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What Causes Laryngopharyngeal Reflux Disease?
Question: I have been experiencing a bruised feeling on the left side of my pharynx for like the past 4 months. The ENT did a scope and said that it was LPR... However, it doesn't burn like a sore throat. It feels like a bruise. There aren't any lumps or swelling but could it be something other than LPR?
Brief Answer:
LPR need not always burn
Detailed Answer:
Hello sir and thanks for using healthcaremagic,
LPR usually presents as a persistent sore throat. Chronic dry cough and hoarseness is another common presentation. LPR can cause heartburn.
The only way to confirm is by looking at it with a scope, which your doctor has already done. Evidence of LPR will be very clear in scopy.
For LPR you will need a proton pump inhibitor and a prokinetic.
Follow some general measures as follows.
1) Sleep with head end elevation of the bed by 10 -15 degrees. You can do it by placing a XXXXXXX under the head end of the bed. Using an extra pillow will not help.
2) Do not sleep for 2 hours after having food.
3) Practise breathing exrecises to improve the tone of the lower esophageal sphincter.
4) Eat food at regular intervals.
If you do not feel better with the above in a few weeks time then you will need to undergo an upper GI endoscopy to rule out other causes of LPR like hiatus hernia and H-Pylori infection.
Regards,
Dr Rajkishori Godhi
LPR need not always burn
Detailed Answer:
Hello sir and thanks for using healthcaremagic,
LPR usually presents as a persistent sore throat. Chronic dry cough and hoarseness is another common presentation. LPR can cause heartburn.
The only way to confirm is by looking at it with a scope, which your doctor has already done. Evidence of LPR will be very clear in scopy.
For LPR you will need a proton pump inhibitor and a prokinetic.
Follow some general measures as follows.
1) Sleep with head end elevation of the bed by 10 -15 degrees. You can do it by placing a XXXXXXX under the head end of the bed. Using an extra pillow will not help.
2) Do not sleep for 2 hours after having food.
3) Practise breathing exrecises to improve the tone of the lower esophageal sphincter.
4) Eat food at regular intervals.
If you do not feel better with the above in a few weeks time then you will need to undergo an upper GI endoscopy to rule out other causes of LPR like hiatus hernia and H-Pylori infection.
Regards,
Dr Rajkishori Godhi
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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