What Is Silent Reflux? Reflux Of The Laryngopharynx

silent reflux main 1

Mai Delacruz

Mai Delacruz
Personal Fitness Trainer & Health Coach

Updated on 12/7/2022

So what is silent reflux? LPR, also known as laryngopharyngeal reflux disease (GERD), occurs when the stomach contents back up into the pharynx (reflux). Although the symptoms of lower esophageal reflux disease can be distinct from those typical of gastroesophageal reflux disease (GERD), there is often some overlap between the two conditions.

When you have LPR (heartburn), you may not experience the usual symptoms of GERD, such as a burning sensation in your lower chest, even if you suffer from GERD. Consequently, silent reflux can be a challenge to diagnose, which is why it is frequently referred to as silent reflux because it is difficult to diagnose.

LPR's Root Causes

LPR's Root Causes

A ring of muscle surrounds each end of your esophagus (sphincter) and prevents food from passing through. When these sphincters are normal, the contents of your stomach will remain where they should be, namely in your stomach as they should be. There is, however, a condition called LPR in which someone's sphincters don't function properly. The acid from the stomach can come up into the back of the throat (also called the pharynx) or the voice box (also called the larynx), or it can even go back into the rear of your nasal airway in this case. It can cause inflammation in areas that are not protected from the effects of gastric acid in places where it has not been previously applied.

It is not uncommon for infants to experience silent reflux because their sphincters are not fully developed, they have a shorter esophagus, and they spend the majority of their time lying down. In adults, there is no known cause for the condition, so it is unknown what causes it.

A List Of LPR's Symptoms

A List Of LPR's Symptoms

It is important to note that the following are examples of possible symptoms in newborns and children:

  • Hoarseness
  • "Barking" is also a persistent cough that persists for an extended period.
  • Asthma is a disease of the reactive airways (asthma)
  • It is characterized by noisy breathing or breathing that is interrupted by pauses (apnea) 
  • It may be difficult for you to chew food, swallow it, or regurgitate it.
  • Weight gain is proving to be a challenge.

Several symptoms may be experienced by individuals with LPR, such as heartburn, a bitter taste in the mouth, and a burning sensation in the back of the throat. On the other hand, they are less likely to exhibit such typical symptoms of GERD, which is a good thing. The symptoms that adults experience with this condition are usually vague and can easily be confused with those of other states, as they are often ambiguous. Here is a list of some of the most common symptoms associated with this disease:

An excessive amount of clearing

  • An excessive amount of clearing of the throat is not desirable.
  • Coughing that persists for an extended period. 
  • Hoarseness
  • The sensation of having a persistent lump in the throat does not go away after swallowing more than once. It is also possible to experience the following symptoms as well:

the throat is similar to that of the postnasal bead.

  • The feeling of postnasal drip or excessive mucus in the throat is similar to that of the postnasal bead.
  • It is difficult for you to swallow.
  • Difficulty with breathing
  • Discomfort in the throat

There Are Several Complications Associated With LPR

There Are Several Complications Associated With LPR

Over time, the accumulation of stomach acid in the throat and larynx can lead to irritation and damage to the throat and larynx. In the absence of treatment, there could be severe consequences.

In newborns and children with LPR, the following symptoms can be observed:

  • The volume of space below the vocal cords is reduced due to this procedure.
  • Ulcers caused by contact
  • A problem with the line can cause ear infections to recur when there is a malfunction with the function of the eustachian tube, which can cause ear infections to recur.
  • the accumulation of fluid in the middle ear over a long period

Silent reflux can result in scarring of the throat and voice box in adults who suffer from silent reflux. The drug may also affect the lungs and may exacerbate the symptoms of lung problems such as asthma, emphysema, and bronchitis. In addition, it may increase the risk of developing cancer in a particular body area.

