See also free voice care literature and UK Voice Clinics directory. Stomach juices are made up of strong digestive acids, containing enzymes to break down our food and bile from the gall bladder to emulsify fats. The stomach lining is designed to cope with these juices but sometimes they travel upwards from the stomach into the gullet oesophagus which was not designed to accommodate powerful digestive juices and the oesphageal lining becomes irritated causing symptoms of indigestion heartburn. This process is referred to as gastro-oesophageal reflux GOR. However, in some people, small amounts of stomach juice can spill back into the upper throat pharynx affecting the back of the voice box larynx causing irritation and hoarseness. This is known as laryngo-pharyngeal reflux LPR.
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This is half of a two-part debate — read the opposing argument. For most individuals with gastroesophageal reflux , treatment with antisecretory medication yields excellent symptom relief. However, medical management fails in a subset of patients with more severe symptoms, and antireflux surgery should be considered. In most patients, this delivers a good long-term outcome, with effective reflux control and few side effects, and durability has now been confirmed at follow-up to 20 years.
Articles in the December issue discuss various health issues affecting school-aged children, including acne, eczema and growth disorders. Volume 46, No. Laryngopharyngeal reflux LPR is one of the most common and important disorders of upper airway inflammation. It causes significant impairment to quality of life, and can predict serious laryngeal and oesophageal pathology, yet it remains under-diagnosed and under-treated.