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Locate Choking Language Pathologist. When stomach contents reflux into the esophagus in an excessive manner, causing phlegm injury and throat like heartburn and regurgitation, it is called GastroEsophageal Reflux Disease GERD. When stomach contents reflux into the throat causing tissue injury and symptoms like hoarseness, throat clearing.
ENT and Allergy Associates | Reflux
Hoarseness; frequent throat clearing; causing phlegm; post-nasal drip; chronic cough; difficulty swallowing dysphagia ; lump-like sensation in throat; choking sensation. The reflux pattern in the typical GERD patient is a supine, nocturnal reflux patient refluxing while lying flat at night while the LPR patient generally refluxes while upright during the day 2, 3.
Esophageal function in the GERD patient generally demonstrates esophageal dysmotility with significantly prolonged esophageal acid clearance times and Lower Esophageal Sphincter dysfunction. In contrast, the LPR patient has good esophageal function with near normal esophageal acid clearance.
In addition, the larynx is far more susceptible to acid injury than esophagus because in the larynx there are no acid clearing mechanisms peristalsis; causing bicarbonate and the laryngeal tissues are thin, fragile and poorly adapted to protect against reflux. One normally refluxes about 50 times pink haired hentai girl day from the stomach into the esophagus.
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If as few as 2 of those normal reflux events contact the laryngeal tissues, it is abnormal, and changes in the laryngeal tissues can result 3, 7. B Transnasal Flexible Laryngoscopy TFL - Choking way of examining the larynx and throat with a thin, flexible endoscope that is passed via the nose which phlegm a magnified view of the laryngeal structures and throat.
C Laryngeal Sensory Testing- Recent work is demonstrating that sensory testing can be added to TFL in order to make a diagnosis of acid reflux disease.