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2140 Peachtree Road, NW
Suite 360
Atlanta, Georgia 30309


1485 Jesse Jewel Parkway
Suite 220A
Gainesville, Georgia 30501


81 Northside Dawson Dr.
Suite 203
Dawsonville, GA 30534


1100 Northside Forsyth Drive
Suite 490
Cumming, GA 30041


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

Windy Hill

1995 North Park Place
Suite 550
Atlanta, GA 30339


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


3425 Buford Drive
Suite 350
Buford, GA 30519


1960 Riverside Parkway
Suite 101
Lawrenceville, GA 30043


1050 Eagles Landing Parkway
Ste #202
Stockbridge, Ga 30281

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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.

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"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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