What is the symptom of gastric reflux cough?
summary
Gastroesophageal reflux cough (gerc) is a special type of gastroesophageal reflux disease. Gerc is a common cause of chronic cough. What is the symptom of gastric reflux cough? Let's talk about it.
What is the symptom of gastric reflux cough?
It involves micro aspiration, esophageal bronchial reflex, esophageal motor dysfunction, autonomic nerve dysfunction and airway neurogenic inflammation. At present, it is believed that airway neurogenic inflammation caused by esophageal bronchial reflex plays a major role. In addition to gastric acid, a few patients are also related to bile reflux.
The typical symptoms of reflux were burning sensation behind sternum, acid regurgitation, belching, chest tightness, etc. Clinically, many gerc patients do not have typical reflux symptoms, cough is the only clinical manifestation. Cough mostly occurs in daytime and upright position, dry cough or cough a small amount of white mucus.
Patients have obvious eating related cough, such as postprandial cough, eating cough, etc. The patient had ger symptoms, such as acid regurgitation, belching, burning sensation behind sternum, etc. CVA, EB, allergic rhinitis / sinusitis and other diseases were excluded, or the treatment effect of these diseases was poor. After antireflux treatment, cough disappeared or relieved significantly, which can be used for clinical diagnosis of gerc. Gerc diagnostic treatment: take standard dose of proton pump inhibitors (such as omeprazole 20mg, twice a day) for no less than 8 weeks. After antireflux treatment, cough disappeared or relieved significantly, which can be used for clinical diagnosis of gerc.
matters needing attention
(1) Adjust your lifestyle（ 2) Antacids: proton pump inhibitors or H2 receptor antagonists are often used, and the effect of proton pump inhibitors is the best（ 3) Gastric motility drugs: such as domperidone（ 4) The time of medical treatment should be more than 3 months, generally 2-4 weeks. A small number of patients with severe reflux who failed in medical treatment should be treated with anti reflux surgery.
