Laryngopharyngeal Reflux (Acid Reflux)

What is “acid reflux?”

Acid reflux refers to acid from the stomach backing up into the esophagus (or food tube). This is also called “acid reflux disease,” “gastric reflux” or “gastroesophageal reflux” (GERD). If the acid travels up the esophagus and spills over into the voice box (or larynx), it is called “laryngopharyngeal reflux” or LPR.

Why is reflux bad for my voice?

Stomach acid is very caustic. If it comes into contact with the voice box, it can cause irritation, burning, or swelling. It can also make vocal fold injuries worse and slow down the healing process for these injuries.

What are the symptoms of reflux?

• Heartburn (although many people who have reflux do not have heartburn).
• Too much mucous in the throat, making you feel like you need to clear your throat often.
• Feeling a “lump” in the throat.
• Sour taste in the mouth.
• Burning feeling in the throat.
• Hoarse voice, especially in the morning.
• Coughing a lot or feeling a “tickle” in the throat.
• Difficulty swallowing, especially solids.

How is reflux treated?

Your doctor will decide the best treatment for acid reflux for you. He or she may recommend changing your eating habits to help your voice. Your doctor may tell you to:

• Avoid certain foods and drinks including:
  • Spicy foods
  • Food and drinks that are high in acid (citrus fruits and drinks, tomatoes)
  • Alcohol
  • Fried and fatty foods
  • Caffeine
  • Carbonated drinks
  • Mint
  • Chocolate
• Avoid exercise or singing after a meal.
• Wait for three to four hours before lying down after eating or drinking.
• Raise the head of your bed by six inches.
• Begin a weight-loss program if you are overweight.
• Drink at least eight 8-oz. glasses of water per day.

Your doctor may also prescribe medication for acid reflux. Be sure to take the medication(s) as directed. In severe cases of reflux that don’t get better with diet changes or medicine, the doctor may recommend surgery to keep the acid from backing up into the esophagus.