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Laryngopharyngeal Reflux, A Simple Guide to the Condition, Treatment and Related Diseases
Laryngopharyngeal Reflux, A Simple Guide to the Condition, Treatment and Related Diseases
Laryngopharyngeal Reflux, A Simple Guide to the Condition, Treatment and Related Diseases
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Laryngopharyngeal Reflux, A Simple Guide to the Condition, Treatment and Related Diseases

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LPR is called the silent reflux disease
It is due to the abnormal acid backflow release
From the stomach to the vocal box or larynx
Or even higher up the throat or pharynx

There is frequent hoarseness and throat clearing
Sometimes frequent sore throat and chronic coughing
There is sometimes dysphagia or difficulty in swallowing
Some presents like asthma with difficulty in breathing

Endoscopy can see abrasion in the stomach structure
And sometimes narrowing of the esophagus or strictures
This is cause difficulty in swallowing
And collection of phlegm resulting in coughing

Treatment is by the raising of the head of the bed
And for the obese the losing of weight
Antacids are given to neutralize the acid secretions
While surgery can release any esophageal constrictions

-An original poem by Kenneth Kee

Interesting Tips about the Laryngopharyngeal Reflux

A Healthy Lifestyle

1. Take a well Balanced Diet

2. Treatment of Laryngopharyngeal Reflux:
A. Prevention of reflux:
a. Weight loss for the Obese
b. Positional therapy
c. Smoking reduces lower esophageal sphincter competence, and should be avoided
d. Avoid stress.

B. Neutralizing the Gastric Acid Reflux
a. Proton pump inhibitors are the best drugs used in reducing gastric acid secretion. (e.g. Nexium, Losec)
b. Antacids taken before meals half hourly after symptoms begin can reduce gastric acidity (liquid antacid are more useful than tablets)
c. Alginic acid (Gaviscon) protects the mucosa as well as increase pH and decrease reflux.
d. Gastric H2 receptor blockers such as ranitidine or famotidine decrease gastric secretion of acid.

C. Surgical treatment
The standard surgical treatment, done laparoscopically, is the Nissen fundoplication.

The upper part of the stomach is wrapped around the Lower Esophageal Sphincter (LES) to strengthen the sphincter and prevent acid reflux and to repair a hiatus hernia.

3. Keep bones and body strong

Bone marrow produces our blood

Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.

Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.

Eat food rich in Vitamins B and C such as green vegetables and fruits

Zinc and other minerals are important to the body

4. Get enough rest and Sleep

Avoid stress and tension

5. Exercise and stay active.

It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 21⁄2 hours a week.

One way to do this is to be active 30 minutes a day at least 5 days a week.

Begin slowly especially if a person has not been active.

6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.

Alcohol use also increases the chance of falling and breaking a bone.

Alcohol can affect the neurons and brain cells.

7. Stop or do not begin smoking.

It also interferes with blood supply and healing.

Chapter 1

Laryngopharyngeal Reflux

Laryngopharyngeal reflux disease (LPR) is a chronic disease of the pharynx (throat) and larynx (voice box) whose mucosa is damaged by abnormal acid backflow (reflux) of gastric acid from the stomach to the esophagus.

During the course of medical treatment of many chronic cough I find that many patients’ chronic coughs come not from their lungs but from their throats especially when they have symptoms of GERD or gastritis.

In fact one of the most common causes is from the acid and gas which are pushed up into their throat or vocal cords.

LanguageEnglish
PublisherKenneth Kee
Release dateDec 2, 2014
ISBN9781310005695
Laryngopharyngeal Reflux, A Simple Guide to the Condition, Treatment and Related Diseases
Author

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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Book preview

Laryngopharyngeal Reflux, A Simple Guide to the Condition, Treatment and Related Diseases - Kenneth Kee

Laryngopharyngeal

Reflux,

A

Simple

Guide

to

Medical Condition,

Treatment

And

Related Diseases

by

Dr Kenneth Kee

M.B., B.S. (Singapore)

Ph.D (Healthcare Administration)

Copyright Kenneth Kee 2014 Smashwords Edition

Published By Kenneth Kee at Smashwords.com

Dedication

This book is dedicated

to my wife Dorothy

and my children

Carolyn, Grace

and Kelvin

This book describes the Laryngopharyngeal

Reflux, Treatment and Other Related Diseases such as which are seen in some of my patients in my Family Clinic.

This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

Thank you for respecting the hard work of this author.

Introduction

Ode to Laryngopharyngeal Reflux

LPR is called the silent reflux disease

It is due to the abnormal acid backflow release

From the stomach to the vocal box or larynx

Or even higher up the throat or pharynx

There is frequent hoarseness and throat clearing

Sometimes frequent sore throat and chronic coughing

There is sometimes dysphagia or difficulty in swallowing

Some presents like asthma with difficulty in breathing

Endoscopy can see abrasion in the stomach structure

And sometimes narrowing of the esophagus or strictures

This is cause difficulty in swallowing

And collection of phlegm resulting in coughing

Treatment is by the raising of the head of the bed

And for the obese the losing of weight

Antacids are given to neutralize the acid secretions

While surgery can release any esophageal constrictions

-An original poem by Kenneth Kee

Interesting Tips about the Laryngopharyngeal Reflux

A Healthy Lifestyle

1. Take a well Balanced Diet

2. Treatment of Laryngopharyngeal Reflux:

A. Prevention of reflux:

a. Weight loss for the Obese

b. Positional therapy

c. Smoking reduces lower esophageal sphincter competence, and should be avoided

d. Avoid stress.

B. Neutralizing the Gastric Acid Reflux

a. Proton pump inhibitors are the best drugs used in reducing gastric acid secretion. (e.g. Nexium, Losec)

b. Antacids taken before meals half hourly after symptoms begin can reduce gastric acidity (liquid antacid are more useful than tablets)

c. Alginic acid (Gaviscon) protects the mucosa as well as increase pH and decrease reflux.

d. Gastric H2 receptor blockers such as ranitidine or famotidine decrease gastric secretion of acid.

C. Surgical treatment

The standard surgical treatment, done laparoscopically, is the Nissen fundoplication.

The upper part of the stomach is wrapped around the Lower Esophageal Sphincter (LES) to strengthen the sphincter and prevent acid reflux and to repair a hiatus hernia.

3. Keep bones and body strong

Bone marrow produces our blood

Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.

Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.

Eat food rich in Vitamins B and C such as green vegetables and fruits

Zinc and other minerals are important to the body

4. Get enough rest and Sleep

Avoid stress and tension

5. Exercise and stay active.

It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2½ hours a week.

One way to do this is to be active 30 minutes a day at least 5 days a week.

Begin slowly especially if a person has not been active.

6. Do not drink more than 2 alcohol drinks a day for a man

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