Throat Reflux (Laryngopharyngeal Reflux)
Throat reflux occurs when stomach acid flows upward through the esophagus and reaches the throat, nasopharynx, and vocal cords. Unlike gastric reflux (gastroesophageal reflux), heartburn and chest pain are not always present. However, it may manifest with symptoms such as hoarseness, chronic cough, and a sensation of something stuck in the throat.
What Are the Symptoms of Throat Reflux?
- Hoarseness and changes in voice quality
- Sensation of dryness or something stuck in the throat
- Chronic and persistent cough
- Frequent need to clear the throat
- Bad breath and sour/bitter taste in the mouth in the morning
- Postnasal drip sensation
These symptoms often become more noticeable in the morning or after meals.
How Is Throat Reflux Diagnosed?
Several methods may be used by an ENT specialist or gastroenterologist to diagnose the condition:
- Endoscopic Examination: Visualization of the throat, esophagus, and vocal cords using special cameras
- pH Monitoring: A device placed through the nose into the esophagus measures whether stomach acid is refluxing upward
- Medical History: A thorough evaluation of the patient’s symptoms
Treatment of Throat Reflux
The key step in treatment is modifying daily habits and taking appropriate measures to control stomach acid.
Dietary and Lifestyle Changes
- Eat smaller portions. Overfilling the stomach can worsen reflux symptoms.
- Avoid eating 2-3 hours before lying down. Allow time for digestion to reduce acid reflux.
- Sleep with the head elevated. Using a high pillow can help prevent acid from rising.
- Avoid tight clothing around the waist and abdomen.
- Do not exercise on a full stomach. Abdominal exercises in particular should be avoided.
Foods and Drinks to Avoid
- Carbonated and fizzy drinks (cola, soda, sparkling water)
- Products containing caffeine or theine (tea, coffee, chocolate, cocoa)
- Alcohol and smoking
- Spicy, fatty, and fried foods
- Packaged fruit juices and highly sugary foods
Medical Treatment
If symptoms persist despite dietary and lifestyle changes, acid-reducing medications (antacids, proton pump inhibitors) may be prescribed under medical supervision.
Conclusion
Throat reflux can pose a serious risk, especially for people who use their voice professionally (teachers, singers, call center employees, actors, politicians, etc.). With early diagnosis and appropriate treatment, you can protect your vocal health and improve your quality of life.
If you experience persistent hoarseness, constant throat discomfort, or chronic cough, it is recommended to consult an Ear, Nose, and Throat (ENT) specialist.
