After a busy holiday season, many of us start the new year wondering what we can do to resolve our reflux. Overindulgence in food and drink during prolonged periods of sitting can backfire with heartburn and other reflux related symptoms.
University of Kansas Voice and Swallow Center Director, David Garnett MD, FACS delivers keynote presentation in China: "Hyperacidity and the Irritated Airway"
Commonly referred to as “silent reflux,” laryngopharyngeal reflux (LPR) has long been difficult for physicians to diagnose because of its nonspecific symptoms. The traditional approach to assessing LPR symptoms relies on response to empiric treatment and symptom improvement using the reflux symptom index (RSI) or reflux finding score (RFS). Without clear criteria in place, these tools are highly subjective.
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1. SYMPTOMS DON’T TELL THE FULL STORY.
Empiric treatment with medication has long been the standard diagnostic tool for extraesophageal reflux. Presently, this approach is being challenged by new studies that suggest potential damage resulting from anti-reflux drugs. It is further complicated by a placebo effect mitigating symptoms while damaging acid persists. Given the multifactorial nature of laryngopharyngeal reflux, symptoms are not a reliable indication of how well reflux is being controlled.