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GERD, heartburn, breathing issues, suffocation, mucus in saliva. Did MHC. Further?

Hello Sir, Mom (55 years )had the GERD problem ( heartburn ) at the start of last year(Jan),after the advice of general physician she took Mucaine Gel and Cyra D tablets for couple of months,no spicy foods..She was then fine till July/August.Then suddenly she started with dry cough,which she gets atleast once in two days,mostly in the early morning,sometimes late evening.We took the same course of medicine again,but cough didn t stop.sometimes breathing problem, suffocation when she inhales dust,perfume smell.She feels something very sticky in her throat which doesn t come out.If she tries to spit out some white mucus like things come out but very little.Doc diagnosed she has sinus (with X ray confirmation) too,Even after medication for this,still her problem continues.Did a MHC,everything is fine.She still takes Mucaine gel.No spicy foods,No coffee/tea,only milk/horlicks,takes dinner couple of hours before going to bed,no curd (becuase of sinus). But cough still exist,because of cough her heartburn/chest pain goes worse. Any suggestion?Is endoscopy required.Please advise me.
Asked On : Thu, 14 Mar 2013
Answers:  1 Views:  99
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General & Family Physician 's  Response
Hi and thanks for the query,
GERD has some typical abnormal or rare presentations that must always be considered in the evaluation of at risk patients. Asthma like symptoms including cough are one of the most frequent. An optimal GERD management usually leads to the amelioration and depletion most of the time of these symptoms. Complicating or aggravating conditions like peptic ulcer disease or acute gastritis must also be well managed. Doing endoscopic examinations with the gastroenterologist to visualize the structure of the throat, diagnose complications earlier, do some biopsies if necessary of gastric tissue and test for helicobacter pylori are key indicators for endoscopic examination.
I suggest you meet a gastroenterologist for a complete work up and management. While waiting, taking your drugs regular, raising the head part of the bed by about 5cm with respect to the lower, avoiding gas fluids and spicy foods and avoiding late night meals are important temporary measures.
Thanks and hope this helps,
Luchuo, MD.
Answered: Thu, 14 Mar 2013
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