Managing Cough Caused by Reflux Esophagitis

Coughing is a common symptom experienced by some individuals suffering from reflux esophagitis. This occurs when stomach or duodenal contents flow back into the esophagus, irritating both the esophageal and respiratory tracts. In such cases, using cough suppressants alone often provides limited relief. Therefore, to effectively treat reflux-induced cough, it's essential to address the underlying gastroesophageal reflux disease (GERD). Here are key strategies:

Lifestyle Modifications

Making changes to daily habits is the foundation of any treatment plan. It is strongly recommended to quit smoking and avoid alcohol consumption. Additionally, steer clear of high-fat foods, coffee, chocolate, spicy dishes, and oily meals. Avoid eating at least three hours before bedtime and elevate the head of your bed by 15–20 cm. Remaining upright for a while after eating can also help. For those who are overweight or obese, maintaining a healthy weight is crucial in reducing symptoms.

Medication Options

Pharmacological treatments play a significant role in managing reflux esophagitis. Commonly prescribed medications include acid suppressants, prokinetic agents, and mucosal protectants. Acid suppressants such as proton pump inhibitors (PPIs) and H2 receptor antagonists help reduce stomach acid production. Prokinetic drugs like mosapride can improve gastrointestinal motility, helping to prevent reflux episodes.

Advanced Treatment Approaches

If standard medication does not provide sufficient relief, further interventions may be necessary. In such cases, endoscopic treatments could be considered to strengthen the lower esophageal sphincter or repair structural issues contributing to reflux. Always consult with a specialist to determine the most appropriate course of action based on individual health needs.