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Laryngopharyngeal Reflux

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What is Laryngopharyngeal Reflux?

Laryngopharyngeal Reflux (LPR or Silent Reflux) is a condition in which acid from your stomach gets into your throat or voice box (pharynx/larynx).

It happens when your lower esophageal sphincter, the muscle that controls the opening between your esophagus and your stomach, fails to close. This causes your stomach acid to move backward, called reflux. Anyone can experience LPR, but it occurs more often as we age.

What is the Difference Between Laryngopharyngeal Reflux and Gastroesophageal Reflux Disease (GERD)?

Gastroesophageal Reflux Disease (GERD) is when acid from your stomach refluxes into your esophagus (swallowing tube) alone. Your esophagus is less sensitive than your throat, so there is less risk of damage with GERD than LPR. The most common symptom is heartburn.

Laryngopharyngeal Reflux (LPR) is when your stomach acid travels through your esophagus and into your throat or voice box. People with LPR often don’t experience heartburn, which is why it’s called Silent Reflux.

Common Symptoms of LPR

The common symptoms of LRP include:

  • Hoarseness
  • Frequent laryngitis
  • Throat clearing
  • Chronic cough
  • Trouble swallowing
  • The feeling of a lump in the throat
  • Excessive mucus
  • Post-nasal drip
  • Breathing problems

UR Medicine's Treatments for Laryngopharyngeal Reflux

Some people can manage reflux through diet and lifestyle changes alone, while others may need medication. Surgery may be recommended in severe cases.

Diet and lifestyle changes include:

  • Avoiding or limiting certain foods (such as acidic foods, fruit juices, and caffeine)
  • Eating slowly
  • Avoiding lying down or exercising after eating
  • Quitting smoking
  • Avoiding anti-inflammatory drugs (Ibuprofen, Aleve)
  • Avoiding eating or drinking before bedtime

What Sets Us Apart?

UR Medicine Voice Center provides state-of-the-art evaluation and management of individuals with voice, swallowing, and airway disorders. Our team of specialists includes fellowship-trained ear, nose, and throat physicians, speech-language pathologists, and singing specialists. Our experts have specialized training in diagnostic and therapeutic techniques and work collaboratively to diagnose and treat voice and breathing disorders.


Our care team is here for you. Find a UR Medicine expert and get care now.

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5 locations

Ear, Nose, & Throat - Batavia

7995 Call Parkway, Suite 100
Batavia, NY 14020

Ear, Nose, & Throat - Geneva

64 Elizabeth Blackwell Street, Suite A
Geneva, NY 14456

Ear, Nose, & Throat - North Greece

60 Greece Center Drive, Suite 2
Rochester, NY 14612

Ear, Nose, & Throat - Brighton

Clinton Woods
2365 South Clinton Avenue, Suite 200
Rochester, NY 14618

Ear, Nose, & Throat - Rochester

Highland Professional Office Building
990 South Avenue, Suite 207
Rochester, NY 14620

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