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Have gastro problems and cough. Diagnosed as reflux. Treatment?

I was diagnosed with gastro problems 6 years back and took medicine on and off. I am drinking alcohol regularly and eating spicy food. 4 years back I have developed a cronic caugh while eating or talking. Specially even if i get a strong smell of chili or spices. Doctors said it is reflux . But why do I caugh even if i smell spicy food. If i eat chili, I will caugh nonstop and if i continue eating, then the caugh will reduce. But no one can observe while i eat chili as it look like i am going to die. Can this be early stage of throught cancer? I do not want to stop alcohol. I smoke only one or two cigerats a day. I know I should take a decission soon to stop bad habits and take medicine for a long time. Should I consult an ENT specialist or Gastro doctor?
Asked On : Thu, 14 Mar 2013
Answers:  1 Views:  23
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General & Family Physician 's  Response
Gastroesophageal reflux disease (GERD). If left untreated can lead to severe conditions like erosion of esophagus, constriction or stricture of esophagus & esophageal cancer. Long standing cough is definetly an important symptom of GERD & is due to the regurgitation of acid/ food from stomach in to the esophagus. Other symptoms are heart burn, hoarseness of voice, repeated infection of ear & sinuses. You should immediately consult a Gastroenterologist & undergo endoscopic procedure to find out the extent of the condition. Also you should make a sincere effort & stop taking alcohol as it will worsen the condition. Smoking will aggravate the condition. Treatment modality includes life style modification, proper diet, antacids & ulcer healing drug like Lansoprazole (30mg two times a day). GERD requires long term treatment.
Answered: Sat, 16 Mar 2013
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