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Bad cough with mucus and phlegm, have acid reflux while laying down. Put on Medrol, gnawing sensation below sternum. Solution ?

I have had a bad cough I continued to smoking for a few months and I would cough up mucus and phlegm , I stated to get acid reflux while laying down at night a couple weeks ago, went to Dr last week on Tuesday and he put me on a Medrol pack and I just finished the last dose yesterday. I m still coughing up a lot if mucus and I still have a gnawing sensation right below my sternum and can feel anything I eat padding thru at that area as well. Could that area just be tender from all the mucus and the coughing?
Asked On : Sat, 9 Mar 2013
Answers:  2 Views:  46
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General Surgeon 's  Response

Thank you for the query.

As acid reflux disease very often is associated with asthma, most likely cough is not the reason of upper abdominal pain. You seem to suffer from acid reflux (can be due to Helicobacter Pylori infection) and asthma (which because of smoking has become COPD -Chronic obstructive pulmonary disease).
I suggest you to visit your doctor once again, have upper GI endoscopy with H.Pylori test and get proper treatment. Medrol pack is not a good idea, as oral steroid will aggravate acid reflux and can lead to peptic ulcers. It is also not the best one for asthma or COPD. You should rather visit pulmunologist, have blow test, chest X-ray. If asthma will be confirmed, inhaled steroids(not oral!) and beta-mimetics should be prescribed.

Hope this will help.
Answered: Mon, 25 Mar 2013
I find this answer helpful
  User's Response
You seems to have developed the Acid-Peptic Disease, which generally occurs due to use of excessive stimulants(tobacco, liquor etc), stress, etc. Your case also seems to be falling in both these categories. You can do the following:

1. A walk of 30-40 min in early morning and if possible in the evening. Do not have tea/cigarette before the walk and have a couple of glass full of water you can add a tea spoon of honey also in it.

2. Have tea only after your walk with a couple of multigrain biscuits.

3. Do not use mobile or any other gadget during walk and make it a brisk walk with full concentration on your rhythm and not on your thoughts.
4. Have lots of salads, add curd in your lunch and if possible some cold milk also.
5. Have some fruit or biscuit at interval of 3-4 hours, have little meal and at frequent intervals.
6.Try to identify your stress and try to get its solution, at times you find the solution just by sharing your problem with someone, so be it some of your relative/friend/doctor.
7. Reduce use of Liquor/tobacco/coffee/tea etc instead you shall include coconut water, carrot juice etc in your diet.

Wish you a speedy recovery to health

Dr.Rajinder Singh
Answered: Mon, 25 Mar 2013
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
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