Have you ever woken up in the morning, after a late-night dinner with a hoarse voice or pain in the throat? Do you often feel the need to clear your throat? You will be surprised to know that acid reflux or acidity, as it is commonly known, could be one of the reasons for these symptoms. Most people are familiar with common symptoms of acid reflux such as heart burn, burping or a sour taste in the mouth. What they are not aware of, is that acid reflux or laryngopharyngeal reflux often presents with symptoms related to the voice, throat and breathing.

What is Reflux Laryngitis or Laryngopharyngeal Reflux (LPR)? What causes it?

Laryngopharyngeal reflux or reflux laryngitis is swelling or inflammation of the lining of the throat and larynx (voice box). It occurs in those who suffer from GERD (gastroesophageal reflux disease), commonly referred to as acid reflux or acidity. Reflux laryngitis or LPR is caused by acid in the stomach backing up the esophagus (food pipe) into the throat. Since the larynx is located in the throat, at the junction of the windpipe (trachea)and food pipe (esophagus), reflux laryngitis usually produces symptoms related to the throat, voice and breathing which most people are not aware of.


There is scientific data, that shows that almost 60% of people, who suffer from GERD/acid reflux have laryngopharyngeal symptoms i.e symptoms in the voice and throat. In addition, some studies have pointed out that acid reflux, combined with smoking and alcohol use, increase the risk of cancers of the larynx and throat.


Common symptoms of laryngopharyngeal reflux

The following are some of the common symptoms of reflux laryngitis

• Burning sensation in the throat
• Coughing
• Heartburn or burning sensation in the upper chest
• Sore throat or pain in the throat
• Need to clear the throat frequently
• Increase in the time taken to warm up the voice, usually noticed by singers
• Hoarse or rough voice, especially in the morning
• Sensation of lump in the throat or discomfort while swallowing
• Excessive mucus in the throat
• Bitter or acid taste in the mouth
• Bad breath
• Coated tongue
• Breathing problems sometimes resembling an asthmatic attack

How can laryngopharyngeal reflux be prevented or managed through dietary and lifestyle changes?

Considering the negative effects of acid reflux on the voice, throat and breathing, professional vocalists and vocal artistes including speakers, actors, singers and others are advised to follow a few simple measures, dietary and lifestyle changes, listed below, to conserve their voice. Diet and lifestyle modifications are usually effective in managing reflux laryngitis. However, if you continue to have symptoms suggestive of acid reflux, in spite of diet and lifestyle modification or use of over-the-counter antacids, seek medical advice.

• Eat small and frequent meals
• Increase fiber intake
• Reduce your intake of fats, spicy, oily and fried foods
• Avoid highly seasoned & processed foods
• Reduce the intake of caffeine containing products including coffee, cocoa and chocolates
• Avoid or reduce the intake of alcohol
• Stop consuming tobacco in any form including chewing gutkha and smoking
• Avoid strongly flavored candies, lozenges, breath fresheners
• Chew food properly.
• Avoid large dinners. Do not lie down for 2 to 3 hours after dinner.
• Elevate the head end of your bed at night, around 6 – 12 inches by placing pillows or a foam wedge under the mattress or bricks under the legs of the head end.
• Wear loose clothing. Avoid clothes that fit tightly across the middle of the body viz. girdles, belts
• Minimize activities that require heavy lifting or bending.
• Lose weight if you are overweight
• Stress can increase acid production. Learn strategies to manage stress. Maintain a relaxed attitude in your activities.