Persistent Cough Symptoms: Is It Acid Reflux? - Gastroenterology and Hepatology

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Regarding my mother's issue that has lasted for three years?


Hello, I would like to ask about my mother, who has been experiencing a persistent cough that sounds like clearing her throat for the past three years.
This year, it seems to have worsened.
Could this be related to gastroesophageal reflux disease (GERD)? She enjoys drinking coffee and often buys various over-the-counter medications like cold syrups and other remedies.
Could these be affecting her symptoms? Or is this something that requires a specialist's evaluation? Thank you.

Lan, 10~19 year old female. Ask Date: 2011/08/17

Dr. Chen Qifeng reply Gastroenterology and Hepatology


Hello: Based on the symptoms, there is a possibility of gastroesophageal reflux disease (GERD), and the possibility of an ear, nose, and throat (ENT) issue cannot be ruled out.
Both can be treated in outpatient clinics.
Best wishes, Dr.
Chi-Feng Chen, Taoyuan Hospital, Department of Health.

Reply Date: 2011/08/17

More Info


Persistent cough can be a frustrating and concerning symptom, especially when it lasts for an extended period, such as three years in your mother's case. Given the details you've provided, it is indeed possible that her symptoms could be related to gastroesophageal reflux disease (GERD), commonly known as acid reflux. This condition occurs when stomach acid flows back into the esophagus, which can lead to irritation and a chronic cough.

The cough associated with acid reflux is often described as a "dry cough" or a cough that feels like it is triggered by the sensation of something stuck in the throat. This can happen when acid irritates the lining of the esophagus or when it reaches the throat, leading to a reflexive cough. Other symptoms of GERD may include heartburn, regurgitation, and a sour taste in the mouth. If your mother is experiencing these symptoms alongside her cough, it would be prudent to consider GERD as a potential cause.

In addition to GERD, other factors could contribute to her persistent cough. For instance, chronic bronchitis, asthma, allergies, or even post-nasal drip can cause similar symptoms. Given that she enjoys coffee, it's worth noting that caffeine can sometimes exacerbate acid reflux symptoms in some individuals. Additionally, over-the-counter medications like cold syrups may contain ingredients that can irritate the throat or lead to increased mucus production, potentially worsening her cough.

It’s essential for your mother to consult with a healthcare professional who can conduct a thorough evaluation. This may include a physical examination, a review of her medical history, and possibly diagnostic tests such as an endoscopy or pH monitoring to assess for acid reflux. A healthcare provider may also recommend lifestyle modifications, such as dietary changes, weight management, and avoiding triggers like caffeine and certain medications that could worsen her symptoms.

In terms of management, if GERD is confirmed, treatment options may include lifestyle changes, dietary adjustments, and medications such as proton pump inhibitors (PPIs) or H2 blockers to reduce stomach acid production. These treatments can significantly alleviate symptoms and improve quality of life.

In summary, your mother's persistent cough could indeed be related to acid reflux, especially given her symptoms and habits. It is crucial for her to seek medical advice to determine the underlying cause and receive appropriate treatment. Encouraging her to avoid known triggers, such as coffee and certain medications, while seeking professional guidance, can help manage her symptoms effectively.

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