Laryngopharyngeal reflux (LPR), is a condition similar to gastroesophageal reflux disease, but instead of the acid going back from the stomach to the esophagus, the contents of the stomach go up to the throat, voice box, or the nasal cavity. LPR is also sometimes associated with heartburn. Some additional symptoms include excessive throat clearing, a persistent cough, and postnasal drip. The symptoms vary largely, however, and the disease is sometimes hard to diagnose, which is why it is often referred to as silent reflux. The standard therapy for LPR uses proton pump inhibitors, but their efficacy is not sufficiently studied nor compared to other therapies. In a recent study published in JAMA Otolaryngology– Head & Neck Surgery, U.S. researchers looked at a diet-based approach, particularly the Mediterranean diet, to improve symptoms of LPR compared with standard proton pump inhibition treatment.
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