Food reflux - a condition in which the stomach contents leak backwards from the stomach into the esophagus.
Most laryngectomees are prone or develop gastroesophageal reflux illness, or GERD.
A ring of muscle fibers in the lower esophagus prevents swallowed food from returning up. There are two muscular bands or sphincters in the esophagus that avoid reflux.
One lies where the esophagus goes into the stomach and the other is
behind the larynx at the start of the esophagus in the neck.
When the lower esophageal sphincter (LES) does not close all the way, stomach contents can leak back into the esophagus. This is called reflux or gastroesophageal reflux.
Severe stomach acids can likewise damage the lining of the esophagus.
When there is a hiatus hernia, the lower esophageal sphincter often ends up being jeopardized which happens to more than three quarters individuals over seventy.
During a laryngectomy the sphincter in the upper esophageal sphincter (the cricopharyngeus which usually prevents food from returning to the mouth) is removed.
This leaves the upper part of the esophagus always open and flaccid which may lead to the reflux of stomach contents up into the throat and mouth.
Therefore, regurgitation of stomach acid and food, specifically in the first hour approximately after consuming, can take place when bending forward or lying down. This can also happen after strong exhalation of air when those who use a TEP attempt to speak.
Taking medications that decrease stomach level of acidity such as antacids and proton pump inhibitors (PPI), can reduce a few of the side effects of reflux, such as throat inflammation, damage to the gums and bad taste.
Not lying down after eating or consuming likewise helps avoid reflux.
Eating small amounts of food several times causes less food reflux than consuming large meals.