Laryngopharyngeal reflux (LPR) is a condition in which acid from the stomach flows back into the throat and voice box, sometimes even reaching the nasal passages.

It can cause a variety of symptoms including hoarseness, coughing, and difficulty swallowing. LPR can be caused by many factors, including diet, lifestyle, and underlying medical conditions. Fortunately, there are many ways to prevent and manage LPR. This guide will discuss some of the best methods for preventing LPR.

1. Maintaining a Healthy Weight

Carrying extra weight in the abdominal area can put pressure on the stomach and increase the likelihood of acid reflux. Maintaining a healthy weight through diet and exercise can reduce this pressure and improve overall health.

Studies have shown that losing just a few pounds can improve symptoms of acid reflux, including LPR. It is important to work with a healthcare provider to establish a healthy weight and develop a safe and effective weight loss plan.

2. Avoiding Trigger Foods

Certain foods can trigger acid reflux and exacerbate symptoms of LPR. These “trigger foods” can vary by individual, but common culprits include spicy foods, citrus fruits, tomatoes, caffeine, and alcohol.

Other foods that may contribute to acid reflux include fatty or fried foods, chocolate, and peppermint. Keeping a food diary can help identify trigger foods and guide dietary changes.

3. Eating Smaller, More Frequent Meals

Eating large, heavy meals can put pressure on the stomach and increase the likelihood of acid reflux. Eating smaller, more frequent meals can reduce this pressure and improve digestion.

It is also important to avoid eating late at night or right before lying down, as this can allow stomach contents to flow back into the throat. Waiting at least 3 hours after eating before lying down can help prevent symptoms of LPR.

4. Managing Stress

Stress can contribute to acid reflux and exacerbate symptoms of LPR. Managing stress through mindfulness techniques such as meditation, deep breathing, and yoga can help reduce the frequency and severity of symptoms.

Other stress-reducing activities such as exercise, spending time in nature, and spending time with loved ones can also be beneficial.

5. Elevating the Head of the Bed

Gravity helps keep stomach contents from flowing back into the throat and causing LPR. Elevating the head of the bed by 6-8 inches can help keep stomach contents where they belong.

This can be done by placing blocks or risers under the head of the bed, or by using a bed wedge pillow. It is important to avoid using multiple pillows, as this can bend the neck and exacerbate symptoms.

6. Quitting Smoking

Smoking can contribute to acid reflux and exacerbate symptoms of LPR. Quitting smoking can reduce the frequency and severity of symptoms, as well as improve overall health.

Healthcare providers can provide resources and support for those who are ready to quit smoking.

7. Treating Underlying Medical Conditions

LPR can be caused or exacerbated by underlying medical conditions such as hiatal hernia, esophagitis, or gastroparesis. Treating these conditions can improve symptoms of LPR.

It is important to work with a healthcare provider to identify and treat any underlying medical conditions.

8. Avoiding Tight Clothing

Tight clothing, especially around the waist, can increase pressure on the stomach and aggravate symptoms of LPR. Wearing loose-fitting clothing can reduce this pressure and improve comfort. It is also important to avoid tight belts or waistbands.

9. Limiting the Use of Certain Medications

Some medications, such as nonsteroidal anti-inflammatory drugs (NSAIDs), calcium channel blockers, and nitrates, can contribute to acid reflux and exacerbate symptoms of LPR.

Limiting the use of these medications, under the guidance of a healthcare provider, can reduce symptoms of LPR.

10. Getting Regular Health Screenings

Regular health screenings can help identify and manage underlying medical conditions that can contribute to LPR. These screenings may include blood tests, imaging tests, and endoscopic examinations.

It is important to work with a healthcare provider to establish a screening schedule that is appropriate for individual needs.

Preventing Laryngopharyngeal Reflux requires a multi-faceted approach that includes lifestyle changes, stress management, medication management, and regular medical care.

By addressing these factors, individuals can reduce the frequency and severity of symptoms and improve overall health and quality of life.