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LARYNGOPHARYNGEAL REFLUX LPR PATIENT INFORMATION LEAFLET

LARYNGOPHARYNGEAL REFLUX LPR PATIENT INFORMATION LEAFLET What Is Laryngopharyngeal Re ux LPR LPR is caused by direct reflux events of stomach contents such as bile and pepsin into the larynx As these contents have little or no acidic properties patients rarely report typical GERD symptoms such as heartburn As a result LPR can also be referred to as silent reflux The reflux of these gastrointestinal enzymes can result in mucosal changes inflammation and microtrauma Research has found that even minor or occasional reflux events of pepsin can be damaging to the sensitive laryngeal mucosal lining What Are The Symptoms LPR tends to occur intermittently and it can also occur with GERD LPR Hoarseness Globus sensation Cough Throat clearing Excess mucous Predominantly gaseous reflux Upright daytime reflux GERD Heartburn Regurgitation Erosive esophagitis Predominantly liquid reflux Supine nocturnal reflux General Management Most cases of LPR do not need medical care and can be managed with lifestyle changes including the following Follow a low acid levels low in fat not spicy diet Eat frequent small meals Lose weight Avoid the use of alcohol tobacco and caffeine Do not eat food less than 2 hours before bedtime Raise the head of your bed before sleeping Place a strong solid object like a board under the top portion of the mattress This will help prop up your head and the upper portion of your body which will help keep stomach acid from backing up into your throat Avoid clearing your throat Over the counter medications should be taken as prescribed by your doctor In very severe cases of LPR surgery may be recommended as treatment Assessment Prognosis There is no one definitive assessment for the diagnosis of LPR Speech Language Therapists often use a combination of assessments for diagnosis including patient self reported outcome questionnaires The prognosis for patients who have LPR is good because most of the causes can be controlled with a healthy lifestyle Ask your doctor for other suggestions and tips on treating and preventing LPR

What Are The Diet Recommendations Certain foods can be characterized according to refluxogenic potential It is important to note that one s preparation of food can change the food s ranking upgrade to next ranking Raw rather than cooked veg upgrade to next ranking Industrial rather than homemade upgrade to next ranking Addition of spice VERY LOW Foods that have the lowest refluxogenic potential VEGETABLES Artichoke Asparagus Baked Spinach Beetroot Broccoli Brussels Sprout Celery Cooked Mushrooms Garlic Green Beans Peas Green Salad Without Vinaigrette Lentil Pumpkin Red Cabbage Sweet Potato MEAT FISH Crab Fresh and Thin Fish Horse Mollusk Roast Pork Roast Veal Veal Cutlet Shrimp or Lobster Tuna Turkey Fillet OTHERS Egg White Honey Low Fat Cheese Rice white and red Skimmed Milk Spaghetti cooked LOW Foods that have a low refluxogenic potential FRUIT VEGETABLES Banana Carrots Cherry Corn Eggplant Fennel Green Salad with Vinaigrette Leek Melon Onion Parsley Pepper Shallot Turnip Watermelon MEAT Chicken Fillet Striploin Steak Kidneys Lamb Pork Tenderloin Rib Steak Ribs Rindless Fatless Cooked Ham Tofu Veal Chop OTHERS Cereals Chili Ketchup Oat Rice Brown Rye Bread White Bread MODERATE Foods that have a moderate refluxogenic potential FRUIT VEGETABLES Apricot Blueberry Dried Plum Fig Grapefruit Guava Nectarine Orange Pea Peach Pickle Plum Potato Prune Raspberry Rhubarb Strawberry Tomatoes Raw

MODERATE Continued Foods that have a moderate refluxogenic potential MEAT FISH Duck Without Skin and Fat Fat Fish Fish Oils Sardines Cods Herrings Fish Sauce Lamb Cutlets Offal Pork Chops and Shoulder Salmon Sardines Tripes ANIMAL PRODUCTS Boiled Egg Camembert Milk Goat Semi Skimmed VEGETABLES HERBS Courgettes Cucumber Gherkin Ginger Shallot Raw Mint Zucchini OTHER Olive Oil Sugar Whole Meal Brown Bread Egg White and Yolk Cereals Corn Flakes Ketchup Milk Soy HIGH Foods that have a high refluxogenic potential Apple Blackberries Blue Cheese Brie Cake Cauliflower Cheddar Chocolate Cookies Cookies Crackers Egg Yolk Feta Fontina Full Fat Cheese Goats Cheese Gouda Grapes Ground Meat Gruyere Hard Cheese Jam Kiwi Lychee Mango Mozzarella Mustard Noodles Parmesan Pasta Sauce P t Pomegranate Raisin Ricotta Salami Sausages Sorbet Vinaigrette Yogurt VERY HIGH Foods that have a very high refluxogenic potential FRUIT VEGETABLES Avocado Cashew Nut Hazelnut Macadamia Nut Olive Black Or Green Sauerkraut SAUCES Bearnaise Meat Sauce Butter Curry Sauce Mayonnaise Pepper Meat Sauce Pasta Sauce Carbonara Pesto Roquefort Meat Sauce SWEETS CANDY Bacon Chocolate Chocolate Eclairs Choucroute Croissant pastries Crisps Fried Food e g French Fries Ice Cream

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