What is the difference between Allergic Rhinitis and Laryngopharyngeal Reflux?

Doctor's Answers 1

Thank you for your question. Both Allergic Rhinitis and Laryngopharyngeal Reflux can cause a feeling of something stuck in the throat aka globus sensation. However, they are very different conditions.

Allergic Rhinitis refers to inflammation of the nasal cavity due to exposure to a known allergen (protein that triggers an allergic reaction in the nose - most common culprit is house dust mites). Typical symptoms include blocked nose, runny nose, sneezing, postnasal drip itchy nose and itchy eyes.

To find out more please read my article that was published in Human ("Hate your sensitive nose? This is your cure!")

Laryngopharyngeal reflux (LPR) refers to acid reflux from the stomach to the voice box in the throat. Common symptoms include feeling of something stuck in the throat, sore throat, cough, frequent throat clearing and hoarse voice.

To find out more about laryngopharyngeal reflux, do read my article on Human ("This is what really causes your sore throat when you eat too much "heaty" food")

As both postnasal drip from Allergic Rhinitis and LPR can cause a feeling of something stuck in the throat (sometimes mucous or just a swollen feeling in the throat), you could be suffering from one of the two condition or both conditions.

Your ENT Specialist will need to take a thorough history and perform a complete physical examination, including a nasoendoscopy (a relatively simple and painless scope through the nose and down to the level of the voice box) to determine the likely cause of your symptoms.

Hope this helps and all the best.

Similar Questions

What is the relationship between allergic rhinitis and asthma?

Hi Susan, thanks for the D2D. Many of my paediatric patients suffer from both asthma and allergic rhinitis. Asthma is a hyper-reactive inflammatory narrowing and obstruction of the lower airways of the lung, which causes recurrent wheezing, difficulty breathing, chest tightness and cough. Allergic rhinitis represents a hyper-sensitive inflammatory reaction of the lining of the nose (the upper airway), leading to nasal itching, sneezing, runny nose and nasal congestion. We find that allergic rhinitis typically precedes the onset of asthma and often worsens the control of asthma.

Photo of Dr Annabelle Leong

Answered By

Dr Annabelle Leong

ENT Doctor

How is the severity of allergic rhinitis graded by a doctor?

From the clinical history that you provided, it sounds like your Rhinitis (which can be Allergic or Non-allergic) is "severe". According to the ARIA (Allergic Rhinitis and its Impact on Asthma) guidelines, you have severe Rhinitis if your symptoms are bad enough to cause one of the following items: Abnormal sleep Impairment of daily activities, sports or leisure Impaired work and school Troublesome symptoms I would suggest that you visit an ENT Specialist for a consultation and assessment.

Photo of Dr Eng Cern Gan

Answered By

Dr Eng Cern Gan

ENT Doctor

Ask any health question for free

I’m not so sure about a procedure...

Ask Icon Ask a Question

Join Human

Sign up now for a free Human account to get answers from specialists in Singapore.

Sign Up

Get The Pill

Be healthier with our Bite-sized health news straight in your inbox