Difficulty breathing is one of the more frightening symptoms of acid reflux and the chronic form of the condition, which is called gastroesophageal reflux disease (GERD). GERD can be associated with breathing difficulties such as bronchospasm and aspiration. These difficulties can sometimes lead to life-threatening respiratory complications.
If you have asthma and think you might have acid reflux, talk to your doctor about the best treatments. Shortness of breath, also called dyspnea, occurs with GERD because stomach acid that creeps into the esophagus can enter the lungs, particularly during sleep, and cause swelling of the airways.
Although GERD may cause cough, it is not a common cause of unexplained coughing. Although GERD also may be a cause of asthma, it is more likely that it precipitates asthmatic attacks in patients who already have asthma. Although chronic cough and asthma are common ailments, it is not clear just how often they are aggravated or caused by GERD.
Examples are spicy or acid-containing foods, like citrus juices, carbonated beverages, and tomato juice. These foods should also be avoided if they provoke symptoms. Symptoms of nausea, vomiting, and regurgitation may be due either to abnormal gastric emptying or GERD.
(pH is a mathematical way of expressing the amount of acidity.) For this test, a small tube (catheter) is passed through the nose and positioned in the esophagus. On the tip of the catheter is a sensor that senses acid. The other end of the catheter exits from the nose, wraps back over the ear, and travels down to the waist, where it is attached to a recorder.
GERD or acid reflux symptoms are caused by the regurgitation of acidic liquid stomach contents back up into the esophagus. GERD, also known as acid reflux disease, occurs when acid from the stomach reaches the esophagus. Normally, the connection between the esophagus and the stomach is controlled by a one-way valve, but if that valve becomes too weak, or if the pressure from the stomach becomes too great, acid will flow in the wrong direction. Recognition of GERD as a potential aetiological factor has important treatment implications, especially since corticosteroids may worsen GERD and continue to be widely used for therapy of IPF despite a lack of definitive clinical trials . Trials of therapy for GERD in patients with established IPF are limited to one retrospective case series  of four patients with IPF and documented GERD who were only treated with PPI, these patients stabilised or improved over a 2-3-yr period.
There are growing concerns of side effects of proton pump inhibitor therapy, including a potential increase in upper respiratory infections or pneumonias as well as fractures in children. In addition, these medications are very expensive. However, my major concern is that a proton pump inhibitor trial in asthma patients with asymptomatic GERD will have no impact on their asthma and just delays other therapies focused on their asthma. JGM There is certainly a population of asthma patients who have classic symptoms of GERD, including heartburn. Among these symptomatic GERD patients, pulmonary symptoms, notably cough, may also occur.
Gastroesophageal reflux and asthma
- Have you experienced coughing, wheezing, or shortness of breath at night in the past month?
- Your doctor will also suspect GERD if your asthma doesn’t respond well to normal treatments, or if symptoms get worse at the same times that GERD usually flares up, namely at night or just after a meal, workout, or period of lying down.
- Acid is believed to be the most injurious component of the refluxed liquid.
- The stomach acid that leaks back into the esophagus creates a
In fact, up to 62 percent of people with asthma have a condition known as “silent GERD,” according to one study. However, acid in the esophagus often causes heartburn. Other possible signs of GERD include difficulty or pain when swallowing, regurgitation (food coming back to your mouth), large amounts of saliva, a sore throat, hoarseness, cavities, inflamed gums, a sour taste in the mouth, bad breath, or chest pain.
Your doctor can help figure out if “silent” GERD is affecting your asthma by asking you certain questions. Stomach acid gets into your lungs directly.
Gastroâ€oesophageal reflux treatment for asthma in adults and children. The Cochrane Library.
If you develop asthma in adulthood, GERD may be the cause. Your doctor will also suspect GERD if your asthma doesn’t respond well to normal treatments, or if symptoms get worse at the same times that GERD usually flares up, namely at night or just after a meal, workout, or period of lying down. Weight loss for those who are overweight is recommended, as weight gain can worsen reflux.
As the lungs swell, the increased pressure on the stomach may cause the muscles that usually prevent acid reflux to become lax. This allows stomach acid to flow back up into the esophagus. Like asthma, GERD is considered a syndrome rather than a disease. After you chew and swallow food it moves down your esophagus, through an esophageal sphincter, and into your stomach. The esophageal sphincter allows food into your stomach and prevents it from going back up.
The liquid from the stomach that refluxes into the esophagus damages the cells lining the esophagus. The body responds in the way that it usually responds to damage, which is with inflammation (esophagitis).