[DYSPHAGIA] coughing while eating

[eripley@yahoo.com (Irene Campbell-Taylor)]

Vikki,
Re this and Prevacid etc. what is your opinion of
Gaviscon for milder cases (provided there's no renal
problem etc.)? I've found that in many patients it
solves the problem. (I think I should hold stock in
the company for my own supply!)
Irene.
--- "Vikki A. Stefans" <vstefans@care.ach.uams.edu>
wrote:
> FWIW, anecdotal: I think this answer is correct; I
> have the same symptom
> frequently and have known GER with ulcers
> successfully treated in the
> past.  I was starting to think I needed a VFSS
> myself before I realized
> what it actually was.  Dextromethorphan suppresses
> the cough for me, but
> antireflux treament or at least an OTC antacid
> should help if this is the
> main problem.  Also review her meds for any with
> cough as side effect that
> could be compounding the problem.  Good hydration is
> also a helpful
> factor.  I personally note a hard time singing,
> particularly hitting the
> high notes, if I am having more reflux or don't take
> enough fluids.  If I
> drink iced tea, which is a must for surviving 90
> degree or hotter weather
> for me in the South, I water it down with extra ice
> or cold water.  
> Pepto-bismol also helps with heartburn and that dry
> feeling at times if it
> persists after meals and is still bothering me at
> bedtime.
> 
> Vikki Stefans, pediatric physiatrist (rehab doc for
> kids), e-mail junkie, 
> working Mom of Sarah T. and Michael C., and wife of
> Henry "My Travel Agent", 
> Arkansas Children's Hospital/ U of A for Medical
> Sciences, Little Rock, aka
> vstefans@care.ach.uams.edu ...and EVERY mom is a
> working mom! (OK, dads too.) 
> 
> 
> On Mon, 9 Oct 2000, Irene Campbell-Taylor wrote:
> 
> > I would have her checked for reflux first. It's
> very
> > well established that one of the most common
> causes of
> > chronic dry cough is reflux. What is not so well
> > recognized is that the reflux frequently occurs
> during
> > swallowing (the LES relaxes every time one
> swallows)
> > and that it only has to come up as far as the
> > receptors at the very lower end of the esophagus
> that
> > trigger cough/bronchoconstriction. 
> 
>
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=====
Irene Campbell-Taylor, PhD
Clinical Neuroscientist

If one tells the truth, one is sure, sooner or later, to be found out.
Oscar Wilde.

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