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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can A Sinus Cough Or GERD Cough React To Asthma Mediciness?

Hi Dr,My question is the following... I ve had a chronic cough and suffer from an almost constant runny nose, and sometimes feeling that my nose is clogged. Last year the cough symptoms started to worsen and they were daily, often several times a day. The doctor put me on Seretide (salmeterol) for a couple of months this year and the cough absolutely disappeared. Since the first dosis and throughout the months that I took it, I didn t have a single cough attack. My question is: a cough that reacts to asthma meds, is necessarily asthma?? or can a sinus cough or GERD cough react to asthma meds??Thanks a lot!
Mon, 4 Aug 2014
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Allergist and Immunologist,  's  Response
Hello.

Thank you for asking at HCM.

I went through your history.

I would like to answer your queries as follows:

1. Sinusitis, GERD and asthma are all internally linked. Both sinusitis and GERD can aggravate asthma symptoms. If one can control sinusitis and GERD, one's asthma control very much improved.

2. So if you have sinus, and your cough has responded to Seretide (Salmeterol), I would suggest you to treat sinusitis well.

Were I treating you, I would prescribe you montelukast and levocetirizine/cetirizine for at least 4 weeks. I would also suggest you daily steam inhalation and nasal irrigation with nasal saline spray.

3. GERD cough may not improve with Seretide (Salmeterol) type of asthma medications alone. But if you have GERD, 6-8 weeks of antacids will treat GERD as well as GERD related asthma symptoms.

4. In addition, I would suggest you avoidance of exposure to dusts, smokes and air pollution as much as possible. Please do not smoke if you smoke.

5. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will help you additionally.

Hope above suggestions will be helpful to you and solves your queries.

Should you have any further query, please feel free to ask at HCM.

Wish you the best of the health.

Thank you & Regards.
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Can A Sinus Cough Or GERD Cough React To Asthma Mediciness?

Hello. Thank you for asking at HCM. I went through your history. I would like to answer your queries as follows: 1. Sinusitis, GERD and asthma are all internally linked. Both sinusitis and GERD can aggravate asthma symptoms. If one can control sinusitis and GERD, one s asthma control very much improved. 2. So if you have sinus, and your cough has responded to Seretide (Salmeterol), I would suggest you to treat sinusitis well. Were I treating you, I would prescribe you montelukast and levocetirizine/cetirizine for at least 4 weeks. I would also suggest you daily steam inhalation and nasal irrigation with nasal saline spray. 3. GERD cough may not improve with Seretide (Salmeterol) type of asthma medications alone. But if you have GERD, 6-8 weeks of antacids will treat GERD as well as GERD related asthma symptoms. 4. In addition, I would suggest you avoidance of exposure to dusts, smokes and air pollution as much as possible. Please do not smoke if you smoke. 5. Regular breathing exercises and a healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will help you additionally. Hope above suggestions will be helpful to you and solves your queries. Should you have any further query, please feel free to ask at HCM. Wish you the best of the health. Thank you & Regards.