What is the connection between acid reflux and sore throat. How can you differentiate between acid reflux-induced sore throat and other causes. What are the most effective treatments for acid reflux-related sore throat.

Understanding Acid Reflux: Causes and Symptoms

Acid reflux, also known as gastroesophageal reflux, occurs when stomach acid flows back into the esophagus. This common condition affects millions of people worldwide and can lead to various uncomfortable symptoms, including sore throat.

What causes acid reflux? Several factors can contribute to this condition:

• Weakened lower esophageal sphincter (LES)
• Consumption of fatty, acidic, or spicy foods
• Pregnancy
• Hiatal hernia
• Slow stomach emptying

Common symptoms of acid reflux include:

• Heartburn
• Regurgitation
• Difficulty swallowing
• Chest pain
• Sore throat

The Link Between Acid Reflux and Sore Throat

Can acid reflux cause a sore throat? Yes, it certainly can. When stomach acid travels up the esophagus, it can irritate the throat’s lining, leading to inflammation and discomfort. This irritation often manifests as a sore throat, which may be accompanied by other symptoms such as a dry cough, wheezing, and a feeling of a lump in the throat.

Why does acid reflux sometimes cause a sore throat instead of typical heartburn? In some cases, the acid may reach the upper part of the esophagus and throat without causing significant chest discomfort. This can make diagnosis challenging, as the primary symptom may appear to be a persistent sore throat rather than classic acid reflux symptoms.

Differentiating Acid Reflux-Induced Sore Throat from Other Causes

Distinguishing between a sore throat caused by acid reflux and other conditions can be tricky. Here are some key differences to consider:

• Timing: Acid reflux-related sore throats often worsen at night or after meals
• Associated symptoms: Presence of heartburn, regurgitation, or a bitter taste in the mouth
• Duration: Persistent sore throat lasting longer than typical viral infections
• Response to antacids: Temporary relief with acid-reducing medications

Is it possible to mistake acid reflux for tonsillitis? Yes, in some cases, doctors may misdiagnose a persistent sore throat from acid reflux as recurrent or chronic tonsillitis. This highlights the importance of considering acid reflux as a potential cause when evaluating chronic throat symptoms.

Complications of Untreated Acid Reflux

When left untreated, chronic acid reflux can lead to several complications:

Esophageal Narrowing

Prolonged exposure to stomach acid can damage the cells in the lower esophagus, resulting in scar tissue formation. This scarring can narrow the esophagus, making swallowing difficult.

Erosive Esophagitis

The constant irritation from stomach acid can cause ulcers in the esophagus, leading to a condition known as erosive esophagitis. These ulcers can be painful and may cause bleeding in severe cases.

Barrett’s Esophagus

This condition involves changes in the tissue lining of the lower esophagus. Barrett’s esophagus is associated with an increased risk of esophageal cancer, making regular screening essential for those diagnosed with this condition.

Laryngopharyngeal Reflux: When Acid Reaches the Voice Box

Laryngopharyngeal reflux (LPR) occurs when stomach acid reaches the vocal cords and surrounding areas. This condition can cause significant inflammation and lead to symptoms such as:

• Hoarseness
• Frequent throat clearing
• Chronic cough
• Sensation of a lump in the throat

How does LPR differ from typical acid reflux? LPR often manifests with upper respiratory symptoms and may not always include classic heartburn. This can make diagnosis challenging, as the symptoms may mimic other conditions.

Effective Treatments for Acid Reflux-Related Sore Throat

Managing acid reflux and its associated symptoms, including sore throat, involves a combination of lifestyle changes and medical interventions:

Lifestyle Modifications

• Elevate the head of the bed
• Avoid eating close to bedtime
• Maintain a healthy weight
• Quit smoking
• Limit alcohol and caffeine consumption

Dietary Changes

Certain foods can trigger or exacerbate acid reflux. Consider avoiding:

• Spicy foods
• Citrus fruits and juices
• Tomato-based products
• Chocolate
• Fatty or fried foods

Medications

Various medications can help manage acid reflux and relieve sore throat symptoms:

• Antacids for quick relief
• H2 blockers to reduce acid production
• Proton pump inhibitors (PPIs) for long-term acid suppression

When should you consider medication for acid reflux-related sore throat? If lifestyle changes alone don’t provide sufficient relief, or if symptoms are severe or frequent, medication may be necessary. Always consult with a healthcare provider before starting any new medication regimen.

