Reflux, Care: Gastroesophageal reflux (GERD) describes acid which may flow from the stomach into the esophagus. GERD most often causes heartburn and burping, among a multitude of other symptoms. Laryngopharyngeal reflux (LPR) refers to the flow of acid from the stomach, via the esophagus, into the throat. LPR may cause throat pain, a globus sensation (feeling of a lump in the throat), hoarseness, coughing, or difficulty swallowing, among other symptoms. Both GERD and LPR are usually treated with adherence to reflux precautions (dietary and habit changes), and / or acid blocking medications (most commonly proton pump inhibitors (PPIs) or H2 blockers). An upper endoscopy and / or a pH probe may be recommended for further evaluation and establishment of the diagnosis.
Avoid triggers, such as caffeine, smoking, fatty foods, chocolate, citrus fruits or juices, tomato based products, carbonated beverages, alcohol, onions, peppermint and garlic. Recommend eating smaller meals more frequently. Do not eat within three hours of going to bed. Avoid wearing tight fitting garments. Raise the head of the bed by 6 inches. Styrofoam wedge underneath the mattress may be helpful. We discussed the importance of weight loss in reducing GERD symptoms.
