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Acid Reflux / GERD Message Board


Acid Reflux / GERD Board Index


LPR Reflux
Dec 22, 2007
Thought this may be of some help to those not diagnosed yet. Saw LPR Spec yesterday and received plamplet with information on LPR. Sure nothing most of us don't already know but thought I'd share some of the high lighted points.

LPR STANDS FOR LARYNGOPHARYNGEAL REFLUX (LPR) GREEK WORD MEANING "BACKFLOW" AND IS USUALLY REFERS TO BACK FLOW OF STOMACH CONTENTS. LPR REFLUX REFERS TO THE BACKFLOW OF FOOD OR STOMACH ACID ALL THE WAY BACK UP THE LARYNX (VOICE BOX) OR PHARYNX (BACK OF THROAT) OR BACK OF NOSE AND INTO SINUS PASSAGES. LPR CAN OCCUR DAY OR NIGHT EVEN IF PERSON HASN'T EATEN A THING FOR DAY. NOT EVERYONE WITH REFLUX HAS LPR. REFLUX ONLY INTO THE ESOPHAGUS (SWALLOWING TUBE TO STOMACH) MAY CAUSE HEARTBURN, PAINFUL SENSATION IN CHEST. (gerd) MANY PEOPLE WITH LPR DON'T HAVE HEARTBURN. THIS IS BECAUSE THE MATERIAL REFLUXED DOES NOT STAY IN THE ESPHOGUS LONG ENOUGH TO IRRITATE IT. HOWEVER, IF EVEN A SMALL AMT OF REFLUXED MATERIAL COMES UP INTO THROAT, OTHER PROBLEMS CAN OCCUR. THIS IS BECAUSE THE ESPHOGUS HAS SOME PROTECTION BUT THE VOICE BOX AND THROAT ARE MUCH MORE SENSITIVE TO IRRITATION.

HOW DO WE KNOW IF IT'S LPR?

CHRONIC HOARSNESS, THROAT CLEARING, COUGH, LUMP IN THROAT, DIFFICULTY SWALLOWING. SOME HAVE CHRONIC HOARSNESS, PROBLEMS WITH TOO MUCH THROAT AND NOSE MUCUS (PHLEGM, SINUS INFECTIONS, EAR PAIN, TEETH SENSITIVE, PND.

SPECIALIST TO SEE: FOR ANY OF THESE SYMPTOMS SEE AN OTOLARYNGOLOGIST WHO CAN LOOK AT THE LOWER VOICE BOX AND THROAT.

TESTS DR. MIGHT ORDER: MOST COMMON FOR LPR ARE pH MONITORING/METRY AND A BARIUM SWALLOW. BARIUM WILL SHOW NARROWING OR OTHER ABNORMALITY. PH METRY TAKES 24 HRS AND IS USED TO ACTUALLY MEASURE ACID IN ESOPHAGUS. TEST CONSISTS OF SMALL TUBE INSERTED IN YOUR NOSE FOR PLACEMENT TO YOUR THROAT. THE PROBE IS CONNECTED TO A SMALLER BOX THAT YOU WEAR AROUND (OR CARRY) FOR 24 HRS THAT MEASURES THE ACID IN YOUR ESPHOGUS AND THROAT. IT IS CONSIDERED THE GOLD STANDARD OF TEST AND WILL HELP YOUR DR. USE THE BEST TREATMENT.

HOW IS LPR TREATED? EACH PERSON SHOULD BE INDIVIDUALIZED FOR BEST TREATMENT. GENERAL TREATMENTS ARE (1) CHANGING YOUR LIFE STYLE HABITS AND DIET (2) MEDICATIONS TO REDUCE STOMACH ACID AND (3) SURGERY TO PREVENT REFLUX. MOST PEOPLE WILL NEED TO MODIFY HOW AND WHEN THEY EAT AS WELL AS TAKING MEDS PROPERLY.

TIPS: DO NOT USE TOBACCO!
DON'T WEAR CLOTHING TIGHT AROUND THE WAIST (PANTS, BELTS)
DO NOT LIE DOWN AFTER EATING, WHICH MEANS RECLINING. IN
FACT DO NOT EAT OR DRINK ANYTHING WITHIN 3 TO 4 HRS BEFORE
BEDTIME.

FOODS TO AVOID: COFFEE, TEA, SODAS, MINTS, FRIED FOODS, TOMATOES,
CREAMY SOUPS OR GRAVIES, PUDDINGS, PIE, CAKE, HIGH CARB.

WILL I NEED LPR TREATMENT FOREVER?

MOST PATIENTS WITH LPR REQUIRE SOME TREATMENT MOST OF THE TIME AND MANY ALL THE TIME FOR LIFE. SOME RECOVER AFTER MONTHS OR YEARS ONLY TO RETURN FOR RELAPSE.

FOR PEOPLE WITH SEVERE LPR OR PEOPLE WHO DO NOT RESPOND TO MEDS, "ANTIREFLUX" SURGERY MAY BE RECOMMENDED. IN SOME PEOPLE WHO HAVE THE SURGERY THEY HAVE GOOD RELIEF FROM LPR SYMPTOMS FOR MANY YEARS.

SERIOUS PROBLEMS LPR CAN CAUSE: NOISY BREATHING, CHOKING, COUGHING EPISODES THAT COME ON QUICKLY, SHORTNESS OF BREATH AND BREATHING PROBLEMS SUCH AS ASTHMA, CHRONIC BRONCHITIS, DAMAGE TO VOCAL BOX AND CORDS. EVEN CANCER OF THE THROAT OR ESOPHGUS, OR VOCAL CORD BOX. IT IS MOST IMPORTANT TO SEEK TREATMENT AND NOT LEAVE UNTREATED.

I know this is long and for vetern LPR patients we've learned many more things this can cause but I thought for new members this might help and came straight from a well known Otolaryngologist that speializes in LPR. I've had it for 10 yrs and trying to find a really good surgeon who has had success in performing surgery for LPR patients. There are many things NOT covered in the phamplet including the risk and treatment of surgery, which I was briefed on. Hopefully this may give you an idea of what symptoms to look for and who to seek treatment from. I was misdiagosed for many years and feel that is one reason that I have not had good response with meds and my problems have gotten worse and added.

Charla





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