Visit One of our Georgia Locations

Atlanta/Buckhead

2140 Peachtree Road, NW
Suite 360
Atlanta, Georgia 30309

Gainesville

1485 Jesse Jewel Parkway
Suite 220A
Gainesville, Georgia 30501

Dawsonville

81 Northside Dawson Dr.
Suite 203
Dawsonville, GA 30534

Cumming

1100 Northside Forsyth Drive
Suite 490
Cumming, GA 30041

Alpharetta

3330 Preston Ridge Road
Suite 240
Alpharetta, GA 30005

Alpharetta Surgery Center

2365 Old Milton Parkway
Suite 300
Alpharetta, GA 30009

Johns Creek/Suwanee

6916 McGinnis Ferry Road
Suite 100
Suwanee, GA 30024

East Cobb

1121 Johnson Ferry Road
Suite 420
Marietta, GA 30068

Smyrna

3969 South Cobb Drive
Suite 203
Smyrna, GA 30080

Newnan

710 Newnan Crossing Bypass
Suite E
Newnan, GA 30263

White Oak in Newnan

1595 East Highway 34
Newnan, GA 30265

Peachtree City

4000 Shakerag Hill
Suite 204
Peachtree City, GA 30269

Buford

3425 Buford Drive
Suite 350
Buford, GA 30519

Lawrenceville

1960 Riverside Parkway
Suite 101
Lawrenceville, GA 30043

Stockbridge

1050 Eagles Landing Parkway
Ste #202
Stockbridge, Ga 30281

Snellville

1700 Tree Lane
Ste #390
Snellville, GA 30078

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Contact

Contact us with any questions or comments using the form below.

What is LPR?

Laryngopharyngeal Reflux Disease (LPR), also known as "silent reflux," is a condition in which stomach acid backs up into the throat (pharynx), voice box (larynx) or into the back of the nasal airways. This result is the inflammation of these areas which are not protected against gastric acid exposure.

What are the symptoms of LPR?

Although LPR is similar to Gastroesophageal Reflux Disease (GERD), many LPR sufferers do not experience classic GERD symptoms such as heartburn, a bitter taste or a burning sensation in the back of the throat. LPR symptoms tend to be vague, causing many to confuse them with other conditions. These include: excessive throat clearing, trouble swallowing, and sore throat.

LPR, like GERD, may be caused by:

  • Overeating
  • Strenuous exercise
  • Heavy lifting
  • Obesity
  • Aging
  • Alcohol
  • Reflux

How do you know if you have LPR?

At The Ear, Nose & Throat Institute , a qualified physician will perform one of the following tests to determine how much acid is in your airways:

  • Transnasal esophagoscopy (TNE), or a through-the-nose examination of the esophagus. This is done by numbing one side of the nose and then sliding a small, soft, flexible tube through the nose, bypassing the throat area, and going straight into the opening of the esophagus behind the larynx (voice box).
  • Restech Test, which involves the insertion of a small probe through your nose and into the back of your throat. The probe will not interfere with your ability to speak or swallow. It simply collects information about pH levels throughout the testing period (Typically 24-48 hours).
  • Bravo Esophageal pH Test, which involves attaching a small capsule (about the size of a gel cap) to the wall of the esophagus during an upper endoscopy. The capsule measures pH levels in the esophagus and transmits readings by radio telecommunications to a receiver worn on your belt or waste band. (Typically 48 hours).

Your physician may also decide to perform an esophageal manometry, a test that gauges how well your esophagus works. An esophageal manometry measures the rhythmic muscle contractions (peristalsis) that occurs in your esophagus when you swallow. It also measures the coordination and force exerted by the muscles of your esophagus. This test involves the insertion of a thin, flexible tube (catheter) that contains sensors through your nose, down your esophagus, and into your stomach.

How do you treat LPR?

Lifestyle changes and/or medications to neutralize stomach acid are usually enough to allow patients to manage reflux disease. Your physician will discuss your options along with the results of your tests. In some patients, these changes are not enough. If this is the case for you, your physician may recommend other treatment options, including surgery.

