How To Treat Cough Caused By Reflux Esophagitis

Reflux esophagitis can sometimes lead to chronic coughing, primarily due to the backflow of stomach or duodenal contents that irritate the esophagus and airways. In such cases, using cough suppressants alone often yields limited results. Therefore, effectively managing gastroesophageal reflux disease (GERD) is key to resolving the associated cough. Here are the recommended approaches:

1. Lifestyle Modifications Are Fundamental

Making specific lifestyle changes is crucial in managing reflux-related cough. Avoiding tobacco and alcohol, as well as limiting intake of high-fat foods, coffee, chocolate, spicy meals, and greasy dishes, can significantly reduce symptoms. Additionally, it's advised not to eat at least three hours before bedtime and to elevate the head of the bed by 15–20 cm while sleeping. Remaining upright after meals and avoiding immediate reclining also helps prevent acid reflux. For individuals who are overweight or obese, losing weight and maintaining a healthy body mass index (BMI) can further alleviate symptoms.

2. Medical Treatment Options

Medications play an essential role in treating GERD-induced cough. Commonly prescribed drugs include proton pump inhibitors (PPIs) and H2 receptor antagonists, which reduce stomach acid production. Prokinetic agents like mosapride may also be used to improve gastrointestinal motility and reduce reflux episodes. Gastric mucosal protectants can offer additional relief by forming a protective barrier in the stomach lining.

3. Advanced Interventions When Necessary

If conventional treatments fail to provide adequate relief, endoscopic procedures may be considered. These minimally invasive techniques aim to strengthen the lower esophageal sphincter or correct anatomical issues contributing to chronic reflux, offering long-term symptom control for patients with persistent cough related to GERD.