Chronic cough is a common issue that many people experience, but often, its cause is overlooked or misdiagnosed. For some individuals, a persistent cough may be a symptom of gastroesophageal reflux disease (GERD). GERD, a condition where stomach acid frequently flows back into the esophagus, can cause various symptoms, including heartburn and difficulty swallowing. However, many people are surprised to learn that chronic cough is also closely linked to GERD. In this blog, we will explore the connection between GERD and chronic cough, what you can do to manage the symptoms, and why seeking professional help is crucial for effective treatment.

What is GERD and How Does It Affect the Body?

GERD is a digestive disorder in which stomach acid or bile irritates the lining of the esophagus. The condition occurs when the lower esophageal sphincter (LES), the valve that normally prevents stomach contents from flowing backward, becomes weak or relaxes inappropriately. This allows acid to rise up into the esophagus, causing discomfort, inflammation, and a variety of symptoms.

While heartburn is the most common symptom of GERD, the condition can also lead to other, less obvious signs, such as a chronic cough. This is because the acid reflux can irritate the airways and throat, leading to inflammation and triggering a cough reflex.

How Can GERD Cause a Chronic Cough?

Chronic cough associated with GERD typically occurs when stomach acid irritates the respiratory system. This happens through two main mechanisms:

1. Aspiration: When acid from the stomach flows into the esophagus and reaches the back of the throat, it can be inhaled into the airways, leading to irritation and coughing.
2. Esophageal Reflex: Even without aspiration, the acid irritation in the esophagus can trigger a reflex that causes coughing as the body tries to clear the throat or airways.

The cough can persist for weeks or even months, often worsening after meals or at night. In some cases, the cough may be mistaken for a respiratory condition, such as asthma or post-nasal drip, leading to delayed or improper treatment of GERD.

Recognizing the Symptoms of GERD-Related Cough

It’s important to understand the signs that may suggest your chronic cough is related to GERD. In addition to coughing, individuals with GERD-related cough may experience:

• Frequent heartburn or acid regurgitation: A burning sensation in the chest or a sour taste in the mouth after eating can be key signs of GERD.
• Sore throat: Chronic acid exposure can irritate the throat, causing it to feel raw or scratchy.
• Worsening symptoms at night: GERD symptoms, including coughing, often worsen when lying down due to the position of the body, which can facilitate acid reflux.
• Wheezing or shortness of breath: In some cases, acid reflux can also trigger asthma-like symptoms, such as wheezing or difficulty breathing.

If you notice these symptoms along with your chronic cough, it may be time to consider GERD as the underlying cause.

Managing Chronic Cough Caused by GERD

Managing a chronic cough caused by GERD involves treating the root cause—the acid reflux. There are several strategies you can adopt to help reduce symptoms:

• Lifestyle Changes: Certain lifestyle changes can significantly reduce GERD symptoms. These include eating smaller meals, avoiding trigger foods like spicy or fatty dishes, not lying down immediately after eating, and losing weight if necessary.
• Medications: Over-the-counter antacids, H2 blockers, or proton pump inhibitors (PPIs) can help reduce stomach acid production and alleviate symptoms. However, it’s important to consult with your healthcare provider before starting any medication.
• Elevating the Head of the Bed: Raising the head of your bed by 6-8 inches can help prevent acid from rising into the esophagus while you sleep.
• Quit Smoking: Smoking weakens the LES and can worsen GERD symptoms, including coughing. Quitting smoking can be a vital step toward improving your overall health and managing GERD.

When Should You See a Doctor?

If your chronic cough persists despite these measures, it’s important to consult with a healthcare provider. A doctor can conduct tests to confirm whether GERD is the underlying cause of your symptoms. They may recommend an endoscopy, pH monitoring, or other diagnostic tests to evaluate the severity of your condition.

At United Gastroenterology Assoc. PLLC, our experienced physicians specialize in diagnosing and treating GERD and its related symptoms, including chronic cough. We can work with you to develop a personalized treatment plan that addresses both the symptoms and underlying causes of your condition.

Final Thoughts: Don’t Ignore Persistent Symptoms

A chronic cough that lingers for weeks or months can significantly impact your quality of life. If you suspect GERD might be the cause of your cough, it’s essential to seek medical attention sooner rather than later. With the right diagnosis and treatment, GERD-related symptoms, including chronic cough, can be effectively managed. Don’t wait for your symptoms to worsen—take control of your health today.

For personalized treatment and expert advice, reach out to United Gastroenterology Assoc. PLLC. Our team is here to help you find relief from GERD and its associated symptoms, so you can breathe easier and live comfortably.

Disclaimer:
The information provided in this blog is for educational purposes only and is not intended as medical advice. It should not be used to diagnose or treat any health condition. Always consult with a qualified healthcare professional for accurate diagnosis and treatment of any symptoms or medical concerns.