If your symptoms point to LPR, please contact the Atlanta Laryngopharyngeal Reflux (LPR) & Silent Reflux Treatment Center at (770) 740-1860 to schedule an exam.

Learn More About Plastic Surgery

Testimonials: icon

"Dr. Joseph, thank you for being so attentive to our little girl. She told all her friends that a Princess took out her tonsils, (she says you look like Princess Jasmine). From day one- We felt safe with you as her surgeon. As a parent, it was such a relief to know she was being cared for and felt a sense of security in your care."

- Georgette, Newnan, GA

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  • ENT Institute
  • Atlanta/Buckhead
  • 2140 Peachtree Road, NW
  • Suite 360
  • Atlanta, Georgia 30309
  • P: (678) 206-2555
  • F: (678) 206-2556
  • ENT Institute
  • Cumming
  • 1100 Northside Forsyth Drive
  • Suite 490
  • Cumming, GA 30041
  • P: (678) 746-5920
  • F: (678) 746-5929
  • ENT Institute
  • East Cobb
  • 1121 Johnson Ferry Road
  • Suite 420
  • Marietta, GA 30068
  • P: (770) 321-4771
  • F: (770) 321-4772
  • ENT Institute
  • Alpharetta
  • 3330 Preston Ridge Road
  • Suite 240
  • Alpharetta, GA 30005
  • P: (770) 740-1860
  • F: (678) 347-2104
  • ENT Institute
  • Alpharetta Surgery Center
  • 2365 Old Milton Parkway
  • Suite 300
  • Alpharetta, GA 30009
  • P: (770) 740-1860
  • F: (678) 347-2104
  • ENT Institute
  • Johns Creek/Suwanee
  • 6916 McGinnis Ferry Road
  • Suite 100
  • Suwanee, GA 30024
  • P: (678) 347-2100
  • F: (678) 473-9752
  • ENT Institute
  • Buford
  • 3425 Buford Drive
  • Suite 350
  • Buford, GA 30519
  • P: (678) 708-4260
  • F: (678) 541-6876
  • ENT Institute
  • Gainesville
  • 1485 Jesse Jewell Parkway
  • Suite 220A
  • Gainesville, Georgia 30501
  • P: (678) 206-2700
  • F: (678) 696-2328
  • ENT Institute
  • Smyrna
  • 3969 South Cobb Drive
  • Suite 203
  • Smyrna, GA 30080
  • P: (770) 438-6318
  • F: (770) 438-2185
  • ENT Institute
  • Dawsonville
  • 91 Nordson Overlook Road
  • Suite 203
  • Dawsonville, GA 30534
  • P: (706) 265-6010
  • F: (706) 265-6009
  • ENT Institute
  • Peachtree City
  • 4000 Shakerag Hill
  • Suite 204
  • Peachtree City, GA 30269
  • P: (678) 578-7636
  • F: (678) 216-1885
  • ENT Institute
  • Newnan
  • 710 Newnan Crossing Bypass
  • Suite E
  • Newnan, GA 30263
  • P: (678) 708-4300
  • F: (678) 708-4301
  • ENT Institute
  • White Oak in Newnan
  • 1595 East Highway 34
  • Newnan, GA 30265
  • P: (678) 206-2202
  • F: (678) 673-5155
  • ENT Institute
  • Lawrenceville
  • 1960 Riverside Parkway
  • Suite 101
  • Lawrenceville, GA 30043
  • P: (678) 206-2662
  • F: (770) 995-0645
  • ENT Institute
  • Stockbridge
  • 1050 Eagles Landing Parkway
  • Ste #202
  • Stockbridge, Ga 30281
  • P: (678) 206-2424
  • F: (678) 783-1376
  • ENT Institute
  • Snellville
  • 1700 Tree Lane
  • Ste #390
  • Snellville, Ga 30078
  • P: (770) 972-7117
  • F: (770) 972-7133