Diet for laryngopharyngeal reflux

Diet is an integral part in controlling acid reflux, especially when it's in the form of laryngopharyngeal reflux (LPR).

When this condition occurs, your upper esophageal sphincter struggles to function properly, and acid that's supposed to help the digestive process travels back up into the sensitive tissue at the back of the throat and larynx, and possibly into your nasal airway. With the right diet and by avoiding potentially harmful foods, you should be able to prevent LPR from occurring.

Diet Basics

Unlike gastro-oseophageal reflux disease (GERD), most people suffering from LPR do not experience heartburn. However, general diet principles are similar in that you should avoid acidic, high-fat and spicy foods. High-fat and oily foods can increase acid secretion, decrease esophageal function or slow your stomach's ability to empty, while acidic and spicy foods could irritate your esophageal lining.

You should eat dinner at least two to three hours before you lie down, and do not snack after your evening meal. If you eat right before going to bed, reflux problems may arise, as the stomach produces large amounts of acid to help you digest food. When you lie down, unused acid usually backs up into the oesophagus. Try to avoid heavy, large meals that increase the chance for reflux to develop. If you eat more meals that are smaller, your stomach will have enough room for proper digestion.

What to Eat and What to Avoid

Milk and/or milk products are fine to consume if you suffer from LPR, as long as they are 1 to 2 per cent low-fat milk items, fat-free yoghurt, feta or goat cheese, or fat-free cream cheese and sour cream. You want to avoid chocolate milk and whole milk.

You can have low-fat breads and grains, but try to avoid any that have high-fat or whole milk content. While fatty foods should not comprise a large portion of your diet, consuming food high in complex carbohydrates will help you prevent LPR. Breads and pastas bind with the acid in your stomach, resulting in less acid backup into your oesophagus.

On your list of vegetables to avoid should be creamy or fried vegetables, raw onions and tomatoes. Vegetables that will not have a negative impact on your LPR include baked potatoes, broccoli, carrots, green beans and peas. Fruits like apples, bananas, berries, melons, peaches and pears are fine choices for an LPR diet, but you want to avoid citrus fruits like grapefruit, kiwi, lemons, oranges and pineapple, whether in actual fruit form or their juices.

Aside from citrus juices, you also should try to stay from alcohol, carbonated beverages like soda and tea, and coffee (regular or decaffeinated). You do not have to worry about irritating your reflux when drinking non-citrus juices and water.

Certain spices may cause your reflux to act up and could weaken your lower esophageal sphincter muscle. These include curry, garlic, hot mustard, pepper (especially chilli and hot) and vinegar. You also want to avoid peppermint and spearmint.

Meats and Sweets

You do not have to stop eating meat and meat substitutes if you suffer from LPR, but make sure your diet consists of items like chicken (skinless), extra lean minced meat, fish, London broil, turkey and other low-fat meats. Bacon, chicken fat and skin, sausage, spicy cold cuts and other fatty meats should be on your no-thanks list.

While you do not have to deprive yourself of sweets completely, make sure you're not consuming chocolate or desserts made with large amounts of fats and/or oils. You can have baked crisps, fat-free cookies and any item that contains no fat or whose fat content is less than or equal to 3g of fat per serving.