Abstract:Objectives: to determine the indexes of the symptoms among patients laryngopharyngeal reflux disease. Design: A descriptive study. Setting: Suez Canal University Hospital, Ismailia, Egypt. Patients: 178 patients with symptoms of LFRD such as:-heart burn , Hoarseness of voice , persistent cough, globus pharyngeus, throat clearing. Intervention: patients were evaluated by ambulatory 24 hours pH monitoring, symptom intensity evaluation using the visual analog scale (VAS) , symptoms Frequency evaluation and index calculated by multiplication of the intensity and frequency the each symptom. Results: Heartburn was the most intensive typical symptom in the LPRD patients as mean intensity was 7.31 ± 1.02 points, mean HBI was 8.34 ± 0.96 points followed by persistence cough mean intensity was 6.81± 1.75 points, mean PCI was 7.12 ±1.28 points. Conclusion: LPRD patients mean indexes of atypical symptoms much higher than expected with a characteristic laryngoscopic findings are found.