LPR - Laryngopharyngeal Reflux

Laryngopharyngeal reflux (LPR) also known as SILENT REFLUX / THROAT ACIDITY is a condition in which digestive juices (acid) that are secreted in the stomach travel up the esophagus (swallowing tube) and get to the throat.

The symptoms of Laryngopharyngeal reflux are felt in the throat and include the following:
• The sensation of mucus sticking in the throat
• Sensation of a lump in the throat that is felt more on swallowing
• Sore throat
• Need to frequently clear the throat
• Long standing cough
• Mild hoarseness

It is assumed that LPR is due to a malfunction of the valve at the upper part of the esophagus. Anyone can get LPR, but it occurs more often as people age. Overweight and over stressed people are also more likely to have LPR.
LPR is usually diagnosed based on the patient’s symptoms. A simple Videolaryngoscopic (VLS) examination can help confirm the diagnosis.


Mainstay of treatment is lifestyle modifications.
• Follow a bland diet (low in fat, not spicy).
• Eat frequent, small meals.
• Lose weight, if needed.
• Avoid the use of alcohol, tobacco, carbonated drinks & caffeine.
• Do not eat food less than 2 hours before bedtime.
• Elevate the head of the bed about 4 to 6 inches. Place a strong, solid object (like a board) under the top portion of the mattress. This will help prop up your head and the upper portion of your body.
• Quit smoking, if you are a smoker.