LRP - Laryngopherangeal Reflux Disease

[Smiley2000]

Anyone on here ever been diagnosed with "LRP" - Laryngoperangeal Reflux Disease?

I have had numerous tests done the past month.  Started off with a test that the ENT did - Laryngascopy - and then he referred me to a General Surgeon who did a Gastroscopy, Manomatry and 24hr PH test, all came back to be NORMAL.

Then I went back to ENT and he said it is LRP as I have all the symptoms!  He now started me on ULTAK, Lansoloc, twice a day.  

Apparently this LRP Disease is not very common or easy to treat with medication and I would love to hear from people that also battle, as I do.

[selmaS]

Hi...well no hiatal hernia, that is good.....

Dairy can slow the function down of the LES...so, do be mindful if u do eat dairy how much and time of day u eat it.

Also, eating smaller meals more frequently over the course of the day should help.
And not lying down for 3 to 4 hrs after eating.

There is surgery for this...I am not sure if just diet modifications will help completely, but can help.

http://books.google.com/books?id=uwhuHXeL4hgC&pg=PA105&lpg=PA105&dq=hypotensive+LES+can+it+be+tightened&source=bl&ots=czsOuCDA4j&sig=VaTrl2xWnr4btPcA1xPm8s5pen8&hl=en&ei=F-dyTM2xH8L7lweOpImRDw&sa=X&oi=book_result&ct=result&resnum=5&ved=0CCYQ6AEwBA#v=onepage&q&f=false

[Smiley2000]

Hi Selma,

I don't have a h/hernia.  The 24hr PH test that Doc did said I have a "hypotensive" LES (normal is between 12-25 and mine was 11).  According to the ENT that is why I have LPR.  I had several Gastroscopies done and they all say I don't have Hiatus hernia.

What can help to tighten the LES?  I thought it is stress that make it hypotensive, but apparently the more you relax (like sleeping) the more the LES relaxes and that is when all the yukky stuff go to my throat.  I have elevated my bed but no improvement.  I have a permanent red and sore throat and lately I have a terrible tast in my mouth... that is new symptom.  had a bit of a sinus but that cleared up now.  Still yukky taste.

[selmaS]

Hi...since surgery is a last resort, can u look into a chiropractor that does the manipulations for hiatal hernia's to see if that helps first?

I am considering that if I get a flare up that I can no longer control.

I no longer drink tea with milk...I have learned to drink it with out...and enjoy it much more...lol... and no one will take my chocolate : )

"selma"

[Smiley2000]

Hi Selma,

The ENT that I am seeing gave me the new meds:  Ultak and Lansoloc.  He also said that patients with LPR don't do very well on any meds and that the solution is the Nissen operation.  That is my last resort.  I had 2 Open-heart surgeries in the past 2 years (had major valve issues) and you can imdagine that I am not very keen on the Nissen op.

At this moment I have a bit of a sinus infection, but terrible Laringitis.  I don't know if the LPR is the cause of the Laringitis or not.  These days I get chronic laringitis.  I will see the ENT again in about 3 weeks.  He only gave me enough meds for a month, then he wants to see me again and do follow-up Larynscope.

In the meantime I'll make a note of it to avoid Dairy products.  I actually only drink tea with a little milk in but I'll cut down on my chocolates.  I love my choccies.

[selmaS]

Hi,...with the issue with ur LES, u should avoid dairy products as they can make the LES slower....so do be mindful of what dairy u eat, how often and time of day.

I am not sure what else u might try....did ur dr offer ne suggestions?

"selma"

[Smiley2000]

Thank you Selma and babyboy for replying :)

Selma, thank you for you valued service and help you give us.

I have a lot of questions regarding this LPR... I don't have any lifestyle or diet changes that I can make... I don't sleep flat, I am not over weight (BMI 22), I hardly ever eat later than 19h00 and I don't eat fatty food or big meals during the day or at night.  I hardly ever eat these days.

I am now taking 300mg of Ultak at night, and the 2 Lansoloc per day - one at night and the other in the morning at 6h00.  

The 24hr PH test that was done was normal - not acid related.  The only thing that was abnormal was the manomatry: the "LES" that is Hypotensive on 11.  That is my main problem:  my LES is not closing.

In the meantime I have a hoarse voice (and I love talking and singing and it is part of my job to talk a lot) and my throat is burned red.

Any advise on this?

[selmaS]

This is the basics for ne acid reflux....and we do have even more info including lifestyle changes.....please see the Health Pages for info to help u relieve ur symptoms.

"selma"

http://www.medhelp.org/health_pages/list?cid=236

[baby_boy]

Hi, I was diagnose with this same disease last week. I don't have a very serious case of it. My ENT told me if I take my medications properly it should be cleared up in no more that six months. He also gave me a list of foods to avoid like fried foods, oranges, tomatos, chocolate, coffee, tea, soda with caffiene, things of that nature. He also instructed my to sleep with my head elevated four to six inches. Also, not to stress myself, he told me this is very important. I take zantac in the morning with breakfast, and dexilant at night before I go to sleep. I wish you the best of luck.

"baby_boy"

[selmaS]

Hi...I am glad to hear u have a dx, but I know we had other members with this...it is also know as Silent reflux as most do not experience heart burn....

I have not had this dx, but wanted to wish u the best with ur treatments and I hope u share how this med works for u.

"selma"