Gastro-esophageal/Laryngopharyngeal Reflux

>>Gastro-esophageal and Laryngopharyngeal Reflux

Get information about GERD (gastro-esophageal reflux) and LPR (laryngopharyngeal reflux) from Dr. Richard Nass, sinus, ear, nose, and throat specialist in Manhattan

GERD, LPR and your sinuses

You may not realize it, but there can be a relationship between acid reflux disease, sinusitis, and other nasal problems such as rhinitis. And it’s important to know that even if you don’t have gastrointestinal symptoms of GERD or LPR, both can still present themselves in the form of nasal or sinus problems. For this reason, GERD and LPR often are first diagnosed by an Ear, Nose, Throat, and Sinus specialist.

What are the symptoms of GERD and LPR?

Acid reflux is a common disorder in which heartburn, belching, and abdominal bloating are the usual symptoms. But it can also cause pharyngeal (throat) symptoms such as a chronic sore throat, cough, hoarseness, throat-clearing, phlegm, secondary tracheitis (trachea or windpipe infection), and bronchitis; and if you already have bronchial asthma, it can make it worse.

How do I treat GERD and LPR?

If you’ve been diagnosed GERD or LPR treatment involves dietary management, lifestyle changes, and usually medication.

Having GERD or LPR means that you should avoid alcohol, caffeine, carbonated drinks, chocolate, fatty foods, spicy foods, garlic, mint, and tomatoes. In addition, you should avoid going to sleep on a full stomach, heavy late-night snacks, and wait 2- 3 hours between finishing dinner and going to sleep. It’s also important to avoid clothing that constricts your abdomen. Managing stress can also help.

Over-the-counter or prescription medications can help with some of the symptoms, and I will make recommendations about specific products and doses.  But it’s also important to remember that relieving the symptoms can often take months of treatment so be prepared to be patient.

If your symptoms don’t respond to the combination of diet, lifestyle changes, and medication I’ll recommend that you see a gastroenterologist.


To learn more about GERD and LPR call Dr. Richard Nass at (212) 734-4515.