Suggest treatment for mild GERD and high cholesterol
Bronchospasm: You need terbutabline and salbutamol medication.
1. These are the classic features of bronchospasm. Meaning the sudden contraction of the main airways of the lungs. This is caused to due heavy exertion, anxiety among other organic factors such as asthmatic illnesses (in other persons) and more specifically allergic reactions.
2. I suggest that you take medication either in syrup or in tablet form containing Salbutamol or Terbutaline (They come in combination as well). These are bronchodialators.
3. There is no need of nebulizer treatment at this time, though you might want to see a doctor for pulmonary function tests and a chest examination.
4. This isn't a heart issue. However, an ECG exam, that is quick, cheap and easy; would reveal and rule out cardiac involvement, due to your feelings about being on statin therapy for cholesterol.
Dr. Neel Kudchadkar
Why have I not received reply to follow up questions
Sorry for the delay
Sorry for the delay, I was busy due to a hectic schedule. Hiccuping sometimes after a meal is normal. Broncospasm is not related to GERD.. It can be due to any chronic use of drugs, asthma or in your case most probably any obstructive lung disorder. You need to visit a pulmonolgist. Complications can include apnea and even cessation of breathing. Thus, you need to start on medications at the earliest. Thank you.
By the way- I do not have any coughing! My doctor says thst bronchispasm would have coughing involved!
get a PFT and x-ray chest
Thanks for follow up.
It looks like you are having typical GERD. If you are really concerned, you can get a pulmonary function test and an X-ray chest which will give you clear idea.
Avoid Tea, coffee, spicy food,juices with citrus content, alcohol, smoking. Drink plenty of water. Regular Physical activity is mandatory.
Kindly get back to me if any query
follow below instructions
Thanks for follow up query
Treatment for people who have symptoms of GERD begins with making lifestyle modifications.
1 Sleeping with an elevated head in patients with documented nighttime reflux
episodes, smoking cessation, weight reduction and low-fat diet (< 45g/d) have
all been found to be useful measures.
2 Avoidance of food and beverages with a pH of < 5 and/or capability of relaxing
the lower esophageal sphincter — such as alcohol, chocolate, mint, onions, tea,
cola, citrus fruits — is also highly recommended; and patients should avoid food
and beverages 2 to 3 hours before going to the bed.
3. Medications for GERD include proton pump inhibitors (PPIs) and H2 blockers. 4 4. you may require different medications or combinations of medications
before finding the one that best relieves their symptoms.
5. Long-term medication therapy is usually necessary to treat severe, persistent
symptoms or complications of GERD. If GERD symptoms are present, begin a 3-
month empiric twice-daily trial of PPI, while monitoring baseline respiratory
symptoms, pulmonary symptoms and peak expiratory flow rate.
5. If at the end of empiric trial, pulmonary symptoms do not improve, then 24-
hour esophageal pH–testing should be performed while the patient is on GERD
regimen, to see if acid is adequately suppressed.
6. If the patient's respiratory symptoms are found to improve after a 3-month
empiric trial, then maintenance GERD therapy is required.
7. Do not stress yourself, it increases your problems
Kindly get back to me if any query
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