To do this test, you will have a small, soft, flexible tube placed through your nose, which stays in your throat over night. Some people say this test is annoying, but it is not painful. PH-metry is used to actually measure acid in your esophagus and throat. People are not usually admitted to the hospital for this test. Ph-METRY is a special over-night test that takes about 24-hours to complete. It is a good test to evaluate the entire swallowing mechanism. This test shows how you swallow and it shows if there is a narrowing or other abnormality of the throat or the esophagus. The barium swallow is an x-ray test in which you must swallow chalky material that can be seen on the x-rays. These two tests are different, and it is common to have both tests done. The two most common tests for LPR are pH monitoring, also called pH-metry, and a barium swallow. If your doctor orders tests, this is to be sure about your diagnosis, to make sure that you don’t have any complications of LPR, and to help pick the best type of treatment for you. The specialist who most often treats people with LPR is the Otolaryngologist (Ear, Nose, and Throat Physician).
If you have any of these symptoms, and especially if you smoke, you should ask your doctor about LPR. Some people have hoarseness that comes and goes, and others have a problem with too much nose and throat drainage, that is, too much mucus or phlegm. How do I know if i have lpr?Ĭhronic hoarseness, throat clearing, ad cough, as well as a feeling of a lump in the throat or difficulty swallowing may be signs that you have LPR. Also, LPR can sometimes affect a persons breathing and lungs. This is because compared to the esophagus, the voice box and the throat are much more sensitive to injury and irritation from the stomach acid. However, even when a small amount of refluxed material comes all the way up into the throat, other problems can occur. In other words, the acid does not have enough time to irritate the esophagus and cause heartburn. This is because the material that refluxes does not stay in the esophagus for very long.
Some people with LPR don’t have heartburn very often, but actually about half of people who have LPR never have any heartburn at all. Many People with LPR Don’t Have Heartburn… Why is that? Because LPR is silent, it is sometimes difficult to diagnose. This is why LPR is called SILENT REFLUX, and the terms “silent reflux” and “LPR” are often used interchangeably. In fact, many people with LPR never have heartburn. Not everyone with reflux has a lot of heartburn or indigestion. LPR can occur during the day or night, even if a person who has LPR hasn’t eaten a thing. (the voice box) or the pharynx (the throat). The term LARYNGOPHARYNGEAL REFLUX (LPR) refers to the backflow of the food or stomach acid all of the way back up into the larynx. The term REFLUX comes from a Greek word that means “backflow,” and it usually refers to “the backflow of stomach contents.” Normally, once the things that we eat reach the stomach, digestion should begin without the content of the stomach coming back up again….refluxing.
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