The diagnosis of gastroesophageal reflux disease (GERD) challenges primary care practitioners if the symptoms are nonstandard, especially when they are isolated to the larynx and pharynx, particularly when dysphonia is the major complaint. Ruiz and colleagues distributed a 16-question web-based survey to which 314 academic primary care physicians responded. They found that a majority of respondents would treat rather than refer patients with chronic (>6 weeks) hoarseness, most often with reflux medication and less frequently antihistamines. Most respondents were comfortable prescribing reflux medication for chronic hoarseness without evidence of GERD.
Highlights. JAMA Otolaryngol Head Neck Surg. 2014;140(3):187. doi:10.1001/jamaoto.2013.4280