The reason for this is that the refluxate spends very little time in the esophagus and does most of its damage in the larynx. Although some persons with LPR do suffer from heartburn or esophagitis (12%), most persons with LPR do not. They typically suffer from heartburn and many pertsons with GERD have esophagitis. Patients with GERD are usually seen by a gastroenterologist. LPR is different than gastroesophageal reflux disease (GERD). Specific findings include laryngeal hyperemia, posterior commissure hypertrophy, pseudosulcus vocalis, and thick endolaryngeal mucus. The above picture displays a diffusely inflammed larynx secondary to LPR. The damage caused by these materials can be extensive. The injurious agents in the refluxed stomach contents (refluxate) are primarily acid and activated pepsin, a proteolytic enzyme needed to digest food in the stomach. The word reflux literally means “backflow.” Laryngopharyngeal reflux, or LPR, is the backflow of stomach contents up the esophagus and into the throat.
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Each character in the Puranas is a facet of our Vijnanamaya Kosha, spiritual network. The Puranas are spiritual sciences composed in the form of stories and narratives. There are 18 MahaPuranas and several UpaPuranas that form the body of knowledge called “Puranas”. Skanda Purana is the largest of all Puranas with a total of around 81000 verses. The Skanda Purana details the events leading to the birth of Lord Skanda and His journey thereafter. The Garbha Gita is a conversation between Devi Parvathi and Her son Lord Skanda. Track your scores with local leaderboards against friends and family.
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