Chronic Cough as a Symptom of Laryngopharyngeal Reflux—Two Case Reports

Abstract

Laryngopharyngeal reflux (LPR ) is a complex of symptoms caused by the backflow of gastric contents into the larynx, pharynx, nasopharynx, sinuses and even to the middle ear space.The symptomatology of LPR includes: chronic cough, hoarseness, throat clearing, laryngitis, "globus pharyngeus", swallowing disturbances, postnasal drip, "fetor ex ore". In the article, the authors present two boys with chronic cough, in one of them the asthma was suspected and antiasthmatic treatment was administrated; in our patients according to the 24-hour pharyngeal pH-metry LPR was diagnosed. The aim of this study was to emphasise that pediatricians should be able to recognise symptoms of LPR. The appropriate diagnosis and treatment leads the symptoms to subside.

Medical and psychiatric differential diagnoses of pediatric globus sensation: A case study with review discussion

“…In the context of medical etiologies, one manuscript reported that laryngopharyngeal reflux tends to present in school-age children with globus sensation, in addition to chronic cough, dyspnea, halitosis, and sore throat (Venkatesan et al, 2013). One case report described a 16-year-old boy with a sensation of a lump in his throat who was diagnosed with laryngopharyngeal reflux (Kopka et al, 2016). Gastroesophageal reflux disease (GERD) has been associated with globus pharyngeus presentation in pediatric patients in addition to hoarseness, sinusitis, stridor, and otalgia (Gilger, 2003).…”

Correlation between cough and gastroesophageal reflux in children

“…Блуждающий нерв является общим источником иннервации пищевода и бронхиального дерева. Развитие бронхоспазма происходит опосредовано через блуждающий нерв вследствие раздражения СО пищевода кислым содержимым желудка [29].…”