Acid reflux, or gastroesophageal reflux disease (GERD), is a chronic digestive condition that causes painful heartburn and regurgitation for millions of Americans every year. It occurs when the contents of the stomach seep backward into the esophagus.
Laryngopharyngeal Reflux (LPR), also referred as extraesophageal reflux or silent reflux, is a term that refers to the backflow of food or stomach acid coming all the way back into the larynx (voice box) or pharynx (throat). This can happen in the daytime or evening.
What Causes Reflux?
Normally, following a meal, a valve on your esophagus – the sphincter – closes, preventing hydrochloric acid produced in the digestive process from backing up (refluxing) into the esophagus. When reflux occurs, this valve fails to seal properly, and the stomach contents flow freely into the throat and esophagus. This damages the esophageal lining and causes a variety of painful symptoms.
Other risk factors can help to exacerbate the condition. These include eating large meals or lying down afterward, eating certain foods (spicy and fatty foods, citrus, tomato, chocolate, mint, garlic and onions), drinking certain beverages (alcohol, caffeine, carbonated liquids), smoking, obesity and pregnancy.
What Are the Symptoms of Reflux?
While GERD and LPR are similar, their symptoms can vary.
Heartburn is most commonly associated with GERD. Also known as acid indigestion, this burning pain radiates from the stomach to the abdomen and chest, and may last for up to two hours after a meal. It is frequently accompanied by regurgitation, a sour taste in the mouth, and dyspepsia or general stomach discomfort. Other symptoms often include belching, bloating, coughing, wheezing, hoarseness and nausea.
Symptoms occur most frequently after eating, when lying down or when bending over. They are most common at night. The most common cause of GERD is a hiatal hernia, a stomach abnormality that causes the sphincter valve and upper portion of the stomach to move above the diaphragm, allowing stomach acids to reflux more easily.
The main difference between the two is heartburn. Most with LPR never experience heartburn because the material does not stay in the esophagus for a long period of time, so the acid does not have enough time to irritate the esophagus and cause heartburn.
Symptoms of laryngopharyngeal reflux include:
- Trouble swallowing
- Excess mucus
- Throat clearing
- Sensation of a lump in the throat
- Chronic cough
- Breathing problems
- Vocal cord scarring
- Post-nasal drip
How Is Reflux Treated?
An effective way to treat reflux is to avoid the triggers that cause painful heartburn and other symptoms. Stay away from those foods and beverages that are likely to cause a negative reaction. Change your eating habits: stick with smaller, more frequent meals, and avoid eating too closely to bedtime. Quit smoking, and ask your doctor if the medications you are taking might be responsible for your symptoms. If you are overweight, exercise to take off excess pounds.
Over-the-counter antacids taken immediately after meals will help neutralize stomach acids and can prevent heartburn from occurring, or relieve the symptoms. For serious cases that do not respond to medical treatment, surgery may be recommended.
Call Eastern Carolina ENT Head & Neck Surgery at 252-752-5227 for more information or to schedule an appointment.