Currently, performance of a therapeutic test is recommended when the physician has clinical suspicion that a patient has LPR and when there is a positive finding for LPR from laryngoscopy 46. Therapeutic tests are not recommended for patients with gastrointestinal bleeding, anemia, abdominal pain and weight loss whose causes have not been completely studied since it is possible such patients have complex pathologies such as neoplasias 37.
Las recomendaciones actuales indican realizar una prueba terapéutica en pacientes con sospecha clínica de RLF y hallazgos positivos en la laringoscopia 46, excepto en los pacientes con sangrado gastrointestinal, anemia, dolor abdominal y pérdida de peso cuyas causas no hayan sido completamente estudiadas dado que se puede estar frente a un paciente con patologías complejas como neoplasias 37.