Because the lining of the throat and larynx is much more sensitive than the esophagus, even a tiny amount of acid can cause significant damage.

1. The Throat and Voice (Laryngitis)

Chronic exposure to acid causes the delicate tissues of the larynx (voice box) to become inflamed and swollen.

• Chronic Hoarseness: Acid irritation prevents the vocal folds from vibrating cleanly.
• Globus Sensation: That annoying feeling of a "lump in the throat" that doesn't go away with swallowing.
• Constant Throat Clearing: Acid triggers excess mucus production, leading to a persistent need to clear the throat.

2. The Ears and Sinuses

It may seem surprising, but acid can actually affect your ears and nose.

• Eustachian Tube Dysfunction: Acid vapors can reach the back of the nose where the Eustachian tubes open. This causes inflammation that leads to "clogged" ears or even middle ear infections.
• Chronic Sinusitis: Reflux can irritate the nasal lining, contributing to post-nasal drip and chronic sinus congestion.

3. Airway and Lungs

• Chronic Cough: Acid can trigger a reflex that causes a dry, hacking cough.
• Asthma Exacerbation: For patients with asthma, reflux can worsen airway constriction, making breathing more difficult.

GERD vs. LPR: What’s the Difference?

FeatureGERD (Gastroesophageal)LPR (Laryngopharyngeal)Primary SymptomHeartburn / Chest painHoarseness / Throat clearingPositionOften happens when lying downCan happen while uprightAcid AmountLarge amounts needed for painTrace amounts cause damageEsophageal DamageCommon (Esophagitis)Often absent

Management Strategies

At our ENT practice, we focus on protecting your airway and voice through a combination of lifestyle and medical interventions:

• Dietary Changes: Avoiding "triggers" like caffeine, chocolate, citrus, and spicy foods.
• Mechanical Barriers: Advising patients to finish eating 3 hours before bed and sleeping with the head of the bed elevated.
• Medical Therapy: Utilizing Proton Pump Inhibitors (PPIs) or H2 blockers to reduce acid production.