Natural Remedies for Acid Reflux and Sore Throat Relief

In addition to conventional treatments, some natural remedies may help alleviate acid reflux symptoms and soothe a sore throat:

• Ginger tea
• Aloe vera juice
• Apple cider vinegar (diluted)
• Chamomile tea
• Licorice root

While these natural remedies may provide relief for some individuals, it’s important to note that their effectiveness can vary. Always consult with a healthcare provider before trying new treatments, especially if you have underlying health conditions or are taking other medications.

When to Seek Medical Attention for Acid Reflux and Sore Throat

While occasional acid reflux and sore throat may not be cause for concern, certain symptoms warrant medical attention:

• Persistent sore throat lasting more than two weeks
• Difficulty swallowing or painful swallowing
• Unexplained weight loss
• Chest pain or pressure
• Frequent vomiting or vomiting blood
• Dark or tarry stools

Why is it crucial to seek medical attention for these symptoms? These signs may indicate more serious underlying conditions or complications of acid reflux that require prompt evaluation and treatment.

Proper diagnosis and management of acid reflux-related sore throat are essential for preventing long-term complications and improving quality of life. By understanding the connection between acid reflux and throat symptoms, individuals can work with their healthcare providers to develop effective treatment strategies tailored to their specific needs.

Preventing Acid Reflux and Associated Sore Throat

Prevention is key when it comes to managing acid reflux and its associated symptoms, including sore throat. Here are some strategies to help reduce the frequency and severity of acid reflux episodes:

Meal Planning and Eating Habits

• Eat smaller, more frequent meals throughout the day
• Chew food thoroughly and eat slowly
• Avoid lying down immediately after meals
• Stay upright for at least three hours after eating

Clothing Choices

Believe it or not, your clothing can impact acid reflux symptoms. Consider the following:

• Avoid tight-fitting clothes around the abdomen
• Opt for loose, comfortable clothing, especially after meals

Stress Management

Stress can exacerbate acid reflux symptoms. Incorporate stress-reduction techniques into your daily routine:

• Practice mindfulness meditation
• Engage in regular exercise
• Try deep breathing exercises
• Consider yoga or tai chi

How does stress management help reduce acid reflux symptoms? Stress can increase stomach acid production and affect digestion. By managing stress, you may help reduce the frequency and severity of acid reflux episodes.

Sleep Position

Your sleep position can significantly impact nighttime acid reflux. Try these strategies:

• Elevate the head of your bed by 6-8 inches
• Use a wedge pillow to keep your upper body elevated
• Sleep on your left side, which may help reduce reflux

The Role of Probiotics in Managing Acid Reflux

Emerging research suggests that probiotics may play a role in managing acid reflux and its associated symptoms. Probiotics are beneficial bacteria that can help balance the gut microbiome and potentially reduce inflammation in the digestive system.

How might probiotics help with acid reflux-related sore throat? By promoting a healthy balance of gut bacteria, probiotics may:

• Improve digestion and reduce the likelihood of reflux
• Help neutralize stomach acid
• Reduce inflammation in the digestive tract

While more research is needed to fully understand the benefits of probiotics for acid reflux, incorporating probiotic-rich foods or supplements into your diet may be worth considering. Always consult with a healthcare provider before starting any new supplement regimen.

Alternative Therapies for Acid Reflux Management

In addition to conventional treatments and lifestyle modifications, some individuals find relief from acid reflux symptoms through alternative therapies. These may include:

Acupuncture

This traditional Chinese medicine technique involves inserting thin needles into specific points on the body. Some studies suggest that acupuncture may help reduce acid reflux symptoms by improving digestion and reducing inflammation.

Herbal Remedies

Certain herbs have been traditionally used to soothe digestive issues and may help with acid reflux symptoms:

• Slippery elm
• Marshmallow root
• Deglycyrrhizinated licorice (DGL)

Melatonin

Some research indicates that melatonin, a hormone that regulates sleep-wake cycles, may also help reduce acid reflux symptoms. Melatonin supplements may be beneficial for some individuals, particularly those experiencing nighttime reflux.

Is it safe to try alternative therapies for acid reflux management? While many alternative therapies are generally considered safe, it’s crucial to discuss any new treatments with your healthcare provider, especially if you have underlying health conditions or are taking medications.

Long-Term Management of Acid Reflux and Sore Throat

Managing acid reflux and its associated symptoms, including sore throat, often requires a long-term approach. Here are some strategies for ongoing management:

Regular Check-ups

Schedule regular appointments with your healthcare provider to monitor your condition and adjust treatment as needed. This is particularly important if you have chronic acid reflux or GERD.

