Silent Reflux Management
While laryngopharyngeal reflux is more difficult to diagnose than GERD, a physician can diagnose it through a combination of medical history, physical exam, and one or more tests. Tests may include:
- Endoscopic exams - Your physician will use a thin, flexible tube to look at your throat and vocal folds on a monitor.
- pH monitoring – Your physician will place a small catheter through your nose and into your throat and esophagus. During this procedure, sensors detect the amount of acid present and a small computer worn at the waist records findings during a 24-hour period.
During this process, our team will also assess your vocal quality, efficiency and speaking technique.
Your doctor may recommend lifestyle modifications, including:
- Losing weight (if needed)
- Quitting smoking (if applicable)
- Avoiding alcohol
- Restricting acid-producing foods, such as chocolate, fats, citrus fruits, and caffeine.
You may also be recommended medications that will reduce or neutralize gastric acid, such as:
- H2 blockers
- Prokinetic agents
- Proton pump inhibitors
- Sucralfate to protect injured mucous membranes