Laryngopharyngeal Reflux Initiated Chronic Cough

Laryngopharyngeal reflux (LPR) is a highly prevalent disease associated with symptoms of laryngeal irritation such as throat clearing, coughing, and hoarseness. Patients with LPR may endure prolonged and exhaustive suffering if the physician is unable to establish a diagnosis because the signs and symptoms of the disease are nonspecific. Share your views on this interesting clinical case of Laryngopharyngeal Reflux Initiated Chronic Cough by Dr. Satish Kumar. Follow us for more such updates!

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Very nicely presented by Dr Satish kumar , a very common condition laryngotracheal reflux -also called silent reflux. In fact many such patients are not appropriately treated because both conditions many a times exist together in a patient- GERD and LTR. Very informative for me was the Reflux Symptom index ( RTI) Larygotracheal reflux is  similar to another condition -- GERD -- that results from the contents of the stomach backing up (reflux). But the symptoms of LPR are often different than those that are typical of gastroesophageal reflux disease (GERD). With LPR, you may not have the classic symptoms of GERD, such as a burning sensation in your lower chest (heartburn). That's why it can be difficult to diagnose and why it is sometimes called silent reflux.

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How to calculate LPR score to decide the severity Why not to consider incompetent oesophageal sphincter which is root cause of regurgitation Third point what are incidences of LPR and is it prevelent amongst children with h/o aspiration pneumonitis

Thanx dr Mallik Israr
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Nicely elaborated laryngopharyngeal Reflux initiating chronic cough Pt developed chronic cough ,horseless , reactive airway disease,chronic sinusitis and ear infection in 10 yr male with normal birth history complete immunization showed normal physical examination ,blood test , x-Ray chest normal . Only 24 hour pH meters confirmed laryngophryngeal reflux ,treated with omiperazole &fluconazole , upright for two hour after meal and several small meals , avoiding juice and acidic food Nicely tackled Dr Satish Kumar congratulations

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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

NICE ILLUSTRATION OF LARYNGO PHARYNGEAL INITIATED CHRONIC COUGH IN THIS ENTITY E N T EXAMINATION IS VERY IMPORTANT WE HAVE TI EXCLUDE CHRONIC PHARYNGITIS SICCA

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Gastrooesophageal reflux disease is a very common entity and often not investigated In this case it was very nicely investigated and treated Confirmatory test can be done such as OGD Scopy, oesophageal manometry and 24 hours pH and impedance monitoring Some times Underlying B 12 deficiency can be present and it need to be investigated GI motility agent such as Domperidone may help in treatment of GE reflux disease

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Thanks Dr. Satish Kumar Very nice presentation . Reflux symptoms index (RTI ) is informative. In chronic cough patient along with respiratory system , LTR and GERD are common and should be evaluated and need treatment .

Nice post To me GERD causes dry cough Once upright position it solves problem Try for bland dinner

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Educative and informative post.

Thanks Dr Dinesh Gupta
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Excellent discussion of LPR this pandemic situation, so educative and helpful for me, thanks@Expert Insights and also Thank you Sir@Dr. Satish Kumar for valuable sharing.

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