Medication Management

If you’re taking medications for acid reflux, work closely with your healthcare provider to ensure you’re using the most appropriate treatment at the correct dosage. Regular review of your medication regimen can help minimize side effects and optimize effectiveness.

Ongoing Lifestyle Modifications

Maintain the lifestyle changes that have helped reduce your symptoms, such as dietary modifications, weight management, and stress reduction techniques.

Monitoring for Complications

Be aware of potential complications of chronic acid reflux, such as Barrett’s esophagus. Your healthcare provider may recommend regular screenings, especially if you have risk factors for esophageal cancer.

By taking a proactive approach to managing acid reflux and associated sore throat, you can significantly improve your quality of life and reduce the risk of long-term complications. Remember that treatment plans may need to be adjusted over time, so maintaining open communication with your healthcare provider is essential for optimal management of your condition.

Sore throat and acid reflux: Causes and treatment

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Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

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• Fact-check all health claims: Do they align with the current body of scientific evidence?
• Assess the brand: Does it operate with integrity and adhere to industry best practices?

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Was this helpful?

In April 2020, the Food and Drug Administration (FDA) requested that all forms of prescription and over-the-counter (OTC) ranitidine (Zantac) be removed from the U. S. market. They made this recommendation because unacceptable levels of NDMA, a probable carcinogen (or cancer-causing chemical), were present in some ranitidine products. People taking prescription ranitidine should talk with their doctor about safe alternative options before stopping the drug. People taking OTC ranitidine should stop taking the drug and talk with their healthcare provider about alternative options. Instead of taking unused ranitidine products to a drug take-back site, a person should dispose of them according to the product’s instructions or by following the FDA’s guidance.

Acid reflux happens when stomach acid travels up into the esophagus, irritating its lining. This irritation can lead to a sore throat, a dry cough, and wheezing.

It can also cause heartburn, a bitter taste in the mouth, regurgitation, indigestion, and difficulty swallowing.

Acid reflux is a common condition. A person may notice the symptoms when they are lying down or bending over, or after eating a big meal or spicy food.

Read on to learn about:

• what acid reflux is
• if it can cause a sore throat
• acid reflux in children
• treatments and self-care strategies
• other causes of a sore throat

Acid reflux is another name for gastroesophageal reflux. It occurs when stomach acid and other stomach contents rise up into the esophagus.

Acid reflux is a common condition and often does not cause symptoms. When it does, a person may have indigestion or heartburn.

Some people develop chronic reflux, and doctors call this gastroesophageal reflux disease (GERD). It causes more severe and lasting symptoms. About 20% of people in the United States have GERD.

In addition to indigestion and heartburn, acid reflux can cause:

• a sore throat
• regurgitation
• nausea
• pain or difficulty with swallowing

Having weakened or irregular muscles at the base of the esophagus can cause GERD. Other possible causes include:

• eating fatty, acidic, or spicy foods
• having unusual esophageal spasms
• pregnancy
• a hiatal hernia
• slow stomach emptying

Learn more about acid reflux, including how doctors diagnose it, here.

Yes. Acid reflux can cause a sore throat, though heartburn is the most common symptom.

When a sore throat stems from acid reflux, a person may also feel as if they have a lump in their throat.

Head and neck symptoms related to acid reflux can be misleading. Doctors sometimes misdiagnose a persistent sore throat from acid reflux as recurrent or chronic tonsillitis.

Complications of acid reflux

Some people who have acid reflux for a long time may experience:

• Narrowing of the esophagus: The rising stomach acid can damage cells in the lower esophagus, resulting in scar tissue that narrows the organ. This can make swallowing difficult.
• Erosion of tissues: The acid can also cause ulcers, which can be painful. This is known as erosive esophagitis.
• Barret’s esophagus: This condition can cause changes in the tissue that lines the lower esophagus. These changes are associated with a higher risk of esophageal cancer. Routine endoscopy exams can detect early signs of this cancer in people with Barret’s esophagus.

Laryngeal pharyngeal reflux

When stomach, or gastric, acid reaches the vocal cords, it can cause significant inflammation.

If this occurs repeatedly, it can cause in hoarseness, frequent throat clearing, coughing, and a feeling that something is stuck in the throat. The name for this issue is laryngeal pharyngeal reflux.

It often seems to begin as an upper respiratory illness. The symptoms may linger, as a result of damage to the vocal cords that can stem from even small levels of acid reflux.

Treating acid reflux effectively reduces the risk of its complications. Often, small changes to routines can make a difference.

Diet and other self-care strategies

Some people can prevent the sore throat from acid reflux by avoiding activities and foods that increase the risk of acid reflux and its complications.

