BRITISH VOICE ASSOCIATION : Reflux and voice
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Avoid tobacco. Care needs to be taken to not overuse the voice by shouting, whispering, speaking for a long period of time, or clearing the throat. The amount of acid reflux required to cause this is very small. This explains why most of these individuals do not have heartburn. The injury may be greater in people who use their voice vigorously, such as singers or teachers.
Patients with reflux laryngitis have complaints similar to other voice disorders, making it an easily missed voice disorder. Acid reflux can lead to heartburn and difficulty eating but it can also result in a sore throat. Find out more about the link between acid reflux and sore throat, what causes it, how to treat it or relieve symptoms at home, how it can affect children, and how to distinguish this from other types of sore throat. Acid reflux is an uncomfortable condition in which stomach acid flows back into the food pipe. This article investigates which drinks will make it worse, and what you should drink to minimize symptoms.
Some promising research has been undertaken. For example, studies are attempting to delineate pathophysiology. To show LPR as an extra-esophageal manifestation of GERD, Groome et al. (2007) hypothesized that GERD patients would have some LPR symptoms if the pathophysiology were truly common. Through a questionnaire administered to 1,383 GERD patients, they determined that the prevalence of LPR increases with the severity of GERD. Although based on non-standardized questionnaires, the finding suggests a relationship.
These results coincide with those reported in the studies conducted by Vashani et al. concluded in their study on 32 patients diagnosed with LPR, who were randomized to receive either omeprazole with VT or omeprazole alone, that improvement in patients who received PPI with VT was significantly better than that in patients who received omeprazole alone. Moreover, Belafsky et al. who stated that erythema and edema, which occur in the mucous membrane between the arytenoids, are the most common findings of reflux laryngitis, considering the positional relationship with the upper esophageal sphincter. Computerized voice analysis was performed for all selected patients using Dr Speech software, (Vocal assessment, version 4, 1998; Tigers DRS Inc., Seattle, Washington, USA).
They may also ask you to fill in a questionnaire to rate how often and how badly your symptoms affect you. However, if even small amounts of reflux come all the way up into the pharynx and larynx, other problems can occur. This is because the tissue lining the larynx and pharynx is more sensitive to injury and irritation from stomach juices than the lining of the oesophagus.
Avoid slumping when sitting down. Avoid bending or stooping as much as you can. As mentioned above, body weight is a significant factor in promoting reflux of stomach acid, and weight reduction is helpful. Hard candies, gum, breath fresheners, throat lozenges, cough drops, mouthwashes, gargles, etc., may actually irritate the throat directly (many cough drops and lozenges contain irritants such as menthol and oil of eucalyptus) and will also stimulate the stomach to pour out acid.
Because of a paucity of convincing evidence regarding techniques for establishing definitive diagnosis and causation in individual patients, and because of a plethora of imperfect studies that have produced conflicting conclusions, LPR diagnosis and management remain controversial. This article includes observations written previously by the authors (Sataloff et al., 2006a; Sataloff, 2008; Gupta and Sataloff, 2009).
In adults and children, irritating acidic juices may back up from the stomach into the esophagus (swallowing passage) and throat. This is frequently called gastroesophageal reflux disease or GERD.
The other half either have recurrent symptoms at some point in the future, need to stay on the medication for an extended period of time, or require additional treatment to control the reflux. Evaluation by a Gastroenterologist is frequently helpful in those patients with uncontrolled reflux or severe heartburn.