Post-Meal Cough: Is It Gastroesophageal Reflux? - Gastroenterology and Hepatology

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Cough and a sensation of something stuck in the throat?


Hello doctor, I previously had bronchitis, and my condition improved after medication.
Recently, I have been coughing a few times after meals, and my throat feels tight after eating.
Could this be gastroesophageal reflux?

Shui, 20~29 year old female. Ask Date: 2017/07/24

Dr. Chen Qifeng reply Gastroenterology and Hepatology


It may be atypical symptoms of gastroesophageal reflux disease (GERD); please consult a gastroenterologist.

Reply Date: 2017/07/24

More Info


Post-meal cough can indeed be a symptom of gastroesophageal reflux disease (GERD), especially if you have a history of bronchitis and are experiencing throat discomfort after eating. When food or stomach acid backs up into the esophagus, it can irritate the lining and lead to symptoms such as coughing, a sensation of something stuck in the throat, or even a sore throat. This is often referred to as "silent reflux," where the typical symptoms of heartburn may not be as pronounced, but other symptoms like cough and throat irritation are present.

In your case, the cough occurring after meals could be due to several factors related to GERD. When you eat, the stomach expands, and if the lower esophageal sphincter (LES) is weak or relaxed, it may allow stomach contents, including acid, to flow back into the esophagus. This can lead to irritation and inflammation, which may trigger a cough reflex. Additionally, if you have a history of bronchitis, your airways may be more sensitive, making you more prone to coughing when there is any irritation in the throat or esophagus.

It is also important to consider the types of food you are consuming. Certain foods, such as spicy dishes, fatty foods, chocolate, caffeine, and acidic foods (like tomatoes and citrus), can exacerbate reflux symptoms. Eating large meals or lying down shortly after eating can also contribute to reflux and subsequent coughing.
To manage your symptoms, consider the following strategies:
1. Dietary Modifications: Keep a food diary to identify any specific foods that may trigger your symptoms. Aim to eat smaller, more frequent meals rather than large meals, and avoid eating close to bedtime.

2. Posture: After eating, try to remain upright for at least two to three hours. This can help prevent the backflow of stomach contents into the esophagus.

3. Medications: Over-the-counter antacids or proton pump inhibitors (PPIs) may help reduce stomach acid and alleviate symptoms. However, it is essential to consult with your healthcare provider before starting any new medication, especially if you have a history of gastrointestinal issues.

4. Consultation with a Specialist: If your symptoms persist or worsen, it may be beneficial to consult a gastroenterologist. They may recommend further evaluation, such as an upper endoscopy or pH monitoring, to assess the severity of your reflux and determine the best course of treatment.

5. Lifestyle Changes: Maintaining a healthy weight, avoiding smoking, and reducing alcohol consumption can also help manage GERD symptoms.

In summary, your post-meal cough could very well be related to gastroesophageal reflux. By making some lifestyle and dietary adjustments and consulting with a healthcare professional, you can work towards alleviating your symptoms and improving your overall quality of life. If the cough persists or is accompanied by other concerning symptoms, such as difficulty swallowing, weight loss, or persistent throat pain, it is crucial to seek medical attention promptly.

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