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\nClinical Findings<\/strong><\/p>\n
- \n
- Hoarseness<\/li>\n
- Need to clear the throat<\/li>\n
- Globus sensation (feeling of something stuck in the throat)<\/li>\n
- Chronic cough<\/li>\n
- Difficulty swallowing<\/li>\n
- Symptoms that worsen in the morning<\/li>\n<\/ul>\n
Since symptoms are generally non-specific<\/strong>, there is a risk of overdiagnosis.<\/p>\n
Diagnosis of Laryngopharyngeal Reflux<\/strong><\/h2>\n
1- Clinical Scores<\/strong><\/h3>\n
- \n
- Reflux Symptom Index (RSI)<\/strong><\/li>\n
- Reflux Finding Score (RFS)<\/strong><\/li>\n<\/ul>\n
Helpful in clinical practice but not sufficient for diagnosis alone<\/strong>.<\/p>\n
2- Endoscopic Evaluation<\/strong><\/h3>\n
- \n
- Findings of posterior laryngitis:\n
- \n
- Arytenoid edema<\/li>\n
- Erythema<\/li>\n
- Vocal cord edema<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
However, the specificity of these findings is low<\/strong>.<\/p>\n
3- Gold Standard Test<\/strong><\/h3>\n
- \n
- 24-hour dual-probe pH monitoring<\/strong> or impedance-pH<\/strong>
\nParticularly recommended in treatment-resistant patients<\/li>\n<\/ul>\nTreatment (evidence-based)<\/strong><\/p>\n
4- Lifestyle Modifications (First-Line \u2013 Strong Recommendation)<\/strong><\/h3>\n
- \n
- Not eating within 3 hours before bedtime<\/li>\n
- Reducing caffeine, alcohol, chocolate, and acidic foods<\/li>\n
- Weight control<\/li>\n
- Elevating the head of the bed<\/li>\n<\/ul>\n
The strongest and most sustainable effect lies here
\n1- Medical Treatment<\/strong>
\n2- a) Proton pump inhibitors (PPI):<\/strong> Generally twice daily, 8\u201312 weeks<\/strong>
\n2- b) Alginate therapy<\/strong><\/p>\n- \n
- Forms a reflux barrier
\nParticularly beneficial in non-acid reflux<\/li>\n<\/ul>\n3- c) H2 receptor blockers<\/strong>
\nLess effective, supportive treatment
\n4- Resistant Cases<\/strong><\/p>\n- \n
- Reassess the diagnosis<\/li>\n
- Confirmation with pH\/impedance<\/li>\n
- Alternative diagnoses:\n
- \n
- Functional throat complaints<\/li>\n
- Muscle tension dysphonia<\/li>\n
- Allergy \/ postnasal drip<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
5- Surgery<\/strong><\/p>\n
- \n
- Anti-reflux surgery in selected patients
\nNot routinely recommended for LPR<\/li>\n<\/ul>\n- \n
- LPR is a diagnosis that can be overused<\/strong>, laryngoscopic findings are non-specific<\/strong>, and PPI treatment is not effective in every patient.<\/strong> A multidisciplinary approach (ENT + gastroenterology) is important<\/li>\n<\/ul>\n
LPR is one of the common causes of voice and throat complaints; however, its diagnosis is difficult, lifestyle modifications are fundamental in treatment, and medical therapy benefits selected patients. Reassessment of the diagnosis in resistant cases is of critical importance.
\nInstagram: prof.dr.elifaksoy<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"What Is Laryngopharyngeal Reflux? Laryngopharyngeal Reflux (LPR) is the condition in which gastric contents (acid, pepsin, bile) reach the larynx and pharynx, causing mucosal damage. Unlike classic Gastroesophageal Reflux Disease, most patients may have no typical heartburn. Clinical Findings Hoarseness Need to clear the throat Globus sensation (feeling of something stuck in the throat) Chronic […]<\/p>\n","protected":false},"author":1,"featured_media":1018,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-1016","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/www.profdrelifaksoy.com\/en\/wp-json\/wp\/v2\/posts\/1016","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.profdrelifaksoy.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.profdrelifaksoy.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.profdrelifaksoy.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.profdrelifaksoy.com\/en\/wp-json\/wp\/v2\/comments?post=1016"}],"version-history":[{"count":3,"href":"https:\/\/www.profdrelifaksoy.com\/en\/wp-json\/wp\/v2\/posts\/1016\/revisions"}],"predecessor-version":[{"id":1021,"href":"https:\/\/www.profdrelifaksoy.com\/en\/wp-json\/wp\/v2\/posts\/1016\/revisions\/1021"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.profdrelifaksoy.com\/en\/wp-json\/wp\/v2\/media\/1018"}],"wp:attachment":[{"href":"https:\/\/www.profdrelifaksoy.com\/en\/wp-json\/wp\/v2\/media?parent=1016"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.profdrelifaksoy.com\/en\/wp-json\/wp\/v2\/categories?post=1016"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.profdrelifaksoy.com\/en\/wp-json\/wp\/v2\/tags?post=1016"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
- LPR is a diagnosis that can be overused<\/strong>, laryngoscopic findings are non-specific<\/strong>, and PPI treatment is not effective in every patient.<\/strong> A multidisciplinary approach (ENT + gastroenterology) is important<\/li>\n<\/ul>\n
- Anti-reflux surgery in selected patients
- Forms a reflux barrier
- 24-hour dual-probe pH monitoring<\/strong> or impedance-pH<\/strong>
- Reflux Finding Score (RFS)<\/strong><\/li>\n<\/ul>\n
- Reflux Symptom Index (RSI)<\/strong><\/li>\n