Evaluation Of The LPR

silent reflux

Although silent reflux is more challenging to diagnose than GERD, a doctor can diagnose it with a medical history, physical exam, and some tests, even though it is more challenging to diagnose than GERD. Despite this, it is still possible to make a diagnosis of silent reflux. Several possible tests can be conducted, including:

  • It is commonly known as an endoscopic examination in a doctor's office and involves using a flexible or rigid viewing tool to see the throat and vocal cords.
  • The pH level of a patient can be measured by threading a thin catheter down the patient's nose, down the neck, and into the esophagus to measure the patient's pH level. Upon arriving at the doctor's office, sensors detect the presence of acid in the patient's body, and a small computer worn around the patient's waist records the results over one day. To provide a more accurate diagnosis of reflux, we can utilize more recent pH probes positioned at the base of the tongue or capsules set further up in the esophagus to measure pH.

The Treatment Of Low Back Pain

The Treatment Of Low Back Pain

You can treat silent reflux in infants and children in several ways, including the following:

  • The portions should be fewer, more infrequent, but more manageable.
  • If the newborn is to be kept upright for a minimum of half an hour after each feeding, it is recommended that the newborn remains upright.
  • As directed by the pediatrician, patients should take medications such as H2 blockers or proton pump inhibitors according to their instructions.
  • If the anomaly cannot be corrected by any other means, it will have to be repaired surgically.

Several lifestyle adjustments may be helpful to adults who suffer from silent reflux as part of their treatment. These adjustments include:

Several lifestyle adjustments may be helpful to adults

  • You may need to lose some weight if you feel it is required.
  • If you are a smoker, you should give up the habit as soon as possible.
  • Avoid alcohol.
  • Some specific foods and beverages should be avoided, such as chocolate, mints, fats, citrus fruits, carbonated drinks, red wine, spicy or tomato-based items, and caffeine.
  • Ideally, it would be best if you refrained from eating at least three hours before going to bed so that your body can relax.
  • It is recommended that you raise the head of the bed by approximately 4 to 6 inches.
  • It would help if you tried to avoid fraying by wearing clothes that are too tight around the waist.
  • By chewing gum, you can improve saliva production, which will help neutralize the acid in the stomach.

It is also possible that you will also need to take one or more of the following types of medications:

It is also possible that you will also need to take one

  • It is important to use proton pump inhibitors such as dexlansoprazole (Dexilant), esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), omeprazole, or rabeprazole (Aciphex) in order to lower the stomach's acid output.
  • Using H2 blockers, such as cimetidine (Tagamet), famotidine (Pepcid), or nizatidine, treats stomach acid overproduction when too much acid is produced.
  • It is used to speed up the flow of food through the digestive tract with the use of prokinetics agents and to increase the pressure exerted by the lower esophageal sphincter. These drugs' service has been reduced over the last few decades because they have been associated with potentially harmful side effects, such as irregular heartbeats and diarrhea.
  • If the mucous membranes are injured, this can help you protect the mucous membranes that may have been damaged.
  • It is widely known that antacids are medications that act as a neutralizer of acid and are most commonly used to treat symptoms of acid reflux.

Self-care and medical management are indeed effective treatments for some individuals. Nevertheless, some patients might need to undergo a more intensive and prolonged course of medicine due to their condition. Your physician may recommend surgical intervention if this treatment proves to be ineffective or if the symptoms persist.

Your physician may recommend surgical

Fundoplication is a type of surgery that involves wrapping the upper part of the stomach around the lower part of the esophagus to create a more robust valve between the esophagus and stomach. The purpose of doing this is to prevent food from traveling backward from the stomach into the esophagus. As part of the procedure, a laparoscope and minimally invasive surgical tools will be used, and you will need to make a small incision. Further, an open system can also perform a fundoplication, which requires a broader incision than the more conventional open surgery method.

Laparoscopic surgery can also be used for other procedures, such as placing titanium beads around the lower esophagus' exterior to prevent bacteria from entering. By performing this procedure, you can reinforce the valve while allowing food to pass through it.

Laparoscopic surgery can also be used for other procedures,

Incisionless Transoral Fundoplication (TIF) is a relatively new type of treatment that eliminates the need for surgical intervention because the procedure is performed without any visible incisions. The result is that in the case of a specific situation or therapy, the physician will use a specialized TIF device to feed the endoscope during the procedure. To prevent reflux from worsening, the device replaces or recreates the natural barrier the body has against reflux.

That's a conclusion to answer, what is silent reflux?