ACID REFLUX

Acid reflux can be a serious problem for singers and voice users. Minimally, it causes redness, swelling and erosion to the delicate tissues in the throat and larynx. At its worst, it can lead to esophageal cancer, so it is definitely something to be reckoned with. Typically, an Ear, Nose and Throat (ENT) physician will prescribe medications to minimize the acid being produced by the body. Additionally, behavioral lifestyle changes can be made that will help prevent acid reflux. For instance, going to bed with food in the stomach is a major contributor to reflux. It is best avoid eating 3-4 hours prior to lying down, so the food has time to digest. Gravity assists in keeping acid in the stomach when you are upright, so raising the head of your bed at night can be helpful. Maintaining an ideal weight is crucial to keeping acid under control, reducing pressure on the diaphragm. Eating regular meals, including a larger breakfast, medium-sized lunch and smaller dinner will help. Bland foods are better than spicy. Foods to avoid are alcohol, tobacco, coffee, carbonated beverages, caffeine, citrus juices, tomatoes, whole milk, nuts and fatty fried foods, such as burgers and fries. Caffeine, chocolate and mint relax the esophageal sphincters which allow the acid to flow upward into the larynx. This causes burning, mucous and swelling in the vocal folds which make your voice hoarse, weak and sore. You may not be aware that this is happening. It does not feel like gastroesophageal reflux disease (GERD), in which you have significant heartburn and sour stomach. Laryngopharyngeal reflux (LPR) is often called “silent reflux” because the only signs might be subtle hoarseness, excessive phlegm, and the presence of redness and swelling on the vocal folds. A drop of acid is to your larynx like a drop of Clorox is to your clothing.  Both can cause significant damage.