Laryngopharyngeal reflux, or LPR, is the reflux of stomach acid and stomach content to the larynx and pharynx. LPR is different from gastroesophogeal reflux, or GERD, because it does not damage the esophagus or cause heartburn. LPR occurs because the valve at the top of the esophagus is weak, allowing the stomach contents to reach the sensitive tissue of the larynx, according to the Loyola University Medical Center. LPR can lead to damaged vocal cords and exacerbation of asthma, emphysema and bronchitis. Management of LPR involves changes in the diet.
Foods High in Fat
Foods high in fat increase acid secretion and slow down the emptying of the stomach, explains Loyola University Medical Center. Foods high in fat to avoid with LPR include whole milk, whole cheeses and all fried foods. High-fat meats such as sausage, bacon, red meat with a lot of marbling and poultry skin should also be avoided. Added fats, such as butter and oil, should be eliminated from the diet or taken in small amounts, says the Loyola University Medical Center.
Chocolate
Chocolate affects the lower esophageal sphincter and increases the likelihood of reflux, says Loyola University Medical Center. The lower esophogeal sphincter is a muscle at the top of the stomach preventing acid from refluxing into the esophagus. People with LPR should avoid foods high in chocolate, including cake, cookies, candy, chocolate milk and hot chocolate.
Carbonated Beverages
Carbonated beverages also affect the lower esophogeal sphincter. Carbonated beverages to avoid include soft drinks, seltzer water and beer. In general, it is recommended that alcohol be avoided with LPR, according to Indiana University.
Acidic Foods
Acidic foods irritate the esophageal lining, reports Loyola University Medical Center. Acidic foods to avoid include oranges, grapefruit, pineapple, kiwi, tomatoes, lemons, lemon juice and vinegar.
Spicy Foods
Spicy foods can also irritate the lining of the esophagus and should be avoided by people with LPR. Spicy foods include spicy meats, Mexican food, hot mustard, curry and hot peppers.
Caffeine
Foods high in caffeine need to be avoided by people with LPR. Caffeine also affects the lower esophogeal sphincter. Food sources of caffeine include coffee, tea, soda and chocolate. The Loyola University Medical Center also recommends limiting decaffeinated coffee and tea.
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