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Reflux and Laryngopharyngeal Reflux (LPR)

The address of trust in Modern ENT Services

Prof. Dr. Fuat Büyüklü

Reflux and Laryngopharyngeal Reflux (LPR)

What is Reflux?
Reflux is a digestive system disorder that occurs as a result of the backflow of stomach contents and stomach acid into the esophagus. The most common form is called gastroesophageal reflux disease (GERD). In GERD, typical complaints such as heartburn, burning sensation in the chest, and the arrival of bitter or sour water in the mouth are at the forefront. If reflux is not controlled for a long time, it can lead to irritation, ulcers, and a significant decrease in quality of life in the esophagus.

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+90 501 188 21 08

22+

With more than Years of Experience

Professional and Safe Approach in ENT Treatment

Curiosities About Reflux

Laryngopharyngeal reflux (LPR) occurs when stomach acid travels up the esophagus and reaches the larynx (voice box) and pharynx (throat). For this reason, LPR is also often referred to as “silent reflux” among the public. Unlike GERD, heartburn may not always be observed in LPR. Patients often apply with ear, nose, and throat complaints without realizing that the problem originates from the stomach.

The most common symptoms of LPR are:
• Chronic and recurrent hoarseness
• Sensation of sticking or foreign body in the throat
• Constant need to clear the throat
• Persistent dry cough
• Difficulty swallowing
• Sore throat
• Bitter or metallic taste in the mouth
These complaints can be more pronounced, especially in the morning hours.

LPR occurs as a result of the stomach contents escaping upwards due to the lower and upper sphincter muscles between the stomach and esophagus not performing their function completely.
The main risk factors are:
• Fatty, spicy, and heavy foods
• Caffeine, alcohol, and acidic drinks
• Smoking
• Obesity
• Intense stress
• Eating late at night
• Lying on a flat surface

The diagnosis of LPR is made with the patient’s complaints, ear-nose-throat examination, and endoscopic evaluation if necessary. In some patients, multidisciplinary evaluation may be required together with gastroenterology.

1. Lifestyle Changes
The basis of treatment consists of lifestyle adjustments:
• Avoiding acidic, fatty, and spicy foods
• Not lying down for at least 3 hours after eating
• Elevating the head while sleeping
• Quitting smoking and alcohol
• Losing excess weight
• Reducing caffeine consumption
2. Medical Treatment
Successful results can be obtained with medication in appropriate patients:
• Proton pump inhibitors (PPIs): Reduce stomach acid production
• H2 receptor blockers: Help with acid control
• Antacids: Provide temporary relief
• Mucosa-protective drugs: Protect the throat and esophagus against acid damage
The duration of treatment usually covers a few months and requires regular follow-up.
3. Surgical Treatment
Surgical options may be considered in patients whose complaints persist despite lifestyle changes and drug treatment.
• Fundoplication surgery aims to strengthen the valve mechanism between the stomach and esophagus
The decision for surgical treatment must be made after a detailed evaluation.

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Professional and Safe Approach in ENT Treatment

Prof. Dr. Fuat Büyüklü

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+90 501 188 21 08

Prof. Dr. Fuat Büyüklü

Doctor's Opinion and When Should I Make an Appointment?

Laryngopharyngeal reflux is a common condition encountered in ENT practice, but it is often overlooked. With the correct diagnosis and regular treatment, complaints can be controlled in a large part of the patients.
When Should I Make an Appointment?
• If you have had hoarseness for a long time
• If you have persistent irritation in your throat
• If your complaints persist despite reflux treatment
It is recommended to consult an ear, nose, and throat specialist for a detailed evaluation.

You Can Contact Us For Treatment and Information

+90 501 188 21 08

22+

With Over 22 Years of Experience