Acid reflux affects millions of Americans every day. The acid contents of the stomach can travel up the esophagus when the lower esophageal sphincter is not working well. The stomach fluids contain pepsin which is activated by acid and is damaging to the lining of the esophagus. These fluids may also travel all the way up into the throat and cause significant inflammation of the larynx, pharynx, and even the nasal sinuses. Many patients are aware of reflux symptoms and take OTC or prescription medication for prevention. Others may have silent reflux with atypical symptoms such as globus sensation (feeling like there is something in the throat), hoarseness, chronic cough, post-nasal drip sensation, chronic sinusitis, or chronic throat pain.
We routinely evaluate and treat patients with acid reflux. Initial treatment will include dietary mofication, as diet is very important for reflux prevention. Spicy foods, excessive caffeine, excessive alcohol, heavy/fatty meals, and meals within two hours of bedtime should be avoided. Medication may include OTC or prescription.
We will perform laryngoscopy (fiberoptic inspection of the larynx) during the initial visit. If reflux is affecting the larynx, there may be signs of redness or swelling that are easily visible. We can also perform in-office esophagoscopy with topical anesthesia. This allows a simple inspection of the lining of the esophagus for erosions other signs of damage from acid reflux. The procedure takes 3-5 minutes and is not painful.
Dr. Timothy Thomason (972)253-4250 appointment line Dr. Constance Zhou (972)253-4280 appointment line 2021 N. MacArthur Blvd. Suite 225 Irving, Texas 75061 Fax: (972)253-4254
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