In otherwise healthy people, these measures may be enough to manage acid reflux, without the need for meds:

• eating small meals 3 to 4 times a day
• elevating the head more during sleep
• not eating 2–3 hours before bed
• avoiding citrus juices, tomato juice, and other acidic drinks, which can irritate the lining of the esophagus
• avoiding acidic, spicy, and fatty foods, including full-fat cow’s milk
• avoiding carbonated, caffeinated, and alcoholic drinks
• not eating mint or mint-flavored foods
• avoiding chocolate
• maintaining a moderate weight
• not wearing tight clothes
• not smoking

Medication

OTC and prescription medicines can neutralize or reduce stomach acids, relieving the symptoms of acid reflux, including a sore throat.

Two helpful types of medication are histamine-2 blockers (h3 blockers) and antacids. h3 blockers help reduce the amount of acid in the stomach, while antacids can help with mild symptoms of acid reflux or GERD.

Other medications work by strengthening the muscles that separate the esophagus from the stomach, to prevent stomach acid from traveling upward.

Various acid reflux medications are available for purchase online.

When to see a doctor

A person should see a doctor if they have any bothersome or concerning symptoms, especially those that might indicate an underlying health issue.

It is also a good idea to contact a doctor if existing reflux symptoms worsen. Particularly if the symptoms are interfering with daily life, a doctor may recommend stronger medications or surgery.

Anyone who has indigestion with chest pain, shortness of breath, or pain in the arm or jaw should receive emergency medical care. These symptoms may indicate a heart attack.

Learn about the signs of a heart attack in females here.

Acid reflux can affect children and infants, as well as adolescents and adults.

Infants with acid reflux may refuse to eat or be unable to gain weight. They may have breathing difficulties or pain after eating.

The cause may be spending long periods lying down or an underdeveloped esophagus.

Also, some experts believe that the length of the esophagus, the condition of the muscles in the lower esophagus, and pinching of the fibers in the diaphragm may influence the development of this condition in children.

Children may also be sensitive to certain foods that affect the valve-like mechanism between the esophagus and the stomach.

When children have acid reflux, doctors may may recommend:

• not lying down immediately after a meal
• having the head raised more during sleep
• the same changes to eating habits described in the self-care section above

For older children, depending on the severity of the symptoms, doctors may prescribe or recommend:

• antacids
• h3 blockers, such as famotidine (Pepcid)
• proton pump inhibitors, such as esomeprazole (Nexium), omeprazole (Prilosec), and lansoprazole (Prevacid)

Several environmental and behavioral factors can cause a sore throat. It may be more likely that a viral or bacterial infection is responsible, such as:

• A cold or the flu: These viral illnesses are the most common cause of a sore throat.
• Strep throat: Group A Streptococcus bacteria cause the inflammation known as strep throat. Symptoms include a sore throat that starts suddenly, red and swollen tonsils, pain when swallowing, and a fever.
• Diphtheria: This potentially serious illness can also cause a fever, weakness, and swollen lymph nodes, sometimes called swollen glands.
• Whooping cough: This bacterial illness causes a sore throat by affecting the respiratory mucous membrane.

Some other illnesses that can cause a sore throat include:

• mononucleosis, also known as glandular fever
• measles
• chickenpox
• croup

In rare cases, a sore throat is sign of HIV or throat cancer.

Anyone with a weakened immune system, such as from HIV, may be prone to oral thrush and cytomegalovirus infection, both of which can affect the throat.

Allergies

Anyone with an allergy to mold, pet dander, or pollen may have a sore throat when they encounter these allergens. The allergic reaction causes mucus to accumulate in the throat, which results in pain and inflammation.

Dry air can also make some people’s throats feel raw and scratchy.

Smoke, tobacco, and alcohol

People who smoke or are regularly exposed to secondhand smoke have an increased risk of a sore throat.

Chewing tobacco or drinking alcohol can also irritate the throat.

Shouting and speaking

Talking for long periods without rest, speaking loudly, or shouting can strain the muscles in the throat, causing soreness.

Acid reflux can cause several symptoms, including a sore throat. Anyone can develop this condition, including infants. The treatment may involve self-care strategies and, for older children and adults, medications.

Speak with a doctor if the symptoms do not improve with treatment or worsen. Also, contact a doctor if asset reflux symptoms occur with any symptoms that are concerning.

If indigestion accompanies chest pain, shortness of breath, or pain in the arm or jaw, contact emergency medical services. These symptoms can indicate a heart attack.

Sore throat and acid reflux: Causes and treatment

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission Here’s our process.

