Lifestyle and Dietary Modifications
Laryngopharyngeal reflux (LPR) is commonly diagnosed by otolaryngologists and may be managed using various approaches. Traditionally, otolaryngologists treat LPR with a combination of medications and lifestyle modifications. These lifestyle changes are often the same as those provided for patients with gastroesophageal reflux disease (GERD), commonly referred to as acid reflux. While pharmacological therapy for LPR is well studied, there is a paucity of data on the effect of lifestyle modifications for treating LPR. Most studies are found in the gastroenterology literature and address esophageal rather than laryngopharyngeal symptoms. In this chapter, we will explore lifestyle and dietary modifications and their rationale for patients with laryngopharyngeal reflux and will discuss the evidence where available.
KeywordsLaryngopharyngeal reflux Supraesophageal reflux Extraesophageal reflux Lifestyle Diet
- 5.Feinle C, Christen M, Grundy D, et al. Effects of duodenal fat, protein or mixed-nutrient infusions on epigastric sensations during sustained gastric distension in healthy humans. Neurogastroenterol Motil. 2002;14(2):205–13. http://www.ncbi.nlm.nih.gov/pubmed/11975721. Accessed 13 Aug 2017.CrossRefGoogle Scholar
- 9.Aviv JE. Killing me softly from inside: the mysteries & dangers of acid reflux and its connection to America’s fastest growing cancer, with a diet that may save your life. CreateSpace Scotts Valley, CA: Independent Publishing Platform; 2013.Google Scholar
- 10.Aviv JE. The acid watcher diet: a 28-day reflux prevention and healing program. 1st ed. New York: Harmony; 2017.Google Scholar
- 11.Koufman J, Stern J, Bauer M. Dropping acid: the reflux diet cookbook & cure. 1st ed. Elmwood Park: Reflux Cookbooks, L.L.C; 2010.Google Scholar
- 18.Aslam M, Slaughter JC, Goutte M, Garrett CG, Hagaman D, Vaezi MF. Nonlinear relationship between body mass index and esophageal acid exposure in the extraesophageal manifestations of reflux. Clin Gastroenterol Hepatol. 2012;10(8):874–8. https://doi.org/10.1016/j.cgh.2011.12.032.CrossRefPubMedGoogle Scholar
- 21.Fraser-Moodie CA, Norton B, Gornall C, Magnago S, Weale AR, Holmes GK. Weight loss has an independent beneficial effect on symptoms of gastro-oesophageal reflux in patients who are overweight. Scand J Gastroenterol. 1999;34(4):337–40. http://www.ncbi.nlm.nih.gov/pubmed/10365891. Accessed 6 Sept 2017.CrossRefGoogle Scholar
- 32.Khoury RM, Camacho-Lobato L, Katz PO, Mohiuddin MA, Castell DO. Influence of spontaneous sleep positions on nighttime recumbent reflux in patients with gastroesophageal reflux disease. Am J Gastroenterol. 1999;94(8):2069–73. https://doi.org/10.1111/j.1572-0241.1999.01279.x.CrossRefPubMedGoogle Scholar
- 34.MedCline Acid Reflux/GERD Pillow System. https://www.medcline.com/. Accessed 8 Oct 2017.
- 38.Relieve heartburn symptoms by drinking alkaline water – RefluxMD. http://www.refluxmd.com/relieve-heartburn-symptoms-alkaline-water/. Accessed 13 Aug 2017.
- 41.Zalvan CH, Hu S, Greenberg B, Geliebter J. A comparison of alkaline water and mediterranean diet vs proton pump inhibition for treatment of laryngopharyngeal reflux. JAMA Otolaryngol Head Neck Surg. 2017;143(10):1023–9. https://doi.org/10.1001/jamaoto.2017.1454.CrossRefPubMedPubMedCentralGoogle Scholar
- 42.The first wearable acid reflux control device | Reza Band. https://www.rezaband.com/?utm_expid=93170412-3.XrXjA4w9R7Kc4iW1YQj4pQ.0&utm_referrer=https%3A%2F%2Fwww.rezaband.com%2Flpracid-refluxgerd. Accessed 6 Sept 2017.