Treatment Options for Cough Caused by Reflux Esophagitis

When experiencing cough due to reflux esophagitis, it is recommended to take both anti-reflux medications and cough relievers simultaneously. Here are the commonly used treatment approaches:

Cough Medications
Commonly prescribed cough medications include Compound Methoxyphenamine, Noscapine (also known as Tussiplex), and Kekemin (an antitussive with sedative properties). These help manage the symptoms of persistent coughing.

Anti-Reflux Medications
Treatment typically involves three types of medication: those that reduce stomach acid production, protect the gastric mucosa, and enhance gastric motility. Proton pump inhibitors (PPIs) are highly effective in reducing acid secretion and promoting healing of the esophagus. Commonly used PPIs include Omeprazole, Rabeprazole, Pantoprazole, Lansoprazole, and Esomeprazole.

In addition, gastric mucosal protectants such as Hydrotalcite and Sucralfate are often prescribed to form a protective barrier over the irritated lining of the stomach and esophagus. To improve digestion and reduce reflux episodes, prokinetic agents like Domperidone and Mosapride are also recommended.

Lifestyle Modifications Are Crucial
Medication alone is not enough—making changes to your daily habits plays a vital role in managing reflux-induced cough. Avoid consuming high-fat foods, eat in moderation, and refrain from lying down immediately after meals. Elevating the head of your bed can significantly reduce nighttime acid reflux. Also, limiting or avoiding alcohol consumption is advised to prevent worsening of symptoms.

By combining proper medication with healthy lifestyle choices, patients can effectively manage cough caused by reflux esophagitis and improve their overall quality of life.