A 32-year-old male came for consult six months ago because of a 3 month history of chronic intermittent cough and hoarseness. He claimed that his voice fatigues near the end of the day. He is a call center agent. He really had no other complaints other than that; specifically, no heartburn, ear pain, difficulty of swallowing, or foreign body sensation. Chest xray was unremarkable. On laryngoscopy, he had normal vocal cord mobility and no suspicious mucosal lesions. There was however extensive erythema of the posterior glottis and inner arytenoid space. My impression then was Laryngopharyngeal reflux disease (LPRD) and I started him on omeprazole 20 mg 2x a day, advised him on dietary modification and reflux precautions. He responded very well to that and on follow up recently, after 3 months, he had complete resolution of symptoms. I maintained him on ranitidine 150 mg 2x a day and reiterated my previous advices. One of the more common cases I see in my practice is LPRD. Patien...