Laryngo-pharyngeal Reflux is a condition caused by an irritation and swelling of the throat and larynx when acidic stomach content “backflows” into the back of the throat. Many people who have laryngo-pharyngeal reflux do not get heartburn.

Overview and Symptoms

Symptoms of laryngo-pharyngeal reflux include persistent throat clearing, feeling of mucous or a lump in the throat, hoarseness, throat dryness and throat irritation.

During your first diagnostic visit, a speech pathologist will use a diagnostic tool called laryngovideostroboscopy to examine your vocal folds in slow motion.

On a second visit, a speech pathologist will collect acoustic measurements of your voice and have you participate in trial voice therapy techniques.


Treatment for this condition includes medical management to control the reflux with voice therapy.

Voice therapy is much like physical therapy for any other part of the body. Sessions usually take place weekly for about 8 visits. You'll learn about the basic anatomy and physiology of the voice mechanism and about how to care for your voice. Pre-surgical counseling is provided when appropriate.

To achieve the best results, we'll provide exercises to be completed at home. We will do our best to help you figure out how to fit these practice exercises into your daily schedule.

Through practice, the body learns to make the small changes required for effective voice activation and for a smoother, easier voice. Regular practice helps to make these changes automatic so that eventually they come naturally. You may find it helpful to record your voice therapy visit using you smart phone or other recording device to aid with home practice.

If you need surgery, voice therapy may occur either before or after surgery takes place. After, you will have a final voice re-assessment and laryngovideostroboscopy.

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The Voice, Speech and Swallowing Therapy experts at BIDMC are nationally recognized leaders, specializing in the diagnosis and treatment of voice, airway, speech and swallowing conditions.

Voice, Speech and Swallowing Therapy