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Laryngopharyngeal reflux (LPR) or laryngopharyngeal reflux disease (LPRD) is the retrograde flow of gastric contents into the larynx, oropharynx and/or the nasopharynx. [4] [5] LPR causes respiratory symptoms such as cough and wheezing [6] and is often associated with head and neck complaints such as dysphonia, globus pharyngis, and dysphagia. [7]
In gastroenterology, esophageal pH monitoring is the current gold standard for diagnosis of gastroesophageal reflux disease (GERD). It provides direct physiologic measurement of acid in the esophagus and is the most objective method to document reflux disease, assess the severity of the disease and monitor the response of the disease to medical or surgical treatment.
Sensory testing can quantify and assess the swelling for better treatment. The strength of the air pulse given during sensory testing in acid-injured vocal cords due to acid reflux disease will necessarily be much greater in order to elicit an airway reflex than tissues that are not swollen. [18] [19] [20]
Laryngotracheal stenosis is an umbrella term for a wide and heterogeneous group of very rare conditions. The population incidence of adult post-intubation laryngotracheal stenosis which is the commonest benign sub-type of this condition is approximately 1 in 200,000 adults per year. [10]
If GERD goes unaddressed, serious complications can arise, particularly among the elderly. Skip to main content. Sign in. Mail. 24/7 Help. For premium support please call: 800-290-4726 ...
A hiatal hernia or hiatus hernia [2] is a type of hernia in which abdominal organs (typically the stomach) slip through the diaphragm into the middle compartment of the chest. [1] [3] This may result in gastroesophageal reflux disease (GERD) or laryngopharyngeal reflux (LPR) with symptoms such as a taste of acid in the back of the mouth or heartburn.
Anti-reflux medications may be prescribed for patients with signs of chronic laryngitis and hoarse voice. [24] If anti-reflux treatment does not result in a decrease of symptoms, other possible causes should be examined. [1] Over-the-counter medications for neutralizing acids and acid suppressants (H-2 blockers) may be used. [7]
Other symptoms may include a runny nose, cough, headache, difficulty swallowing, swollen lymph nodes, and a hoarse voice. [1] [6] Symptoms usually last 3–5 days, but can be longer depending on cause. [2] [3] Complications can include sinusitis and acute otitis media. [2] Pharyngitis is a type of upper respiratory tract infection. [7]