While many people associate the symptoms of acid reflux as such things as indigestion, heart burn and belching, there are a host of other ENT related symptoms that can be caused by acid reflux. Such symptoms can include, throat pain or irritation, sensation of a lump in the throat, frequent throat clearing, voicing problems, swallowing difficulties. The physician will help determine if symptoms may be related to acid reflux. The evaluation will typically include a flexible telescope examination of the back of the throat and voice box. Sometimes other tests may be recommended such as a 24 hr pH probe or barium swallow study. Treatment may include various antacid medications and dietary and lifestyle modification. Certain foods can predispose to acid reflux including caffeine, alcohol, citrus, carbonated beverages, onions, tomatoes and other foods. In addition, eating within 2 hours of going to bed can further predispose to acid reflux and modification of these habits can be of significant assistance in the treatment plan.