Almost 40% of the adult Greek population has gastrointestinal reflux symptoms, but only 10% are aware of it. Many patients with laryngopharyngeal reflux may miss the classic “digestive symptoms” of gastro-oesophageal reflux, such as burning of the chest and acidic gastric reflux. Common signs and symptoms include: hoarse voice dysphonia, dysphagia, chronic cough, foreign body sensation in the throat (knot in the throat), bad breath, postnasal secretions. Diagnosis A complete physical examination and history of your signs and symptoms will be recorded, in order to diagnose acidic reflux. This will be followed by a complete otolaryngologic examination in conjunction with indirect laryngoscopy and laryngeal endoscopy where lesions such as the presence of posterior laryngitis with inflammation and edema of the posterior larynx will be revealed.