LPR Reflux

by John Adamek on June 29, 2014

John Adamek

I'd like to extend a warm welcome to my blog as well as a thank you for choosing to spend your valuable time reading here. Years of reflux issues have made me a great resource for others and I love sharing my info via my blogs.

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lpr reflux

What the heck is LPR reflux?

LPR reflux, also known as laryngopharyngeal reflux and silent reflux is a condition where the stomach acid flows back into the esophageal tract due to the fact that the upper esophageal sphincter failed to close tightly (as intended). There are two sphincter muscles that connect the throat to the stomach including the lower and upper esophageal sphincter muscles. The symptoms of LPR reflux are different than the symptoms of acid reflux; inlike acid reflux, patients of LPR reflux usually don’t experience heartburn; this is because the stomach acid does not remain in the esophagus for a long time like it does in acid reflux.

The esophagus is less sensitive than the throat so it won’t experience the same irritation when the stomach acid quickly flows passed it; because the stomach acid enters through the upper sphincter muscle it will not remain in the esophagus for a long time. Instead, the stomach acid will pass the esophagus quickly and accumulate in the throat area. Some of the symptoms associated with LPR reflux include chronic cough, hoarse voice, wheezing and discomfort.

Laryngopharyngeal reflux is caused mainly by bad harmful lifestyle choices. Eating large portions of food can increase your chances of getting LPR reflux. Smoking cigarettes and alcohol drinking weaken the esophageal sphincter muscles and allow the stomach acid to enter into the esophagus easily which potentially leads to silent reflux. (continue reading below)


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You should avoid as many foods as you can that are high in oil content. Oily foods often have a large amount of fat and eating oily food can encourage the stomach to secrete acid to counter this. This compensation reduces the ability of the esophagus to close properly. Acidic food such as citrus fruits can cause irritation on the esophageal lining so be sure to consume acidic foods in moderation. Before going to sleep, make sure you wait 2 – 3 hours for the food to digest, because if you sleep immediately after eating, you may experience both heartburn, acid reflux and LPR reflux symptoms; nearly all the reflux associated ailments can be caused by eating to close to bed. If you must eat close to bed I recommend something slow releasing and light such as casein protein.  To neutralize the acid in your throat, you can chew gum or suck on ginger hard candies; these took help increase the saliva production in your mouth which combats reflux.

If you are experiencing all of these LPR reflux symptoms, it is advised that you see a physician when it is convenient; I wouldn’t rush to the ER and pay a huge fee for this ailment however. The doctor can perform diagnosis via a variety of ways including laryngoscopy, pH testing and GI endoscopy. Laryngoscopy diagnosis is performed to check the changes happening  within the throat and voice box. During the aforementioned pH testing procedure, the doctor will use two pH sensors to find out if too much acid is entering through the upper esophagus.  The upper GI endoscopy is performed if you have problem swallowing your food. With a upper GI endoscopy diagnosis, the doctor can detect any scars, ulcers and abnormal growths located in the esophagus.

The doctor may prescribe medicine according to the severity of your condition. In many cases the symptoms are mild and can be eliminated with dietary changes and herbal remedies; not to mention the fact that many people assume they have silent reflux and it turns out it’s just regular acid reflux.

In rare cases patients have severe lpr reflux, those people can undergo a fundoplication procedure if it truly calls for it. During the fundopklication surgery, the surgeon will wrap the stomach’s upper part to strengthen the valve.

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