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    Laryngopharyngeal Reflux (Silent Reflux)

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    Diagnosis of LPR

    Although silent reflux is harder to diagnose than GERD, a doctor can diagnose it through a combination of a medical history, physical exam, and one or more tests. Tests may include:

    • An endoscopic exam, an office procedure that involves viewing the throat and vocal cords with a flexible or rigid viewing instrument
    • pH monitoring, which involves placing a small catheter through the nose and into the throat and esophagus; here, sensors detect acid, and a small computer worn at the waist records findings during a 24-hour period.

    Treatment of LPR

    Silent reflux treatment for infants and children may include:

    • Smaller and more frequent feedings
    • Keeping an infant in a vertical position for at least 30 minutes after feeding
    • Medications such as H2 blockers or proton pump inhibitors, as directed by the pediatrician
    • Surgery for any abnormalities that can't be treated in other ways

    Silent reflux treatment for adults may include these lifestyle modifications:

    • Lose weight, if needed.
    • Quit smoking, if you are a smoker.
    • Avoid alcohol.
    • Restrict chocolate, mints, fats, citrus fruits, carbonated beverages, spicy or tomato-based products, red wine, and caffeine.
    • Stop eating at least three hours before going to bed.
    • Elevate the head of the bed about 4 to 6 inches.
    • Avoid wearing tight-fitting clothes around the waist.
    • Try chewing gum to increase saliva and neutralize acid.

    You may also need to take one or more types of medicine such as:

    Some people respond well to self-care and medical management. However, others need more aggressive and lengthy treatment. If this is not effective or if symptoms recur, your doctor may suggest surgery.

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