How Silent Reflux Damages the Vocal Cords Without Heartburn

Silent reflux, also called laryngopharyngeal reflux (LPR), damages vocal cords primarily through pepsin, a digestive enzyme that travels from the stomach into the larynx via aerosolized or gaseous reflux, often without causing any heartburn at all. Unlike the esophagus, which tolerates up to 50 acid episodes per day, the larynx can sustain tissue injury from […]