You are taking medications known to increase acid reflux, such as calcium channel blockers (e.g. nifedipine for hypertension), prescription pain medications (e.g. Lortab), or osteoporosis treatments (e.g. Fosamax). Your asthma symptoms continue to occur despite taking your asthma medication appropriately, or you have had a poor response to your treatments. If your asthma is poorly controlled and you are experiencing any of the following symptoms of both reflux and asthma, you may want to consider talking with your doctor.
Sometimes, medical therapy is not adequate and GERD will require a surgical repair. Further evaluation should be done under the supervision of a qualified physician. Learn about the triggers and treatment for allergic asthma and how an allergist can help you manage allergy and asthma symptoms. Your physician may also recommend medications to treat reflux or relieve symptoms. Over-the-counter antacids and H2 blockers may help decrease the effects of stomach acid.
However, a 2009 study published in the New England Journal of Medicine questioned the drugs’ effectiveness in treating severe asthma attacks. During the nearly six-month-long study, there was no difference in the rate of severe attacks between people taking medication and those taking a placebo. People with asthma are twice as likely as those without asthma to develop the chronic form of acid reflux known as gastroesophageal reflux disease (GERD) at one time or another. In fact, research has shown that more than 75 percent of adults with asthma also have GERD. The exact connection between GERD and asthma isnâ€™t entirely clear.
HP is differentiated from acute asthma by the lack of wheezing, the presence of a fever, and the pattern of pneumonia on the chest X-ray. HP is treated by avoiding the allergens and administering corticosteroids. Localized bronchial obstruction.
Symptoms & Diagnosis
Mechanical filters force air through a mesh trapping particles. HEPA (high efficiency particulate air) are mechanical filters that capture at least 99.97% of all particles 0.3 microns or larger. Electronic filters use electrical charges to attract and deposit allergens and irritants on collecting plates. There are also hybrid systems that contain both mechanical and electronic filters.
A sore throat that doesnâ€™t go away and isnâ€™t accompanied by typical cold symptoms (like a runny nose) may in fact be a symptom of acid reflux. â€œYour throat feels sore because a little bit of acid is coming up from the esophagus and irritating the throat,â€ says Gina Sam, MD, MPH, a gastroenterologist and the director of the Mount Sinai Gastrointestinal Motility Center in New York, NY. Unexplained hoarseness may be caused by stomach acid moving up to your larynx, or voice box, and tends to be more noticeable in the mornings when itâ€™s had all night to travel while you were lying down.
Proton pump inhibitors block acid production and also may be effective. If you have both GERD and asthma, managing your GERD will help control your asthma symptoms. Eating habits.
Prednisone and albuterol may affect the muscles that control the opening between your esophagus and your stomach. This may allow acid to leak into your esophagus. Your esophagus doesn’t have the same protective lining as your stomach, so the acid irritates it and often causes an uncomfortable burning feeling in your chest.
The presence of persistent unilateral wheezing should always prompt the investigation of focal airway obstruction. Stridor is a sign of severe laryngeal or tracheal obstruction. Patients may also present with other nonspecific symptoms such as exertional dyspnea and positional wheezing. With an anatomically fixed obstruction, shortness of breath and wheezing are typically unresponsive to bronchodilators; failure of a patient to improve with these measures should prompt the physician to consider the presence of CAO . The evaluation of these subjects should always begin with spirometry, and it is particularly important to evaluate the shape of the flow-volume loop, in addition to the FEV1, FVC, and FEV1/FVC ratio, lung volumes and diffusion capacity.