Medical News Today only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

• Evaluate ingredients and composition: Do they have the potential to cause harm?
• Fact-check all health claims: Do they align with the current body of scientific evidence?
• Assess the brand: Does it operate with integrity and adhere to industry best practices?

We do the research so you can find trusted products for your health and wellness.

Read more about our vetting process.

Was this helpful?

In April 2020, the Food and Drug Administration (FDA) requested that all forms of prescription and over-the-counter (OTC) ranitidine (Zantac) be removed from the U.S. market. They made this recommendation because unacceptable levels of NDMA, a probable carcinogen (or cancer-causing chemical), were present in some ranitidine products. People taking prescription ranitidine should talk with their doctor about safe alternative options before stopping the drug. People taking OTC ranitidine should stop taking the drug and talk with their healthcare provider about alternative options. Instead of taking unused ranitidine products to a drug take-back site, a person should dispose of them according to the product’s instructions or by following the FDA’s guidance.

Acid reflux happens when stomach acid travels up into the esophagus, irritating its lining. This irritation can lead to a sore throat, a dry cough, and wheezing.

It can also cause heartburn, a bitter taste in the mouth, regurgitation, indigestion, and difficulty swallowing.

Acid reflux is a common condition. A person may notice the symptoms when they are lying down or bending over, or after eating a big meal or spicy food.

Read on to learn about:

• what acid reflux is
• if it can cause a sore throat
• acid reflux in children
• treatments and self-care strategies
• other causes of a sore throat

Acid reflux is another name for gastroesophageal reflux. It occurs when stomach acid and other stomach contents rise up into the esophagus.

Acid reflux is a common condition and often does not cause symptoms. When it does, a person may have indigestion or heartburn.

Some people develop chronic reflux, and doctors call this gastroesophageal reflux disease (GERD). It causes more severe and lasting symptoms. About 20% of people in the United States have GERD.

In addition to indigestion and heartburn, acid reflux can cause:

• a sore throat
• regurgitation
• nausea
• pain or difficulty with swallowing

Having weakened or irregular muscles at the base of the esophagus can cause GERD. Other possible causes include:

• eating fatty, acidic, or spicy foods
• having unusual esophageal spasms
• pregnancy
• a hiatal hernia
• slow stomach emptying

Learn more about acid reflux, including how doctors diagnose it, here.

Yes. Acid reflux can cause a sore throat, though heartburn is the most common symptom.

When a sore throat stems from acid reflux, a person may also feel as if they have a lump in their throat.

Head and neck symptoms related to acid reflux can be misleading. Doctors sometimes misdiagnose a persistent sore throat from acid reflux as recurrent or chronic tonsillitis.

Complications of acid reflux

Some people who have acid reflux for a long time may experience:

• Narrowing of the esophagus: The rising stomach acid can damage cells in the lower esophagus, resulting in scar tissue that narrows the organ. This can make swallowing difficult.
• Erosion of tissues: The acid can also cause ulcers, which can be painful. This is known as erosive esophagitis.
• Barret’s esophagus: This condition can cause changes in the tissue that lines the lower esophagus. These changes are associated with a higher risk of esophageal cancer. Routine endoscopy exams can detect early signs of this cancer in people with Barret’s esophagus.

Laryngeal pharyngeal reflux

When stomach, or gastric, acid reaches the vocal cords, it can cause significant inflammation.

If this occurs repeatedly, it can cause in hoarseness, frequent throat clearing, coughing, and a feeling that something is stuck in the throat. The name for this issue is laryngeal pharyngeal reflux.

It often seems to begin as an upper respiratory illness. The symptoms may linger, as a result of damage to the vocal cords that can stem from even small levels of acid reflux.

Treating acid reflux effectively reduces the risk of its complications. Often, small changes to routines can make a difference.

Diet and other self-care strategies

Some people can prevent the sore throat from acid reflux by avoiding activities and foods that increase the risk of acid reflux and its complications.

In otherwise healthy people, these measures may be enough to manage acid reflux, without the need for meds:

• eating small meals 3 to 4 times a day
• elevating the head more during sleep
• not eating 2–3 hours before bed
• avoiding citrus juices, tomato juice, and other acidic drinks, which can irritate the lining of the esophagus
• avoiding acidic, spicy, and fatty foods, including full-fat cow’s milk
• avoiding carbonated, caffeinated, and alcoholic drinks
• not eating mint or mint-flavored foods
• avoiding chocolate
• maintaining a moderate weight
• not wearing tight clothes
• not smoking

Medication

OTC and prescription medicines can neutralize or reduce stomach acids, relieving the symptoms of acid reflux, including a sore throat.

