The best laryngopharyngeal reflux treatment will only occur if it is properly diagnosed, and that will be a different diagnosis from the normal GERD diagnosis. With GERD, there is usually burning, pain, heartburn, and an acid taste.
Laryngopharyngeal Reflux, or LPR is a specific area where the acid reflux comes up from the stomach, and continues on to the vocal chords area and causes irritation and problems in that area. However, LPR does not usually cause any heartburn or similar pain and discomfort that GERD does.
The usual symptoms of LPR are coughing, hoarseness, trouble swallowing, and a feeling that something is stuck in the throat. Both maladies are caused by the flap from the stomach into the small intestine not closing properly, which allows stomach acid to travel back up the esophagus, even as far as the larynx and the pharnyx. The reason that it may not irritate the esophagus so much is that it travels fast and there is not the volume that is found in GERD.
The difference in treatment of the two will vary just as the symptoms vary. The treatment for GERD is most probably going to last the person for the rest of their lives, and the proper laryngopharyngeal reflux treatment may only last for 2 to six months or so. Once the LPR gets cleared up, it has a better chance of remaining so, and a good eye, ear, nose and throat doctor can help to a great extent in properly diagnosing the problem.
Many times a otolaryngologist (a doctor who specializes in larynx problems and treatment) will be the one who finally solves the problem as being either GERD or LRT. This can involve some intense testing such as the insertion of a tube with a small camera down the throat of the patient and into the esophagus, along with a small camera so he can see what is really going on. More
Medications for LPR usually consist of a medicine that will suppress the manufacture of so much stomach acid, which helps to cut down on it’s resurgence into the esophagus. In many cases too, changes in lifestyle along with eating and drinking habits can play a great role in stopping the problem. Sometimes stress can be a factor in this process.
Avoidance of fatty fried foods, alcohol, chocolate, carbonated drinks, eating right before bedtime and smoking can also be contributing factors.