<prompt> Reflux laryngitis produces -a Sub- glottic stenosis b Ca larynxc Cord fixationd Acute supra- glottitise Laryngitisabebcdcdeacd  <response>: There are lots of controversies regarding the reflux laryngitis secondary to reflux gastrointestinal disease. But now some studies document that there is a clear relation between the two.Reflux laryngitis may have the following sequlae: Bronchospasm Chemical pneumonitis Refractory subglottic stenosis Refractory contact ulcer Peptic laryngeal granuloma Acid laryngitis Heart burn, burning pharyngeal discomfort, nocturnal chocking due to interarytenoid pachydermia Laryngeal Carcinoma According to recent reports laryngeal reflux is the cause of laryngeal carcinoma in patients who are life time non-smokers.Laryngopharyngeal RefluxHere classical GERD symptoms are absent. Patients have more of daytimeupright reflux without the nocturnalsupine reflux of GERD. In laryngopharyngeal reflux esophageal motility and lower esophageal sphincter is normal, while upper esophageal sphincter is abnormal. The traditional diagnostic tests for GERD are not useful in LPR.Symptom Chronic or Intermittent dysphonia, vocal strain, foreign body sensation, excessive throat mucus, Postnasal discharge and cough. Laryngeal findings: Interarytenoid bunching, Posterior laryngitis and subglottic edema PseudosulcusSequelae of Laryngopharyngeal Reflux Subglottic stenosisCarcinoma larynxContact ulcergranulomaCricoarytenoid joint fixityVocal nodulepolypSudden infant deathsLaryngomalacia AssociationTreatment is in similar lines as GERD, but we need to give proton pump inhibitors at a higher dose and for a longer duration at least 68 months. 