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  • Format: ePub

LPR is called the silent reflux disease
It is due to the abnormal acid backflow release
From the stomach to the vocal box or larynx
Or even higher up the throat or pharynx
There is frequent hoarseness and throat clearing
Sometimes frequent sore throat and chronic coughing
There is sometimes dysphagia or difficulty in swallowing
Some presents like asthma with difficulty in breathing
Endoscopy can see abrasion in the stomach structure
And sometimes narrowing of the esophagus or strictures
This is cause difficulty in swallowing
And collection of phlegm resulting
…mehr

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Produktbeschreibung
LPR is called the silent reflux disease
It is due to the abnormal acid backflow release
From the stomach to the vocal box or larynx
Or even higher up the throat or pharynx

There is frequent hoarseness and throat clearing
Sometimes frequent sore throat and chronic coughing
There is sometimes dysphagia or difficulty in swallowing
Some presents like asthma with difficulty in breathing

Endoscopy can see abrasion in the stomach structure
And sometimes narrowing of the esophagus or strictures
This is cause difficulty in swallowing
And collection of phlegm resulting in coughing

Treatment is by the raising of the head of the bed
And for the obese the losing of weight
Antacids are given to neutralize the acid secretions
While surgery can release any esophageal constrictions

-An original poem by Kenneth Kee

Interesting Tips about the Laryngopharyngeal Reflux

A Healthy Lifestyle

1. Take a well Balanced Diet

2. Treatment of Laryngopharyngeal Reflux:
A. Prevention of reflux:
a. Weight loss for the Obese
b. Positional therapy
c. Smoking reduces lower esophageal sphincter competence, and should be avoided
d. Avoid stress.

B. Neutralizing the Gastric Acid Reflux
a. Proton pump inhibitors are the best drugs used in reducing gastric acid secretion. (e.g. Nexium, Losec)
b. Antacids taken before meals half hourly after symptoms begin can reduce gastric acidity (liquid antacid are more useful than tablets)
c. Alginic acid (Gaviscon) protects the mucosa as well as increase pH and decrease reflux.
d. Gastric H2 receptor blockers such as ranitidine or famotidine decrease gastric secretion of acid.

C. Surgical treatment
The standard surgical treatment, done laparoscopically, is the Nissen fundoplication.

The upper part of the stomach is wrapped around the Lower Esophageal Sphincter (LES) to strengthen the sphincter and prevent acid reflux and to repair a hiatus hernia.

3. Keep bones and body strong

Bone marrow produces our blood

Eat foods rich in calcium like yogurt, cheese, milk, and dark green vegetables.

Eat foods rich in Vitamin D, like eggs, fatty fish, cereal, and fortified milk.

Eat food rich in Vitamins B and C such as green vegetables and fruits

Zinc and other minerals are important to the body

4. Get enough rest and Sleep

Avoid stress and tension

5. Exercise and stay active.

It is best to do weight-bearing exercise such as walking, jogging, stair climbing, dancing, or lifting weights for 2¿ hours a week.

One way to do this is to be active 30 minutes a day at least 5 days a week.

Begin slowly especially if a person has not been active.

6. Do not drink more than 2 alcohol drinks a day for a man or 1 alcohol drink a day for a woman.

Alcohol use also increases the chance of falling and breaking a bone.

Alcohol can affect the neurons and brain cells.

7. Stop or do not begin smoking.

It also interferes with blood supply and healing.

Chapter 1

Laryngopharyngeal Reflux

Laryngopharyngeal reflux disease (LPR) is a chronic disease of the pharynx (throat) and larynx (voice box) whose mucosa is damaged by abnormal acid backflow (reflux) of gastric acid from the stomach to the esophagus.

During the course of medical treatment of many chronic cough I find that many patients' chronic coughs come not from their lungs but from their throats especially when they have symptoms of GERD or gastritis.

In fact one of the most common causes is from the acid and gas which are pushed up into their throat or vocal cords.


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Autorenporträt
Dr. Kenneth Kee is a well-known medical doctor from Singapore who has been practicing medicine since 1972.
He graduated from the University of Singapore and furthered his studies with a Master of Science in Health Management in 1991, followed by a Ph.D. in Healthcare Administration in 1993.
Dr. Kee established Kee Clinic in 1974, located in the Holland Drive area of Singapore. The clinic has been a prominent feature of the community, offering general medical services for 5 decades.
Dr Kee also served his country Singapore as a national service police Inspector at night from 1975 to 1985 while working at his clinic during the day.
He had served as a police guard to the Woodland Petroleum Tanks at night during the Indonesian Confrontation period, took part in police rounds at night in the Beach Road area and taught First aid and emergency resuscitation to Police recruits.
He received the Singapore Police Bicentennial 2020 Medallion on 1st March 2024 as recognition for his work in the Singapore Police.
Even as he grew older, Dr. Kee continued to work actively in his clinic, although he eventually reduced his consultation hours.
Beyond his medical career, Dr. Kee is also an author.
He started writing about medical conditions in 2007, using blogs and other online platforms to share his knowledge with a broader audience.
Over time, he published various books, many of which provide simple and accessible guides to different health conditions.
His works include "A Family Doctor's Tale," "My Personal Singapore History," and numerous medical guides, available through platforms like Amazon.
His books often combine his personal experiences as a family doctor with insights into Singapore's healthcare system and history.
Dr. Kee has written extensively on health topics, contributing to both medical literature and general knowledge resources.

Dr. Kenneth Kee has written numerous books, primarily focused on health education and personal experiences as a family doctor. Some of his notable titles include:
"A Family Doctor's Tale"
This book is a blend of Dr. Kee's personal experiences and his reflections on being a family doctor in Singapore. It's a great choice if you're looking for a narrative that combines both medical knowledge and human stories.
"Specialized Medical Conditions"
Books like **"Congestive Heart Failure: Diagnosis and Treatment"** focus on specific conditions, offering in-dept...