Two helpful types of medication are histamine-2 blockers (h3 blockers) and antacids. h3 blockers help reduce the amount of acid in the stomach, while antacids can help with mild symptoms of acid reflux or GERD.

Other medications work by strengthening the muscles that separate the esophagus from the stomach, to prevent stomach acid from traveling upward.

Various acid reflux medications are available for purchase online.

When to see a doctor

A person should see a doctor if they have any bothersome or concerning symptoms, especially those that might indicate an underlying health issue.

It is also a good idea to contact a doctor if existing reflux symptoms worsen. Particularly if the symptoms are interfering with daily life, a doctor may recommend stronger medications or surgery.

Anyone who has indigestion with chest pain, shortness of breath, or pain in the arm or jaw should receive emergency medical care. These symptoms may indicate a heart attack.

Learn about the signs of a heart attack in females here.

Acid reflux can affect children and infants, as well as adolescents and adults.

Infants with acid reflux may refuse to eat or be unable to gain weight. They may have breathing difficulties or pain after eating.

The cause may be spending long periods lying down or an underdeveloped esophagus.

Also, some experts believe that the length of the esophagus, the condition of the muscles in the lower esophagus, and pinching of the fibers in the diaphragm may influence the development of this condition in children.

Children may also be sensitive to certain foods that affect the valve-like mechanism between the esophagus and the stomach.

When children have acid reflux, doctors may may recommend:

• not lying down immediately after a meal
• having the head raised more during sleep
• the same changes to eating habits described in the self-care section above

For older children, depending on the severity of the symptoms, doctors may prescribe or recommend:

• antacids
• h3 blockers, such as famotidine (Pepcid)
• proton pump inhibitors, such as esomeprazole (Nexium), omeprazole (Prilosec), and lansoprazole (Prevacid)

Several environmental and behavioral factors can cause a sore throat. It may be more likely that a viral or bacterial infection is responsible, such as:

• A cold or the flu: These viral illnesses are the most common cause of a sore throat.
• Strep throat: Group A Streptococcus bacteria cause the inflammation known as strep throat. Symptoms include a sore throat that starts suddenly, red and swollen tonsils, pain when swallowing, and a fever.
• Diphtheria: This potentially serious illness can also cause a fever, weakness, and swollen lymph nodes, sometimes called swollen glands.
• Whooping cough: This bacterial illness causes a sore throat by affecting the respiratory mucous membrane.

Some other illnesses that can cause a sore throat include:

• mononucleosis, also known as glandular fever
• measles
• chickenpox
• croup

In rare cases, a sore throat is sign of HIV or throat cancer.

Anyone with a weakened immune system, such as from HIV, may be prone to oral thrush and cytomegalovirus infection, both of which can affect the throat.

Allergies

Anyone with an allergy to mold, pet dander, or pollen may have a sore throat when they encounter these allergens. The allergic reaction causes mucus to accumulate in the throat, which results in pain and inflammation.

Dry air can also make some people’s throats feel raw and scratchy.

Smoke, tobacco, and alcohol

People who smoke or are regularly exposed to secondhand smoke have an increased risk of a sore throat.

Chewing tobacco or drinking alcohol can also irritate the throat.

Shouting and speaking

Talking for long periods without rest, speaking loudly, or shouting can strain the muscles in the throat, causing soreness.

Acid reflux can cause several symptoms, including a sore throat. Anyone can develop this condition, including infants. The treatment may involve self-care strategies and, for older children and adults, medications.

Speak with a doctor if the symptoms do not improve with treatment or worsen. Also, contact a doctor if asset reflux symptoms occur with any symptoms that are concerning.

If indigestion accompanies chest pain, shortness of breath, or pain in the arm or jaw, contact emergency medical services. These symptoms can indicate a heart attack.

Laryngopharyngeal reflux symptoms and treatment

Treatment of the disease laryngopharyngeal reflux is engaged in
otorhinolaryngologist,

gastroenterologist

Laryngopharyngeal reflux (LPR) is the reflux of gastric contents (acid and enzymes such as pepsin) into the larynx, resulting in hoarseness, a sensation of a lump in the throat, difficulty swallowing, coughing, and a feeling of mucus in the hypopharynx.

Reflux as the cause of the above symptoms without gastroesophageal reflux disease (GERD) is constantly questioned. Guidelines issued by specialized societies in the field of laryngology and gastroenterology represent different points of view. Both groups acknowledge that the interpretation of existing studies is difficult due to the uncertain diagnostic criteria for LPR, varying response rates to treatment, and the significant placebo effect of the current treatment.

