laryngopharyngeal reflux

Question 1

presentation of laryngopharyngeal reflux

Answer 1

lump in the throat- globus
- midline
- worse when swallowing saliva
hoarseness
chronic cough
dysphagia
heartburn
sore throat
posterior pharynx may appear erythematous on examination

Question 2

laryngopharyngeal reflux red flags that would suggest a cancer referral

Answer 2

persistent, unilateral throat discomfort
dysphagia, odynophagia
persistent hoarseness

Question 3

management of laryngopharyngeal reflux

Answer 3

lifestyle measures (avoid fatty foods, caffeine, chocolate, alcohol)
PPI
sodium alginate liquids (gaviscon)