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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Severe Cough. Using Ventolin, Steroid Spray, Getting Worse. Chest X-ray Normal. GERD Symptoms?

I had a really bed cough about 2 weeks ago that my doctor thought was a chest infection which he gave me antibiotics for. Didn t improve so went back and he checked my chest again and said it was clear. Gave me ventolin and a steroid spray to help clear it. Been using for about 5 days and after day 2 started getting a choking feeling in my throat. Woke up last two nights with a feeling my throat was completely closed and found it very hard to get a breath. Spoke to him over phone this evening and he thinks it sounds like acid reflux . Could the sprays be causing it because it is worse straight after using them and how long will the acid reflux take to ease as it is very bad this evening.
Sat, 8 Jun 2013
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General & Family Physician,  's  Response
Hello dear,

The symptoms as mentioned by you suggest that you might be having Gastro esophageal reflux disease, which is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus.

Management consists of:
1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised.
2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol.
3. Medical management- Proton pump inhibitors like Omeprazole, Pantoprazole,etc. (which prevent acid formation in stomach)
4. Surgical treatment- includes Fundoplication, done when medical measures fail.

If symptoms still persist, it will be better to consult a Gastroenterologist.
There is no need to worry...you will be fine.

Wish you a good health & speedy recovery.
Thanks & Take care.
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Severe Cough. Using Ventolin, Steroid Spray, Getting Worse. Chest X-ray Normal. GERD Symptoms?

Hello dear, The symptoms as mentioned by you suggest that you might be having Gastro esophageal reflux disease, which is caused by the reflux of acid from stomach to esophagus due to relaxation of the sphincter at the lower part of esophagus. Management consists of: 1. Lifestyle modification- like weight reduction, sleeping on the left side, or with upper body raised. 2. Dietary modification- avoid consuming irritating substances such as acidic & rich foods, caffeine, nicotine, and alcohol. 3. Medical management- Proton pump inhibitors like Omeprazole, Pantoprazole,etc. (which prevent acid formation in stomach) 4. Surgical treatment- includes Fundoplication, done when medical measures fail. If symptoms still persist, it will be better to consult a Gastroenterologist. There is no need to worry...you will be fine. Wish you a good health & speedy recovery. Thanks & Take care.