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Laryngopharyngeal reflux (LPR) or laryngopharyngeal reflux disease (LPRD) is the retrograde flow of gastric contents into the larynx, oropharynx and/or the nasopharynx. [4] [5] LPR causes respiratory symptoms such as cough and wheezing [6] and is often associated with head and neck complaints such as dysphonia, globus pharyngis, and dysphagia. [7]
Children may have one symptom or many; no single symptom is universal in all children with GERD. Of the estimated 4 million babies born in the US each year, up to 35% of them may have difficulties with reflux in the first few months of their lives, known as 'spitting up'. [24] About 90% of infants will outgrow their reflux by their first birthday.
Jamie A. Koufman is a physician and researcher on the topic of acid reflux.She coined the terms "laryngopharyngeal reflux" and "silent reflux".[1]Koufman is the founder and director of the now defunct Voice Institute of New York, [2] a comprehensive voice and reflux treatment center, and Professor of Clinical Otolaryngology at New York Medical College.
Silent reflux can be a little harder to detect than usual baby reflux.
Neurological examination is usually normal. Misdiagnosis as benign infantile spasms or epileptic seizures is common, particularly where clear signs or symptoms of gastro-oesophageal reflux are not apparent. Early diagnosis is critical, as treatment is simple and leads to prompt resolution of the movement disorder. [2]
Risk factors in babies include birth by cesarean section, preterm birth, bottle feeding, and being firstborn. [3] The diagnosis may be made by feeling an olive-shaped mass in the baby's abdomen. [1] This is often confirmed with ultrasound. [4] Treatment initially begins by correcting dehydration and electrolyte problems. [1]
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When gastroesophageal reflux disease (GERD) is the trigger, treatment of GERD can help manage laryngospasm. Proton pump inhibitors such as Dexlansoprazole (Dexilant), Esomeprazole (Nexium), and Lansoprazole (Prevacid) reduce the production of stomach acids, making reflux fluids less irritant.
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