Relatively limited data are available on the prevalence of LPR: approximately 30% of healthy individuals may have episodes of reflux on 24-hour pH measurements or characteristic changes in the larynx.

LPR may directly or indirectly cause laryngeal symptoms. The direct mechanism includes irritation of the mucous membrane of the larynx with caustic substances – refluxes (acid, pepsin). An indirect mechanism involves irritation of the esophagus, leading to laryngeal reflexes and symptoms.

Helicobacter pylori infection may also contribute. The prevalence of H. pylori among patients with LPR is about 44%.

Laryngofangeal reflux and GERD

Although gastric acid is common to both LPR and GERD, there are many differences that make LPR a distinct clinical entity.

• A prerequisite for GERD is heartburn, which is reliably observed only in 40% of patients with LPR.
• Most patients with GERD have evidence of esophagitis on biopsy, while patients with LPR only in 25% of cases.
• GERD is thought to be a lower esophageal sphincter problem and occurs primarily in the supine position. In contrast, LPR is seen primarily as an upper esophageal sphincter problem, and occurs primarily in the upright position during exercise.
• LPR requires much less acid exposure than GERD.

There are significant differences between the mucous membrane of the esophagus and the larynx.

• The upper limit of normal for acid reflux into the esophagus is up to 50 episodes per day, while 4 episodes of reflux into the larynx is no longer a normal option.
• In the larynx, unlike the esophagus, which eliminates acid during peristalsis, reflux remains much longer, causing additional irritation.
• The epithelium of the larynx is thin and poorly adapted to combat caustic chemical damage from the same pepsin and acid.

Symptoms of laryngopharyngeal reflux

• Dysphonia or hoarseness;
• cough;
• lump in throat;
• discomfort and feeling of mucus in the throat;
• dysphagia (swallowing disorder).

Some researchers believe that chronic irritation of the larynx may lead to the development of carcinoma in patients who do not drink alcohol or smoke, although there is no evidence to support this.

Symptoms characteristic of LPR may also be due to the following conditions:

• postnasal syndrome;
• allergic rhinitis;
• vasomotor rhinitis;
• upper respiratory infections;
• habitual cough;
• use of tobacco or alcohol;
• excessive use of the voice;
• change in temperature or climate;
• emotional problems;
• environmental irritants;
• vagus neuropathy.

Diagnosis

There is considerable controversy regarding the appropriate method for diagnosing LPR.

Most patients are diagnosed clinically based on symptoms associated with LPR.

During laryngoscopy (examination of the larynx), swelling and hyperemia (redness) of varying degrees are noted. However, the relatively weak correlation between symptoms and endoscopic findings is an argument against the use of endoscopic diagnostic methods.

The Reflux Signs Score and the Reflux Symptoms Index are well suited for both diagnosis and monitoring of response to therapy.

Daily Ph-metry with a dual sensor probe, despite excellent sensitivity and specificity, is questioned because the results of this diagnostic method often do not correlate with the severity of symptoms.

Another diagnostic option may be empiric PPI therapy.

Treatment of laryngopharyngeal reflux

Lifestyle modification and diet are the main approach in the treatment of LPR and GERD. The role of drug therapy is more controversial. Whether asymptomatic patients with incidental signs of LPR require treatment is unknown. There are theoretical concerns that LPR may increase the risk of malignancy, but this has not yet been proven. In any case, patients with asymptomatic LPR are advised to follow a diet.

Patients are advised to stop smoking, alcohol, foods and drinks containing caffeine, chocolate, mint. Prohibited foods also include most fruits (especially citrus fruits), tomatoes, jams and jellies, barbecue sauces and most salad dressings, and spicy foods. Small meals are recommended.

Exercise should be avoided for at least two hours after meals, and food and drink should be avoided three hours before bedtime.

Drug therapy usually includes proton pump inhibitors (PPIs), h3 blockers, and antacids. PPIs are recommended for six months for most LPR patients. This figure is based on the results of endoscopic studies (this is the time needed to reduce laryngeal edema), as well as a high percentage of relapse in the case of a three-month course of therapy. Termination of therapy should be carried out gradually.

If PPIs and H2 blockers have failed, treatment with tricyclic antidepressants, gabapentin, and pregabalin should be considered, as laryngeal hypersensitivity is one possible mechanism for reflux.

How is laryngopharyngeal reflux treated at Rassvet Clinic?

