Laryngopharyngeal reflux (LPR) is a condition in which stomach acid flows back into the throat, irritating the tissues. This can lead to symptoms such as hoarseness, chronic cough, and throat clearing. LPR is often associated with or mistaken for gastroesophageal reflux disease (GERD), but it affects the throat more than the esophagus.

Laryngopharyngeal Reflux FAQ


What are the common symptoms of Laryngopharyngeal Reflux?

Common symptoms include hoarseness, chronic cough, throat clearing, difficulty swallowing, and a sensation of a lump in the throat.

How is LPR diagnosed?

Laryngopharyngeal reflux is diagnosed based on symptoms and physical findings in the larynx, pharynx, and esophagus. Diagnostic tests such as laryngoscopy and pH monitoring may be performed.

What lifestyle changes can help manage Laryngopharyngeal Reflux?

Lifestyle changes such as avoiding acidic and spicy foods, not eating late at night, quitting smoking, and maintaining a healthy weight can help manage LPR.

Can LPR be treated with medication?

Yes, LPR can be treated with medications such as proton pump inhibitors (PPIs) and H2 receptor antagonists to reduce stomach acid production and promote healing of the irritated tissues.

Is surgery an option for severe cases of Laryngopharyngeal Reflux?

In severe cases of LPR that do not respond to other treatments, surgery may be considered to strengthen the lower esophageal sphincter or to create a barrier preventing stomach acids from reaching the throat.

What are the potential complications of untreated Laryngopharyngeal Reflux?

Untreated LPR can lead to complications such as vocal fold nodules, ulcers in the throat, and narrowing of the esophagus due to scarring.

Can stress worsen Laryngopharyngeal Reflux symptoms?

Yes, stress can exacerbate LPR symptoms by increasing stomach acid production and promoting behaviors such as smoking or overeating, which can worsen reflux.

Is Laryngopharyngeal Reflux the same as gastroesophageal reflux disease (GERD)?

LPR is related to GERD but affects the throat and larynx more than the esophagus. GERD primarily involves the reflux of stomach acid into the esophagus, leading to heartburn and regurgitation.

Can LPR cause breathing difficulties?

In some cases, LPR can lead to breathing difficulties, especially if stomach acid reaches the upper airway and causes irritation.

What should I do if I suspect I have Laryngopharyngeal Reflux?

If you suspect you have LPR, it's important to consult with a healthcare professional who can evaluate your symptoms and provide appropriate recommendations for diagnosis and treatment.

Is Laryngopharyngeal Reflux more common in certain age groups?

While LPR can occur at any age, it is more common in adults, and the prevalence tends to increase with age.

Can dietary changes help alleviate Laryngopharyngeal Reflux symptoms?

Yes, avoiding trigger foods such as citrus fruits, tomatoes, spicy foods, caffeine, and alcohol can help alleviate LPR symptoms.

Are there natural remedies that can help with Laryngopharyngeal Reflux?

Some people find relief from LPR symptoms by using natural remedies such as deglycyrrhizinated licorice (DGL), slippery elm, and apple cider vinegar, but it's important to consult with a healthcare professional before trying these remedies.

Can LPR cause throat cancer?

While LPR itself does not cause throat cancer, long-term irritation and inflammation of the throat tissues due to reflux may increase the risk of certain throat cancers. It's essential to seek appropriate medical care to manage LPR and reduce this risk.

Does Laryngopharyngeal Reflux affect sleep?

LPR can affect sleep by causing nighttime coughing, throat discomfort, and a sensation of choking, which can lead to sleep disturbances. Managing LPR symptoms can improve sleep quality.

Can Laryngopharyngeal Reflux be a chronic condition?

LPR can be a chronic condition that requires long-term management. Working with healthcare professionals to develop a comprehensive treatment plan can help control LPR symptoms and improve quality of life.

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Information provided by Maryam Abdullahi-Mahdi. Reviewed by Mr. Matthew Liew