Impact of laryngopharyngeal and gastroesophageal reflux on asthma control in children

Gastroesophageal Reflux

“…Overall, although there seems to be an association between GER and asthma, the causal role of GER has not been demonstrated. There is no association between asthma control status and laryngo-pharyngeal reflux and GER [68]. Current evidence does not support the routine use of anti-GERD medication in the treatment of poorly controlled asthma of childhood [69].…”

Laryngopharyngeal Reflux Disease in Children

“…Therefore, when evaluating asthmatics for LPRD with laryngoscopy, strict criteria should be used, such as limiting positive findings to vocal cord nodules and granulomas. 37 Among asthmatic adults and children, LPRD changes in the larynx have been identified on laryngoscopy in nearly 70% of cases. 37,38 Thus, any patient with suspected LPRD in addition to asthma and/or allergic rhinitis should undergo pH probe testing to confirm the diagnosis.…”

“…39 However, a recent study seems to prove that no such correlation exists. 37 Another belief was that uncontrolled asthma may worsen LPRD, but it seems that children with asthma, whether controlled or uncontrolled, have similar rates of LPRD. 16 From the literature to date, the main concept to note is that these 2 conditions, LPRD and asthma, are often present together, and they both require treatment.…”

Laryngopharyngeal Reflux and Asthma

“…In 2013, Kilic et al published their study on correlation of asthma and LPR [38]. 50 children (from 150 diagnosed with asthma) were randomly enrolled and divided in two groups according to the asthma control status-controlled and uncontrolled asthma.…”