Gastroesophageal reflux disease (GERD) and laryngopharyngeal reflux disease (LPRD) make up the last branch of chronic airway-digestive inflammatory disease (CAID). When we swallow, food and liquids travel through the esophagus and land in the stomach, where stomach acids help the digestive process. Within the esophagus are two constricting muscles: the lower
GERD AND LPRD
Recent scientific research indicates that acid reflux into the throat (pharynx) plays a role in the development of sinusitis in both children and adults. Although acid reflux usually does not reach all the way to the sinuses, it could induce inflammation of the sensitive nasal mucous membranes, thus blocking the sinuses.
Sometimes you can experience a feeling in your throat with none of the usual symptoms of GERD - heartburn, indigestion, and reflux. For example, you may complain only of hoarseness. Others may complain of coughing fits or a feeling of fullness, making them want to clear their throat. Then there are the others that are experiencing bouts of laryngospasm.
For those sufferers who have had previous treatment for GERD, better awareness and new technology have made it easier to make the diagnosis of GERD and LPRD The newer medicines and combinations of
medicines have led to an improvement in overall medical management. Also good dietary direction can now be provided, offering new hope for sufferers.
After your ENT doctor takes a detailed medical history, he or she will perform a head and neck examination with a focus on the nose and the throat. If your doctor thinks that you may have LPRD, he or she may perform a throat examination using a small mirror. The doctor may also use an instrument called a flexible fiber-optic laryngoscope. This is a thin, flexible fiber lens that allows the doctor
There are many lifestyle changes that you can make to control or prevent GERD/LPRD. I call this my gastroesophageal (GE) Reflux Recommendations.
GE REFLUX RECOMMENDATIONS
Do not smoke, and if you do quit immediately. Among the many dangers of smoking
If you have followed the GE Reflux Recommendations and still feel uncomfortable, you might want to consider medications, either OTC or prescription remedies. Because of the distinct relationship between GERD/LPRD and CAID, if you are experiencing symptoms that are associated with sinus disease as well as GERD, you might want to try to
treat your sinus symptoms either first, or at least concurrently. Refer to category
Antacids are medications that work by neutralizing acid that is already in the stomach. Antacids usually contain calcium, aluminum, or magnesium. Antacids containing magnesium tend to have a laxative action; those containing aluminum may cause constipation. Magnesium carbonate works
H2-blockers are drugs that block the histamine receptors in the stomach to reduce acid secretion. The chemical histamine, the same substance released during an allergic reaction, stimulates certain cells in the stomach to produce acid. It does this by attaching, or binding, to a particular site on those cells - known as H,-receptors. An H^-antagonist, or blocker, works by binding to H,-receptors, and thus “blocks” the cells
PPIs are the newest and most effective medications used to treat GERD/LPRD. This class of medicines works by completely blocking the production of stomach acid. They do this by shutting down a system in the stomach known as the “proton pump.” They work best when taken 30 - 60 minutes before eating a meal that contains protein, such as meat, cheese, or fish. If you take the medicine once a day, it is important to take
I frequently find that my patients with GERD/LPRD often feel relief from their symptoms after sinus surgery. However, if your reflux problem is severe, or the excess acid cannot be controlled by medication, your doctor may recommend gastrointestinal procedures and/or surgery.
Gastroenterologists have been performing different procedures that