Silent laryngopharyngeal reflux is very much a diagnosis under an Ear-Nose-Throat (ENT) specialist. The presentation can range from throat discomfort or hoarseness of voice supported by endoscopic evidence of redness or inflammation of tissue around the voice box.
Just like gastric reflux (GERD), the mainstay of treatment is to minimise acid injuries from any potential gastric reflux. Simple lifestyle changes such as avoiding tight clothing, raising the head of your bed when you sleep and avoiding a full meal 2 hours before you go to bed may help. In more severe cases, medical treatment with H2-blockers and proton pump inhibitors may be required.
Dietary adjustments include:
- cutting down on fried and oily food
- avoid excessive intake of alcohol
- limit your consumption of citrus fruits, peppermint drinks, chocolate and coffee.
If you are overweight, weight reduction and small frequent meals may go a long way.
