How To Treat Cough Caused By Reflux Esophagitis

Reflux esophagitis can cause chronic cough in some individuals. This typically occurs when stomach or duodenal contents flow back into the esophagus, irritating both the throat and airways. As a result, using cough suppressants alone often provides limited relief. To effectively manage reflux-induced cough, it's essential to address the underlying gastrointestinal condition. Here are key strategies for treatment:

Lifestyle Modifications Are Crucial
Making changes to daily habits is the foundation of managing reflux-related cough. Avoid smoking and alcohol consumption, as they can weaken the lower esophageal sphincter. It's also important to steer clear of high-fat foods, coffee, chocolate, spicy dishes, and oily meals. Eating at least three hours before bedtime and elevating the head of your bed by 15–20 cm can help prevent nighttime reflux. Additionally, remaining upright for a few hours after eating can reduce symptoms. For those who are overweight or obese, losing weight and maintaining a healthy body mass can significantly improve outcomes.

Medications Can Provide Symptom Relief
Pharmacological therapy plays a major role in treating reflux esophagitis. Commonly prescribed medications include acid-suppressing drugs such as proton pump inhibitors (PPIs) and H2 receptor antagonists. These help reduce gastric acidity and minimize irritation to the esophagus. Prokinetic agents like mosapride may also be used to enhance gastrointestinal motility and prevent reflux episodes. In addition, mucosal protectants can help soothe and heal the damaged esophageal lining.

Advanced Treatment Options Exist If Needed
If lifestyle adjustments and medications fail to provide adequate relief, further intervention may be necessary. In such cases, endoscopic treatments or surgical procedures could be considered to strengthen the barrier between the stomach and esophagus, offering long-term symptom control. Consulting with a gastroenterologist is recommended to determine the most appropriate course of action tailored to individual needs.