Title | : | Laryngopharyngeal Reflux, A Simple Guide to the Condition, Treatment and Related Diseases |
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Author | : | Kenneth Kee |
Release | : | 2014-12-02 |
Kind | : | ebook |
Genre | : | Health, Mind & Body, Books, Professional & Technical, Medical, Health & Fitness |
Size | : | 153003 |
LPR is called the silent reflux disease It is due to the abnormal acid backflow release From the stomach to the vocal box or larynx Or even higher up the throat or pharynx There is frequent hoarseness and throat clearing Sometimes frequent sore throat and chronic coughing There is sometimes dysphagia or difficulty in swallowing Some presents like asthma with difficulty in breathing Endoscopy can see abrasion in the stomach structure And sometimes narrowing of the esophagus or strictures This is cause difficulty in swallowing And collection of phlegm resulting in coughing Treatment is by the raising of the head of the bed And for the obese the losing of weight Antacids are given to neutralize the acid secretions While surgery can release any esophageal constrictions -An original poem by Kenneth Kee Interesting Tips about the Laryngopharyngeal Reflux A Healthy Lifestyle 1. Take a well Balanced Diet 2. Treatment of Laryngopharyngeal Reflux: A. Prevention of reflux: a. Weight loss for the Obese b. Positional therapy c. Smoking reduces lower esophageal sphincter competence, and should be avoided d. Avoid stress. B. Neutralizing the Gastric Acid Reflux a. Proton pump inhibitors are the best drugs used in reducing gastric acid secretion. (e.g. Nexium, Losec) b. Antacids taken before meals half hourly after symptoms begin can reduce gastric acidity (liquid antacid are more useful than tablets) c. Alginic acid (Gaviscon) protects the mucosa as well as increase pH and decrease reflux. d. Gastric H2 receptor blockers such as ranitidine or famotidine decrease gastric secretion of acid. C. Surgical treatment The standard surgical treatment, done laparoscopically, is the Nissen fundoplication. The upper part of the stomach is wrapped around the Lower Esophageal Sphincter (LES) to strengthen the sphincter and prevent acid reflux and to repair a hiatus hernia. 3. Keep bones and body strong Bone marrow produces our blood Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables. Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk. Eat food rich in Vitamins B and C such as green vegetables and fruits Zinc and other minerals are important to the body 4. Get enough rest and Sleep Avoid stress and tension 5. Exercise and stay active. It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2½ hours a week. One way to do this is to be active 30 minutes a day at least 5 days a week. Begin slowly especially if a person has not been active. 6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman. Alcohol use also increases the chance of falling and breaking a bone. Alcohol can affect the neurons and brain cells. 7. Stop or do not begin smoking. It also interferes with blood supply and healing. Chapter 1 Laryngopharyngeal Reflux Laryngopharyngeal reflux disease (LPR) is a chronic disease of the pharynx (throat) and larynx (voice box) whose mucosa is damaged by abnormal acid backflow (reflux) of gastric acid from the stomach to the esophagus. During the course of medical treatment of many chronic cough I find that many patients’ chronic coughs come not from their lungs but from their throats especially when they have symptoms of GERD or gastritis. In fact one of the most common causes is from the acid and gas which are pushed up into their throat or vocal cords. |