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- Title
"Silent Hills: Laryngopharyngeal Reflux Disease in Uttarakhand".
- Authors
Kala, Sonal; Bisht, Ravinder Singh; Rehman, Uzma; Doshad, Arjun Singh
- Abstract
Introduction Laryngopharyngeal reflux (LPR) is a syndrome caused by reflux of gastric contents into the pharynx or larynx which leads to symptoms of throat clearing, cough, pain, sensation of something stuck in the throat and change in voice. Evaluation of symptoms using the Reflux Symptom Index is considered to be the basic diagnostic procedure. LPR therapy is complex and requires modification of patient’s lifestyle and habits. LPR treatment and management is supposed to reduce the acidity or stomach contents and neutralize acidopeptidic activity in larynx, pharynx and oesophagus. High dosages of PPI (proton pump inhibitors) have shown the best effects in reducing reflux. Aims and objectives: The goal of the current study is 1. To determine the effects of gastric reflux on larynx and pharynx both clinically and endoscopically. 2. To evaluate the effect of proton pump inhibitors along with lifestyle modifications on laryngeal reflux symptom index and reflux finding score. LPR was treated with PPI, alkaline alginates and standard reflux precautions (avoidance of coffee, tea, chocolate, soda, greasy, fried, fatty, and spicy foods, alcohol and smoking). Results: The study constituted of 150 patients coming to ENT OPD with symptoms of laryngopharyngeal reflux and having RSI >13. All patients were examined by 70-degree video-laryngoscope and were treated with proton pump inhibitors, alginates and lifestyle modifications. 80 of them recovered after 2 weeks of lifestyle modification and treatment and 63 recovered after a month while 7 remained symptomatic after 3 months of treatment as well. Conclusion: Laryngopharyngeal reflux (LPR) is common in ENT practice but requires careful diagnosis due to its non-specific symptoms. Accurate diagnosis ensures appropriate management and avoids the pitfalls of overdiagnosis in LPR cases.
- Subjects
PROTON pump inhibitors; GASTROINTESTINAL contents; ESOPHAGUS; PHARYNX; LARYNX; COUGH
- Publication
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research), 2024, Vol 15, Issue 8, p2053
- ISSN
0975-3583
- Publication type
Article