Uncertain Symptoms: Could It Be GERD? - Gastroenterology and Hepatology

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Uncertain if it is gastroesophageal reflux disease (GERD)?


Current symptoms: 1.
Hoarseness 2.
Slight shortness of breath or asthma-like sensation 3.
Bitter taste in the mouth upon waking 4.
Need to clear phlegm 5.
Itchy throat 6.
Mild cough.
The doctor said: Gastroesophageal reflux disease (GERD) and prescribed medication for it.
After taking the medication, there has been some improvement in the shortness of breath or asthma-like symptoms (the medications include: Esomeprazole chewable tablets, Mosapride, and Gaviscon).

Questions:
1.
Without an endoscopy, can GERD be confirmed?
2.
Is it okay to eat hot food with hoarseness?
3.
How long will hoarseness last?
4.
How long will the itchy throat and phlegm last?
5.
Is shortness of breath or asthma a symptom of GERD?
6.
How can shortness of breath or asthma be treated, and are there medications available? Thank you, doctor.

A-Jia, 40~49 year old female. Ask Date: 2020/04/17

Dr. Chen Shidian reply Gastroenterology and Hepatology


You can self-pay for a strong gastric medication for one to two weeks to see if symptoms improve, whether stopping the medication leads to a recurrence, or if reusing the medication results in further improvement.
Alternatively, you may opt for an endoscopy directly.
If there is no improvement, it is recommended to visit an otolaryngologist to check for other underlying conditions.

Reply Date: 2020/04/17

More Info


Your symptoms suggest that you may be experiencing gastroesophageal reflux disease (GERD), which can lead to a variety of complications, including throat irritation and respiratory symptoms. Let's break down your questions and concerns regarding your condition.

1. Can GERD be confirmed without an endoscopy?
While an endoscopy is a definitive way to diagnose GERD, it is not the only method. Your symptoms, such as hoarseness, throat irritation, and a bitter taste in your mouth upon waking, are consistent with GERD. Physicians often diagnose GERD based on clinical symptoms and response to treatment. If your symptoms improve with GERD medications, it further supports the diagnosis.

2. Can I eat hot foods with a hoarse throat?
Eating hot foods may irritate your throat further, especially if it is already inflamed. It is generally advisable to consume lukewarm or cool foods and beverages to minimize irritation. Soft foods that are easy to swallow can also be beneficial.

3. How long will my hoarseness last?
The duration of hoarseness can vary depending on the underlying cause and treatment. If your hoarseness is due to GERD, it may improve within a few days to weeks with appropriate treatment. However, if the irritation persists, it is essential to follow up with your healthcare provider for further evaluation.

4. How long will throat itchiness and phlegm last?
Similar to hoarseness, throat itchiness and phlegm can improve with treatment for GERD. If you are actively managing your GERD symptoms, you may notice improvement in a few days. However, if these symptoms persist beyond a couple of weeks, it may indicate a need for further investigation, such as allergies or other respiratory issues.

5. Is shortness of breath or asthma a symptom of GERD?
Yes, GERD can lead to respiratory symptoms, including wheezing or a sensation of shortness of breath. This occurs when stomach acid irritates the airways, leading to bronchospasm and asthma-like symptoms. If you experience significant respiratory distress, it is crucial to seek medical attention.

6. How can I treat shortness of breath or asthma symptoms?
If your shortness of breath is related to GERD, managing your reflux symptoms with medications like proton pump inhibitors (PPIs) can help alleviate respiratory symptoms. Additionally, bronchodilators or inhalers may be prescribed if you have a history of asthma or reactive airway disease. It is essential to discuss your symptoms with your healthcare provider to determine the best course of action.

In summary, while you may not have undergone an endoscopy, your symptoms align with GERD, and the medications you are taking seem to provide some relief. It is important to continue monitoring your symptoms and maintain communication with your healthcare provider. If your symptoms persist or worsen, further evaluation may be necessary to rule out other conditions. Lifestyle modifications, such as dietary changes, weight management, and avoiding triggers (like spicy or acidic foods), can also play a significant role in managing GERD effectively.

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