LARYNGOPHARYNGEAL REFLUX DISEASE

What on earth is Laryngopharyngeal reflux disease? It's certainly a mouthful - of acid from your stomach actually.

Have you got it? Take the RSI test of your symptoms to see if this is likely. Over the last month have you had the following and to what degree? Score each from 0 for not at all, up to 5 for severely then add to see if total score over 13.

Hoarseness or a problem with your voice

Clearing your throat

Excess throat mucous or postnasal drip

Difficulty swallowing food, liquids or pills

Coughing after you ate or after lying down

Breathing difficulties or choking episodes

Troublesome or annoying cough

Sensations or something sticking in your throat

Heart burn, chest pain, indigestion, or stomach acid coming up.


Our lower esophagus may dislike acid, but the back of our throat and even more our air passages, dislike it intensely.

Laryngopharyngeal reflux causes quite marked swelling in the throat.

GERD ASTHMA AND GERD COUGH

Acid reflux and asthma are both common, and so will coexist frequently just by chance. There is however, more to it than that...

2/3rds of people with asthma have also symptoms of acid reflux, and nearly the same proportion have a hiatal hernia.
The esophageal acid contact time*ˢᵉᵉ ᵇᵉˡᵒʷ is increased in 80% of people with asthma.

Of people with both conditions, more than half have erosions or ulceration in their esophagus.

Acid reflux into our air passages causes quite marked increase in asthma, but it infrequently reaches the throat, let alone tipping into the air passages.
However acid reflux can affect breathing even if only in the lower esophagus (but markedly more the higher it gets.)

If you have bad asthma, or are subject to any sort of attacks waking you from sleep, a test for acid reflux is worth considering. Attending to this problem may help your asthma.

Another intriguing possibility for relating chronic cough to stomach disorders via vitamin B12, has just recently been reported - see reference below.

references for laryngopharyngeal reflux disease

Oesophageal pH monitoring is the "gold standard" (best) test for demonstrating reflux episodes and seeing if they are symptomatic by comparing the acid exposure record with the diary kept during the test.
The total time during the test when acid is refluxing, is measured.

8. Vitamin B 12 deficiency is nearly always caused by inability to absorb it from our food, is very common and causes lots of fairly minor symptoms. These symptoms are non-specific, with many possible causes. Here it is cough, but commonly it is fatigue or insomnia which are likely to be attributed to stress, aging etc.


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