|Gastroesophageal reflux (GER) laryngitis is a disorder in which the acidic contents of your stomach are regurgitating back from your stomach to your throat. This can result in an acid burn in the voice box, throat, and tongue. Symptoms include bad breath, hoarseness, chronic cough, the sensation of something caught in your throat, or a sore throat. It is usually not associated with heartburn. There is some evidence that the reflux of acid may also contribute to nasal congestion and sinusitis.
Stomach contents are generally prevented from regurgitating back up the esophagus (feeding tube) into the throat by a muscular ring at the entrance to the stomach. Many drugs and foods cause this muscle to relax which allows the acid to reflux from the stomach. During the day, gravity helps to keep acid from flowing upwards towards the throat. When lying down to sleep at night, especially if the muscular ring is relaxed and the stomach is full, stomach acid can freely flow through the esophagus into the throat. This leads to the symptoms associated with GER laryngitis/pharyngitis.
THINGS TO AVOID:
THINGS TO DO:
Although this may seem difficult, we need to eliminate the GERD completely to allow the acid burn in your throat to heal. It may take 1-2 weeks of strict adherence to these guidelines to begin to notice an improvement in your symptoms. It may take 3-4 more months for the burn to heal completely. At that point, you will then be able to once again eat and drink normally but you will need to avoid overindulgence of these types of foods. Overindulgence will typically lead to mild symptoms that will then signal you to modify your diet once again temporarily.
Chronic uncontrolled GERD increases your risk of cancer of the esophagus and larynx. It is, therefore, important to schedule an appointment with a gastroenterologist if your GERD is recurring frequently, so that he/she can look at your esophagus and perform a biopsy, if necessary.
It is also important to see us every 3-4 months if your symptoms recur frequently, so that we can examine your larynx. If you overuse your voice regularly (teachers, vocalists, etc.) treatment of GERD will lead to much less frequent hoarseness and a tremendous improvement in the quality and power of your voice.
We enjoy teaching our patients about their medical problems and the treatment plan that we have recommended. We believe that with this education, our patients are more likely to get better and to stay better.
These information sheets are intended for use by our patients in conjunction with regular care from Drs. Siegel and Bosworth. Use of these sheets by others can lead to a delay in diagnosis with potential worsening of health. If you are not one of our patients, please schedule an appointment so that we can help you to feel better as soon as possible.