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I have read and heard from my ENT that the fundoplication surgery is not always effective with LPR. Much more with classic GERD. My question is, does LPR ever resolve on its own? Is it possible that I will have to live with this awful stuff?
Also, I should have said that I never had this problem until the endo. Any connection?
Persistent LPRD(laryngopharyngeal Reflux disease)can be difficult to treat by behavioural /life style modification alone.Prolonged and aggressive therapy may be required for management of LPRD. The drugs include prolonged use of PPIs(sometimes may be needed to be taken twice a day),H2 receptor agonists like Famotidine,prokinetic drugs(these are usually avoided due to cardiac side effects and diarrhea),Sucralfate(a cytoprotective drug for the mucosa),antacids like Tums and others used for heartburn. Lifestyle modifications include- losing weight if obese. avoiding alcohol and tobacco. avoiding chocolate,mint,spicy foods,citrus fruits,red wine,tomato-based foods,fats and fried foods. take dinner at least 3 hours before retiring,avoid lying down after eating Quit smoking. avoid tight clothes around the waist.,elevation of head end of bed by 8-10 inches and a board under the mattress at the head end to prevent acid reflux. Ruling out or diagnosing and treating H pylori infection will help. Avoid voice strain,loud speaking or whispering,avoid clearing of the throat(instead use sips of water the clear the cords),sip water between intervals if doing public speaking,voice rest and hygiene is essential. Endoscopy will not cause or increase the disease.Regular ENT visits and direct laryngoscopy and videostroboscopic examination of the vocal cords will help keep a check on the efficacy of the treatment.Twice daily PPI therapy has been used in many patients for long durations to help treat the pharyngeal and laryngeal inflammation and granulomatous tissue growth.Ruling out other diseases like hiatus hernia,Scleroderma,Bile induced duodeno-gastro-oesophageal reflux,achalasia,eosinophilic eosophagitis will help.
Yes, there seems to be disagreement among the different disciplines of medicine. My Otolaryngologist says one thing, my GI doctor another and you another. Does no one have a definitive answer for this problem?
I mean, if a person has an ulcer, that can be determined, right? If he has a hernia, the same. Why then can't I get someone to say, "this is what you have" and this is what you do to treat it?
I know you can't diagnose me from a distance, but I'm trying to figure this out. I looked up the link you provided. It seems to me that an Osteopath is a chiropractor. Is that so? If not, how do they differ?
I'm sure that your proctice is not in Tampa, FL. That being he case, how do I find a DO that is competant and as confident as you seem to be in dealling with this issue of LPR?
I will be happy to click the smily face after ou converstaion is concluded
Thank you, XXXXX XXXXX sorry for copping an attitude, but I have been handed from Dr. to Dr. over the last 15 months and my frustration level is very high at this point. It's nothing persoanl, I assure you. My zip is 34638 but my business zip is 33609 in Tampa.