Even without heartburn you can suffer from swallowing, which is caused by stomach acid. Her neck nose ear doctor to help them. The reflux disease is now one of the most common diseases world. In the last 30 years, the number of patients increased almost tenfold. Between 18 and 40 percent of the population in Central and Northern Europe suffer from Refluxbeschwerden. Affected parties know the typical symptoms such as heartburn and vague pain behind the breastbone. The problems that can cause the reflux in the throat are far less well known. This disease is called among professionals of extraosophagealer reflux. Closely related is also a form of laryngitis: gastrica the laryngitis. Patients who suffer often report of unusual complaints: lump in the throat, swallowing, mucus in the throat area, hawking compulsion, recurrent sore throat and hoarseness. If you suffer from one or more symptoms, is going to the neck nose ear doctor strongly recommended. Go to Tom Florio for more information. For those affected is mostly complete understand that you don’t even need suffering from heartburn, to have an extraosophagealen reflux. The experienced ear nose and throat doctor detects the disease based on the medical history and the typical indications for endoscopic examination of the larynx. The ultimate proof of secure provides only so-called 24-hour pH Metry. In this case, a probe is inserted through the nose into the esophagus and measures the degree of acidity in the throat and the esophagus over 24 hours. This study but are well tolerated by the patient, is carried out only in a few centres in Germany. For more information see WHO Report. Outpatient this performance is so far not or hardly offered. In addition, it is an invasive procedure that should be carried out only in unclear cases. Here, only the high-dose diagnostic will help”therapy with an Saureblocker for 4 weeks. Have the symptoms improved after 4 weeks, it has proved the existence of an extraosophagealen reflux with certainly. Is the treatment of choice in the enlightenment of the patients and the administration of drugs which inhibit the production of stomach acid. It is important that the patient changes his way of life, eats better and more meaningful. Smoking and alcohol do not contribute to the recovery. In addition to the reflux, also many other diseases can lead to swallowing. Neck nose ear doctor in your area like helps them further. Conclusion for the patient: hawking compulsion, hoarseness, lump in the throat, hoarseness and mucus in the throat may be evidence for an extraosophagealen reflux. Heartburn must not be above. Also a less conspicuous finding in the Gastroscopy does not rule out this disease. Contact: Dr. med. Holger Dewes, Saarlouis,