Reflux laryngitis is a chronic laryngitis caused by digestive enzymes from the stomach and stomach acid entering the lower larynx. Patients with reflux laryngitis often do not feel that they have reflux laryngitis, unlike patients with gastroesophageal reflux who often have a burning sensation in the precordial region. When gastric contents return to the larynx and irritate the laryngeal mucosa, the laryngeal mucosa reacts by producing a mucosal blanket to separate the laryngeal mucosa from the gastric contents, so patients often have excessive throat clearing symptoms, especially in the early morning after waking up or after meals; patients also often have pain in the throat, hoarseness or a foreign body sensation in the throat. The treatment of reflux laryngitis consists of three aspects. Dietary changes: Many foods cause reflux laryngitis in different ways. These foods should be used sparingly or avoided. Coffee, alcohol, chocolate and mints can 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. Citrus fruits, kiwi, pineapple, tomatoes and other spicy foods directly irritate the mucosal layer of the larynx. This means that if you continue to consume these foods while using medications will reduce the effect of the medication. Carbonated beverages such as soda and beer, the gas will directly bring the acidic stomach contents directly to the throat and directly irritate the mucous membrane of the larynx. Behavior change: Do not exercise or sing within two hours after meals, these activities will increase the pressure on the abdomen, and lead to the stomach contents directly into the larynx. Avoid overfull diet, can change three meals a day to a small number of meals, do not eat within three hours before bedtime, and can be properly elevated bed, which is conducive to the gastric contents better retained in the stomach and not reflux. Third, drug therapy: ion pump inhibitors are currently considered the most effective drugs for the treatment of reflux laryngitis. And, we must keep in mind that reflux laryngitis and gastroesophageal reflux are different and require higher doses and longer periods of time to achieve a better result. The minimum duration of treatment is 3 months, twice a day, with the dose required depending on the severity seen in the examination. Symptoms usually begin to show results 4-6 weeks after treatment with medication. The improvement seen on examination will be later than the improvement of symptoms. Because ion pump inhibitors are effective in reducing acid secretion for 12-17 hours, twice-daily use will contribute to the effectiveness of treatment. Ion pump inhibitors must be administered on an empty stomach and are most effective at the morning dose. One thing to remember is that there is a difference in the time it takes for the drug to actually start and the time it takes for symptoms to resolve. Patients usually do not feel abnormal for 1-3 weeks after stopping the medication and then slowly feel the symptoms slowly coming back. It takes several weeks to restart treatment to return to the state before stopping the medication. 4. Summary: Reflux laryngitis 1. Reflux laryngitis is a chronic disease caused by chronic stomach acid or gastric enzymes that irritate the larynx. 2, common symptoms are: hoarseness, chronic laryngeal irritation, chronic cough, mucous secretions in the larynx, often need to clear the throat, etc. 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, in contrast to the mucous membrane of the esophagus, the vocal cords and the posterior part of the larynx are more sensitive to gastric acid and gastric enzymes, which, together with the anatomical structure of the larynx, allows gastric acid and gastric enzymes to stay for a long time leading to prolonged irritation resulting in reflux laryngitis. 4.Adopt dumb cough instead of clearing the throat.