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Gastroesophageal reflux, often referred to as GERD, occurs when acid from the stomach backs up into the esophagus. When stomach acid touches the sensitive tissue lining the esophagus and throat, it causes a reaction similar to squirting lemon juice in your eye.
During gastroesophageal reflux, the acidic stomach contents may reflux all the way up the esophagus, beyond the upper esophageal sphincter (a ring of muscle at the top of the esophagus), and into the back of the throat and possibly the back of the nasal airway. In infants and children, LPR may cause breathing problems such as: cough, hoarseness, stridor (noisy breathing), croup, asthma, sleep disordered breathing, feeding difficulty (spitting up), turning blue (cyanosis), aspiration, pauses in breathing (apnea), apparent life threatening event (ALTE), and even a severe deficiency in growth. The symptoms of GERD may include persistent heartburn, acid regurgitation, nausea, hoarseness in the morning, or trouble swallowing. If you experience any symptoms on a regular basis (twice a week or more) then you may have GERD or LPR. Unfortunately, GERD and LPR are often overlooked in infants and children leading to repeated vomiting, coughing in GER and airway and respiratory problems in LPR such as sore throat and ear infections.
A gastroenterologist, a specialist in treating gastrointestinal orders, will often provide initial treatment for GERD.
Your primary care physician or pediatrician will often refer a case of LPR to an otolaryngologist—head and neck surgeon for evaluation, diagnosis, and treatment. In adults, GERD can be diagnosed or evaluated by a physical examination and the patient’s response to a trial of treatment with medication. Symptoms of GERD or LPR in children should be discussed with your pediatrician for a possible referral to a specialist. Most people with GERD respond favorably to a combination of lifestyle changes and medication.
Children and adults who fail medical treatment or have anatomical abnormalities may require surgical intervention. The first step is an evaluation by our physicians to determine the cause of your condition so that proper treatment options can be recommended.
The first step in diagnosing and treating hearing loss is to see an ENT specialist to rule out any medical conditions that may be responsible for your hearing loss such as ear wax build up, an ear infection, fluid in the middle ear or other conditions.
Contact OPL today to schedule a hearing evaluation by our ENT specialists and take the first step to treating your hearing loss. Are you suffering from ringing (or some other constant type of noise) in your ears commonly referred to as tinnitus?
Eustachian Tube disorder is often indicated by chronic middle ear infections (especially in children) or a feeling of fullness in the ear of adult patients. Cerumen or ear wax can be a major problem for some people, especially as they get older or if they wear hearing aids.
If you are experiencing any of these issues or have been referred to us by your family physician, the first step is to contact us to setup a consultation. We'll perform a complete examination, evaluate your symptoms and come up with a treatment plan specific for your needs.

The branch of medicine that deals with conditions affecting the ears, eyes, nose and throat is called otolaryngology.
Many of these conditions are self-limiting, but it can be difficult to know the difference between a simple viral infection and a more serious bacterial infection or other condition if you are not a physician. Any condition affecting the eye is potentially serious and should be evaluated immediately, particularly if you experience sudden changes in your vision or have sudden eye pain. Nose and throat problems are often caused by viral or bacterial infections, but may be caused by other conditions as well. When you come to see me in the clinic with symptoms related to your eyes, ears, nose or throat, I will examine you.
Do you have an ear ache, cold symptoms that just won’t go away or a sore throat that’s making you feel miserable? If your sinus toothache still cannot be controlled with any of the home remedies, then it is important that you visit your dentist. A sinus toothache may be due to an infection in the sinuses caused by pressure and pain on the teeth’s roots. Basically, I am sick and if I blow my nose and use my hands to block air coming out, the release of air through my ears, but sometimes I feel as if the drops in the nose is super stuck and now I blew so loud that my ears blown stack and now I can not hear through my left ear.
Almost all individuals have experienced reflux (GER), but the disease (GERD) occurs when reflux happens on a frequent basis often over a long period of time.
For proper diagnosis and treatment, you should be evaluated by your primary care doctor for GERD or an otolaryngologist—head and neck surgeon (ENT doctor). Most infants grow out of GERD or LPR by the end of their first year; however, the problems that resulted from the GERD or LPR may persist. But there are ear, nose, and throat problems that are either caused by or associated with GERD, such as hoarseness, laryngeal (singers) nodules, croup, airway stenosis (narrowing), swallowing difficulties, throat pain, and sinus infections. Other tests that may be needed include an endoscopic examination (a long tube with a camera inserted into the nose, throat, windpipe, or esophagus), biopsy, x-ray, examination of the throat and larynx, 24 hour pH probe, acid reflux testing, esophageal motility testing (manometry), emptying studies of the stomach, and esophageal acid perfusion (Bernstein test). Such treatment includes fundoplication, a procedure where a part of the stomach is wrapped around the lower esophagus to tighten the LES, and endoscopy, where hand stitches or a laser is used to make the LES tighter.
Our board certified ENT physicians and audiologists in Lancaster, PA work together to provide the most comprehensive, quality hearing care available.
Do you often ask people to repeat things or have difficulty following conversations in crowded rooms? When in doubt, it is best to make an appointment and come in to see me, especially considering that many of these conditions are contagious. We’ll discuss the likely cause of your symptoms, and then decide how best to treat you. Instead, they experience pain in the chest that can be severe enough to mimic the pain of a heart attack. Physical causes can include a malfunctioning or abnormal lower esophageal sphincter muscle (LES), hiatal hernia, abnormal esophageal contractions, and slow emptying of the stomach.

These problems require an otolaryngologist—head and neck surgeon, or a specialist who has extensive experience with the tools that diagnose GERD and LPR. Endoscopic examination, biopsy, and x-ray may be performed as an outpatient or in a hospital setting. Medications that could be prescribed include antacids, histamine antagonists, proton pump inhibitors, pro-motility drugs, and foam barrier medications.
We offer medical and surgical solutions to common ear conditions as well as a full line of hearing aids. If hearing aids are needed, our team in Lancaster, PA will find and fit the best device for you! Ear aches, eye infections, sore throats and sinus infections affect millions of people every year and can lead to complications when left treated.
You needn’t ever feel that you are wasting my time coming to see me for what maybe a simple infection because it’s better to be safe than sorry! If your condition is caused by a virus and can’t be helped by an antibiotic, we can discuss over the counter remedies that may help you to feel better until your symptoms have resolved. In those who have GERD, the LES does not close properly, allowing acid to move up the esophagus. Lifestyle factors include diet (chocolate, citrus, fatty foods, spices), destructive habits (overeating, alcohol and tobacco abuse) and even pregnancy. Endoscopic examinations can often be performed in your ENT’s office, or may require some form of sedation and occasionally anesthesia.
Some of these products are now available over-the-counter and do not require a prescription.
The OPL audiology staff will test your ability to hear sounds and words and to determine if there is fluid in the middle ear. It’s my job to offer advice regarding your condition and offer treatment, such as an antibiotic, if warranted.
I can also tell you whether your condition is likely contagious and how you can prevent the spread of infection. Some people with LPR may feel as if they have food stuck in their throat, a bitter taste in the mouth on waking, or difficulty breathing although uncommon.
Young children experience GERD and LPR due to the developmental immaturity of both the upper and lower esophageal sphincters. If your condition is one that should be evaluated by an EENT specialist, I won’t hesitate to refer you.

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