Frequently encountered in medical practice, the gastroesophageal reflux (GER) is a chronic condition characterized by the passage of gastric acid or gastric contents into the esophagus. In otorhinolaryngology, the diagnosis of pharyngo-laryngeal or rhinosinusal inflammatory conditions secondary to GER is one of exclusion and it is based on a detailed anamnesis in which we are interested in symptoms, behavioural and medical risk factors, on the ENT clinical examination, the laryngo-fibroscopical assessment, the phoniatric examination, the barite pharyngo-esogastric exam, the upper gastrointestinal endoscopy and the esophageal manometry.
The authors are making a systematization of the contribution of the gastroesophageal reflux has in the ENT pathology, emphasising the sympytoms and the most frequent associated pathological entities.
Anna Gałązka-Franta, Edyta Jura-Szołtys, Wojciech Smółka and Radosław Gawlik
., 2010 ). Exercise-induced symptoms include watery nasal discharge, post-nasaldrip, sneezing, swelling of nasal mucosa, eye and nose itching as well as lacrimation. The pathomechanism of exercise-induced rhinitis is not known. Possible factors include increased tension in cholinergic fibres, NANC and increased secretion of inflammatory mediators of histamine, bradykinin, prostaglandin D2 and TAME ( Silvers and Poole, 2006 ; Togias et al., 1985 ). According to Silvers and Poole (2006) , these symptoms most frequently occur during the winter season ( a skier’s nose