Laryngopharyngeal reflux treatment can really be broken down into three areas one is behavioral management, two is medical management, and three would be surgery. Behavioral management is things such as losing weight, watching what you eat, staying away from refluxy foods such as chocolates, carbonated sodas, caffeinated beverages. Medical management entails shutting down the acid reflux. To do that, we have to treat with protonpump inhibitors, which are the most effective mode of inhibiting acid production, and so we do that twice a day, and then very often we’ll even add.
An H2 blocker before bedtime if people have symptoms while they’re in bed or very early in the morning. And for those who have symptoms right after meals, we’ll even sometimes add a Gaviscon, which helps decrease acid reflux immediately after a meal. These medicines should have effect, within six to eight weeks, you should see a significant improvement. In severe cases of laryngopharyngeal reflux that are not responsive to behavioral management or medical therapy, patients may be a candidate for surgery to actually put a barrier between the stomach and the esophagus.