What is the difference between reflux laryngitis and reflux esophagitis?
The differences between laryngopharyngeal reflux (LPR) and gastroesophageal reflux disease (GERD) generally include different causes, symptoms, and treatment approaches, among others. A detailed analysis is as follows:
1. Different Causes
Laryngopharyngeal reflux is primarily caused by excessive mental stress or irregular eating habits, which lead to the backflow of gastric acid from the stomach into the throat. The acidic substances irritate and corrode the local mucosa, resulting in inflammatory changes. Gastroesophageal reflux disease may be associated with factors such as medication irritation or unhealthy dietary habits. For example, frequent use of calcium channel blockers or consumption of alcoholic beverages may impair the esophagus's defensive functions. When gastric contents reflux, the esophagus fails to clear them effectively, allowing small amounts of gastric material to pool in recessed areas of the esophagus and cause irritation, leading to the development of this condition.
2. Different Symptoms
Symptoms of laryngopharyngeal reflux typically include dry cough, difficulty breathing, and thickening of the throat mucosa. In contrast, symptoms of gastroesophageal reflux disease include upper abdominal pain and a burning sensation in the esophagus. In severe cases, it may lead to abnormal mucosal bleeding and subsequently cause iron-deficiency anemia.
3. Different Treatments
Patients with laryngopharyngeal reflux can, under medical guidance, use medications such as cimetidine injection or omeprazole enteric-coated capsules. Patients with gastroesophageal reflux disease may follow their doctor’s instructions to take drugs such as mosapride citrate tablets or domperidone tablets.
In addition, the two conditions also differ in prognosis. It is recommended that patients seek timely medical attention if they experience significant discomfort to prevent worsening of the condition.