What is Laryngopharyngeal Reflux?

The term reflux is usually associated with the gastrointestinal reflux disease (GERD). This is more common in adults than in children. But, children can suffer from a different type of reflux disease called the laryngopharyngeal reflux (LPR). There are a few common symptoms that exist in both the disorders, but it is important to differentiate between the two.

Laryngopharyngeal Reflux and GERD: Typical GERD patients, have problems like burping, gastric pain and heart burns. These are the symptoms found in most adults.

  • Children, though very rare can suffer from GERD, but quiet often they are prone to the reflux of the larynopharyngeal which come with symptoms of their own.
  • Patients who suffer from the typical gastrointestinal problems have a heart burn or have esophagitis (esophagus inflammation). But, children with other reflux do not possess this problem.
  • There would be stomach aches or pain when consuming meals in GERD patients while it is not the same with children suffering from the other one.
  • In GERD, people suffer from refluxes during nights while in children with pharyngeal reflux, it is mostly in the days.
  • In patients suffering from GERD, the stomach acid enters the swallowing tube due to a failure in the lower sphincter of the esophogaus.
  • In children with pharyngeal reflux, it is the failure of the upper sphincter, that allows the acid into the nose and the throat’s back.

Symptoms of LPR: Let us look at a few symptoms in children.

  • Persistent nasal congestion
  • Hoarseness
  • Sore throat
  • Frequent obstruction of the airway
  • Difficulty in swallowing
  • Nasal obstruction
  • Mucous in the throat
  • Ear pain

It is evident from the symptoms that a child would suffer from speech associated problems in case he/she suffers from this problem. A proper diagnosis and treatment is necessary in order to avoid any speech oriented problems.

Treatment: Once a child tests positive for LPR, PPI (proton pump inhibitor) drugs should be given which stop the acid production in the stomach.

  • A reduction in stomach acids production would eventually stop the flow of acid into the throat.
  • Most children would require the therapy of PPI for at least one month, while some may need it for 3 months.

Laryngopharyngeal reflux should be clearly discriminated from GERD in order to provide the efficient treatment to a child.