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Help I have Laryngopharyngeal Reflux (Lpr)/ Silent Reflux!

Updated: Jun 8, 2020

First of all, let me say that I know this is a very annoying thing to have and I am sorry! BUT there is help! I have developed a treatment plan that you are welcome to use. Please consult your doctor first! If you are having any of the swallowing/voice issues that can accompany this annoying diagnosis, and you are in Birmingham, AL or any surrounding areas, feel free to consult me to see if speech therapy is an option for you!

OK, now for the good stuff! Remember a plan is just words unless you follow it! Good Luck!

From the Desk of…

Glinda Mauldin M.S. CCC-SLP

Treatment Program for Silent Reflux Treatment



Treatment for LPR should be individualized, and your doctor will suggest the best treatment for you. Generally, there are several treatments for LPR:

  • surgery,

  • changing habits and diet to reduce reflux,

  • medications to reduce stomach acid, and

  • oral motor and pharyngeal exercises.

Most people with LPR need to modify how and when they eat, as well as take some medication, to get well.

Dietary and lifestyle changes alone are not often enough to control LPR - medications that reduce stomach acid are also usually needed. These must be prescribed by your doctor.


Control your LIFE-STYLE and your DIET!


  • Nonprescription liquid antacids, such as Maalox®, Gelucil® and Mylanta® are recommended. When used, these antacids should be taken four times each day - one tablespoon one hour after each meal and before bedtime.

  • Take prescription medications to reduce stomach acid. (Consult your doctor.)


  • Do not lie down just after fact, do not eat within three hours of bedtime.

  • Avoid large meals, especially within 3 hours of bedtime.

  • Eat small meals high in protein and carbohydrates.

  • You should be on a low-fat diet.

  • Limit your intake of red meat.

  • Limit your intake of butter.

  • Avoid fried foods and fatty foods.

  • Avoid chocolate and peppermint.

  • Avoid cheese and milk.

  • Avoid eggs.

  • Avoid beer.

  • Specifically avoid caffeine (especially coffee and tea), soda pop (especially cola) and mints.

  • Avoid alcoholic beverages, particularly in the evening.


  • Lose weight.

  • Exercise.

  • Consider chewing gum to increase saliva and neutralize acid

  • Don't wear clothing that is too tight, especially around the waist (trousers, corsets, belts).

  • If you use tobacco, QUIT.


  • Keep the head of your bed elevated 4 to 6 inches.

Elevating the head of the bed is the simplest way to reduce nighttime episodes.

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