Reflux is a condition in which stomach acid or food moves from your stomach up into the esophagus and larynx due to a weakness in the sphincter (a muscular valve that should prevent this). Reflux laryngitis occurs when the acid flows upward into your larynx (voice box), resulting in asthma, sore throat, cough, chronic hoarseness or the sensation that a foreign object is lodged in your throat.
Antacids
The most conservative treatment for reflux laryngitis is the use of antacids, such as Rolaids, Tums, Alka Seltzer, Maalox or Gaviscon. Check the side effects of the antacid you choose because some can cause diarrhea and others may result in constipation. Typically antacids should be taken 30 to 60 minutes following each meal and again at bedtime. Before taking any antacids you should consult your doctor or pharmacist to be certain that they will not interact with any other medications you are taking.
Diet
Certain foods should be avoided when you have reflux laryngitis, such as fried or spicy foods, tomatoes, chocolate, onions, peppermint and citrus. In addition, caffeinated beverages, tobacco use and alcohol can all aggravate your condition. Your overall diet should be low in fat. You should avoid large meals at dinner as well as snacking after dinner and at bedtime. You should not lie down for several hours after eating.
Medications
Several medications that block acid are available without a prescription, such as Pepcid, Zantac, Tagamet and Axid. If these drugs are not strong enough to relieve your symptoms, your doctor can prescribe medications called proton pump inhibitors, such as Prilosec and Prevacid. Proton pump inhibitors reduce the production of stomach acid. Another prescription drug that may be helpful is Reglan, which increases digestive contractions to empty your stomach faster.
Lifestyle
Certain lifestyle changes may also help reduce your symptoms. Wear comfortable clothing that is not tight around your stomach. Reducing stress can prevent an increase in stomach acid. If you experience a lot of stress on a daily basis, you may want to try relaxation techniques such as deep breathing or meditation. If you are overweight, losing weight can help reduce reflux.
Prevention
Sleeping with the head of your bed elevated can help keep acid from flowing upwards. You might try placing blocks under the bedposts to raise your bed. You can also sleep on two or more pillows or use a foam wedge that raises your head and upper chest. Avoid non-steroidal anti-inflammatory medications because they can increase your reflux symptoms. Some prescription medications can also contribute to reflux, such as calcium channel blockers and anti-cholinergics. Consult your doctor about possible alternatives. Never discontinue any of your medications without the advice of your doctor.
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