Reflux pharyngitis, also known as Laryngo-pharyngeal Reflux (LPR), is a disease that has only been widely recognized by otorhinolaryngologists in recent years, but in fact it is very common in clinical work. The application of antibiotics and other drugs led to no significant relief of symptoms, which troubled many patients for a long time and seriously reduced the quality of life of patients. In recent years, as otolaryngologists have gradually gained a better understanding of laryngopharyngeal reflux, they have found that the incidence of laryngopharyngeal reflux is very high in the population, accounting for up to 10% of all patients seen in otolaryngology clinics and 50% of patients with hoarseness. Patients often have excessive throat clearing symptoms, especially in the early morning after waking up or after meals; they also often have sore throat, hoarseness or a foreign body sensation in the throat. The treatment of reflux laryngitis consists of three aspects. 1. Change in diet: Many foods cause reflux laryngitis in different ways. (1) Coffee, alcohol, chocolate and mints weaken the muscles of the lower esophageal sphincter. The normal function of the esophageal sphincter is very important to keep the stomach contents in the stomach. (2) Citrus fruits, kiwi, pineapple, tomatoes and other spicy foods directly irritate the mucosal layer of the larynx. This means that while using drugs, if you continue to ingest these foods will reduce the effect of drugs. (3) Carbonated beverages such as soda and beer, the gas will directly bring acidic stomach contents directly to the larynx and directly irritate the mucous membrane of the larynx. (4) Limit fatty foods, limit the intake of butter, avoid fried foods, avoid eating chocolate, eating cheese. These foods should be used as little as possible or avoided. (2) Behavioral changes: (1) Do not exercise or sing within two hours after meals, etc. These activities can increase the pressure on the abdomen, and cause the stomach contents to enter the larynx directly. (2) avoid overfull diet, can change three meals a day to a small number of meals (3) 3h before bedtime fasting and drinking, padding the head of the bed to avoid reflux of gastric contents (4) avoid wearing tight clothes, do bending and stooping and other actions that cause increased intra-abdominal pressure. This can play a good role in the treatment of patients with mild reflux. 3, drug treatment: consider acid suppression therapy to protect the gastric mucosa and promote gastric motility; conditional and recurrent pharyngitis patients can consider performing pharyngeal gastric acid monitoring, and after the diagnosis is clear, patients with positive pharyngeal reflux can undergo standardized acid suppression therapy according to the situation, and even consider surgery in severe cases. Ion pump inhibitors are currently considered to be the most effective drugs for the treatment of reflux laryngitis. Reflux laryngitis requires higher doses and longer duration of treatment for a minimum of 3 months, twice daily. Symptoms usually begin to show results 4-6 weeks after treatment with the medication. The improvement seen on examination will be later than the improvement of symptoms. Because ion pump inhibitors are effective in reducing acid secretion in the stomach for 12-17 hours, twice-daily use will contribute to the effectiveness of treatment. In addition, avoid irritating foods and tobacco and alcohol, and avoid smoking because smoking causes reflux and aggravates pharyngitis every time you smoke a cigarette. Summary: 1. Reflux laryngitis is a chronic disease caused by the stimulation of the larynx by chronic gastric acid or gastric enzymes.2. Common symptoms include hoarseness, chronic laryngeal irritation, chronic cough, sticky secretions in the larynx, and frequent need to clear the throat. 3. Reflux laryngitis often does not have gastroesophageal reflux. Many patients with reflux laryngitis do not have symptoms of burning in the anterior part of the heart. This is because the vocal cords and the back of the larynx are more sensitive to gastric acid and gastric enzymes than the mucous membrane of the esophagus, and the anatomical structure of the larynx allows gastric acid and gastric enzymes to stay for a long time leading to prolonged irritation and leading to reflux laryngitis. So, not all laryngitis is chronic pharyngitis, you if you have heartburn, belching, reflux symptoms first go to a gastroenterologist for reflux!!!