If diet and behavior changes don’t help, a medication may be prescribed – usually, treatment starts with a proton-pump inhibitor (PPI).

It’s important to evaluate and manage all possible causes of persistent coughing. Surgery to tighten the junction between the stomach and esophagus. The most commonly performed surgery is called the Nissen Fundoplication. It is done by wrapping the top part of the stomach around the junction between the stomach and esophagus and sewing it in place. Upper GI endoscopy is almost always used if a patient complains of dysphagia.

Amplification of Existing Airway Diseases

A variety of findings in the larynx can be nonspecific, such as erythema, edema, swelling, and cobblestoning. These findings can be induced by other conditions, such as postnasal drip, allergies, asthma, voice abuse, and even by repetitive behaviors such as throat clearing.

Acid controlling medications don’t treat the cause of acid reflux, they just reduce stomach acid. The only way to stop acid reflux completely is to correct the weakness in the LES with reflux surgery.

They need to learn what I call a “quiet voice.” I tell these patients to bring a bottle of water with them until we can get them into voice therapy. I have them swallow rather than cough or repetitively clear their throats. I emphasize the importance of fluids, because if their secretions become viscous, it creates a noxious effect.

The chemical-physical properties of the polymeric complex confer mucoadhesiveness to E-Gastryal® so increasing the contact surface and the residence time on the mucous membranes of larynx, pharynx, and esophagus. Presently, the newest alginate compounds renowned the interest in this attracting and stimulating area. In this regard, a new medical device (Marial®), unique still now possessing the indication for both GERD and LPR, has been recently launched in the Italian market. It is an innovative gel compound, containing magnesium alginate and E-Gastryal® (hyaluronic acid, hydrolyzed keratin, Tara gum, and Xantana gum). E-Gastryal® is a complex of phyto-polymers, Tara and Xantana gums, that are natural polysaccharides with high molecular weight and partially hydrosoluble, and able to provide viscosity to the solution and to generate a support frame where keratin peptide chains and hyaluronic acid anchor.

acid reflux coughing mucus

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