All patients with complaints of hoarseness, feeling of a lump in the throat, difficulty swallowing, coughing, feeling of mucus in the laryngopharynx are examined by an otorhinolaryngologist and a gastroenterologist.

An endoscopic examination of the nasal cavity, nasopharynx, and larynx is performed to exclude other diseases that, in addition to LPR, can provoke these symptoms. The gastroenterologist also prescribes the entire range of necessary examinations, including the elimination of H. Pylori infection.

The key to successful therapy is the joint management of the patient by an otorhinolaryngologist, a gastroenterologist, in some cases a psychiatrist and a psychotherapist.

Author:

Chekaldina Elena Vladimirovna
otorhinolaryngologist, Ph.D.

Publication date: February 5, 2021

Update date: August 9, 2022

Sore throat and voice treatment for reflux symptoms

Sore throat and its treatment with symptoms of reflux requires a mandatory consultation with a gastroenterologist, an otolaryngologist and the appointment of complex therapy.

A hoarse throat, a lost voice, a feeling of itching, coughing, hoarseness, frequent heartburn are all symptoms of reflux esophagitis. It occurs when inflammation of the mucous membranes of the lower segment of the esophagus due to the frequent reverse reflux of contents from the stomach.

Sore throat and its treatment with symptoms of reflux requires a mandatory consultation with a gastroenterologist, an otolaryngologist and the appointment of complex therapy.

Effect of reflux on the voice

With a long and protracted disease of the digestive tract, diseases of the throat and larynx often occur. The backflow of contents from the esophagus into the throat that occurs with reflux leads to a burning sensation and sensation of a lump in the throat, and sometimes causes swelling of the vocal cords. Such an impact on the speech apparatus is often accompanied by changes in the voice.

Typical symptoms of reflux, indicating a disease of the throat and ligaments, are:

• frequent nocturnal cough;
• morning hoarseness, passing during the day;
• pain when swallowing;
• dry mouth;
• foreign body sensation in throat;
• difficult breathing at night;
• involuntary spasms of the muscles of the larynx;
• heartburn.

With reflux, the throat hurts most often after eating and in the morning after waking up, a characteristic plaque is noticeable on the tongue and a bitter taste appears in the mouth.

How reflux can affect the condition of the larynx

The surfaces of the pharynx and larynx are very sensitive to the effects of gastric secretions. The epithelial layer of these organs is not as protected as the epithelium of the esophagus, therefore, it reacts more intensively to negative influences. This leads to the fact that as a result of reflux disease, conditions such as:

• redness or swelling of the ligaments;
• contact ulcers of the larynx;
• granulomas on the vocal folds;
• narrowing of the glottis.

With prolonged inflammation, in advanced cases, when the necessary treatment is not carried out, tumors may form in the throat and larynx.

How to treat a throat with reflux

For effective treatment of throat with reflux, proper nutrition is required:

• frequent small meals;
• getting rid of excess weight and bad habits, in particular smoking;
• avoiding meals just before bedtime;
• removal of foods with a high level of acidity from the diet.

To eliminate hoarseness and get rid of hoarseness, you can also use the complex preparation Homeovox. It will help to quickly restore ligaments, cope with voice disorders and protect it from overvoltage.

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• frequent nocturnal cough;
• morning hoarseness, passing during the day;
• pain when swallowing;
• dry mouth;
• foreign body sensation in throat;
• difficult breathing at night;
• involuntary spasms of the muscles of the larynx;
• heartburn.

With reflux, the throat hurts most often after eating and in the morning after waking up, a characteristic plaque is noticeable on the tongue and a bitter taste appears in the mouth.

How reflux can affect the condition of the larynx

The surfaces of the pharynx and larynx are very sensitive to the effects of gastric secretions. The epithelial layer of these organs is not as protected as the epithelium of the esophagus, therefore, it reacts more intensively to negative influences. This leads to the fact that as a result of reflux disease, conditions such as:

• redness or swelling of the ligaments;
• contact ulcers of the larynx;
• granulomas on the vocal folds;
• narrowing of the glottis.

With prolonged inflammation, in advanced cases, when the necessary treatment is not carried out, tumors may form in the throat and larynx.

How to treat a throat with reflux

For effective treatment of throat with reflux, proper nutrition is required:

• frequent small meals;
• getting rid of excess weight and bad habits, in particular smoking;
• avoiding meals just before bedtime;
• removal of foods with a high level of acidity from the diet.

To eliminate hoarseness and get rid of hoarseness, you can also use the complex preparation Homeovox. It will help to quickly restore ligaments, cope with voice disorders and protect it from overvoltage.