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. 2023 Nov 23;10(1):e000883. doi: 10.1136/bmjgast-2022-000883

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© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

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Therapeutic strategies for irritable throat syndrome.* Respiratory allergy screening may invoice skin prick testing (with specific attention to aerosolised allergens) or radioallergosorbent test which identifies allergen-specific IgE in blood serum. ** A history of co-morbid psychiatric diagonoses should be taken. Screening tools which detect elevated levels of psychosomic ditress or identify elevated levels of anxiety or depressive symptoms may be useful adjuncts. *** 24-hour impedance pH manometry is the preferred assessment and aims to identify patients with high reflux burdens who may warrant consideration of ARS. ARS, anti-reflux surgery; GORD, gastro-oesophageal reflux disease; LPR, laryngopharyngeal reflux; CBT, cognitive behavioural therapy.