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Çakırtepe Hastanesi
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Laryngopharyngeal Reflux (Throat Reflux)

Diagnosis, symptoms, and treatment methods.

General Information About Laryngopharyngeal Reflux

Laryngopharyngeal reflux is the leakage of stomach acid and digestive enzymes past the upper esophageal sphincter into the larynx and vocal cords. Unlike classic reflux, instead of heartburn, it causes a chronic cough, hoarseness, and a constant tickling sensation in the throat. In our ENT department, it is treated with lifestyle changes and acid-suppressing medications following an endoscopic examination.

Disease Details and Frequently Asked Questions

You can find detailed information about the disease under the headings below.
What is Laryngopharyngeal Reflux?

It is the condition where stomach acid and the digestive enzyme called pepsin travel upwards, burning (irritating) the sensitive mucosa of the larynx and vocal cords, which have no resistance against acid.

What is the Difference From Gastroesophageal Reflux (GERD)?

In GERD, the most common complaint is severe heartburn behind the breastbone. In laryngopharyngeal reflux, heartburn is very rare; the disease manifests 'silently' only through throat and voice problems.

What Are the Symptoms?

Hoarseness, especially in the mornings that can last all day, a feeling of a lump/something stuck in the throat that does not go away with swallowing, a frequent need to clear the throat, post-nasal drip, and a dry, tickling cough.

Why Does It Occur?

Weakness of the upper esophageal sphincter muscle, excessive consumption of tea/coffee and acidic beverages, the habit of eating right before going to bed, a fatty/spicy diet, and obesity are the main causes.

How is it Diagnosed?

An ENT physician examines the patient's throat and vocal cords with a thin, flexible camera (endoscope). The diagnosis is made by observing redness, thickening, and edema due to acid irritation at the back of the vocal cords.

How is it Treated?

Proton pump inhibitor (PPI) medications that neutralize stomach acid are used regularly for at least 3 to 6 months. The most important step is diet; dinner should be finished 3 hours before sleep, the patient should sleep with a high pillow, and caffeine should be eliminated.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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