Asthma may be misdiagnosed in many adults

Get the facts about how to protect yourself and your family from the effects of secondhand smoke. Asthma QuizAsthma is a chronic disease of the airways of the lungs, which can be managed with proper treatment.

GERD affects nearly one third of the adult population to some degree, at least once a month. Almost 10% of adults experience GERD weekly or daily. Not just adults, even infants and children can have GERD.

What Type of Asthma Do I Have?

Symptoms of metastatic lung tumors depend on the location and size. About 30% to 40% of people with lung cancer have some symptoms or signs of metastatic disease. Because asthma causes resistance, or obstruction, to exhaled air, it is called an obstructive lung disease.

Intrathoracic mimickers of asthma

“If you have acid reflux and you regurgitate high enough, you can get a bronchospasm that can trigger asthma,” Dr. Vaezi notes. Another theory is that acid reflux may trigger a protective nerve reflex that causes the airways to tighten in order to prevent the stomach acid from entering the lungs; this can lead to a bronchospasm too.

In fact, 15% of patients with sinusitis also have asthma (as opposed to 5% of the normal population). An astounding 75% of severely asthmatic patients also have sinusitis. Additionally, asthmatic patients often report that their symptoms worsen when they develop sinusitis.

Gastroesophageal Reflux Disease (GERD) is a common cause of respiratory symptoms in adults. Generally, GERD is associated with post nasal-drip and often presents as a chronic cough (upper-airway cough syndrome) with chest tightness that is usually not associated with airway obstruction [44]. When it masquerades as asthma, additional symptoms such as heartburn and regurgitation may be present. Otherwise, GERD is often silent, and patients frequently deny symptoms.

Some people may suffer from asthma and heart failure simultaneously. These patients require treatment for both conditions. A new Children’s Hospital Medical Center of Cincinnati discovery may have significant implications for children with a eosinophilic esophagitis, a fast-growing new disease whose symptoms mimic gastroesophageal reflux, and for adults with reflux who are not being helped by currently available medications. Gastroesophageal reflux disease (GERD) is a common comorbidity for asthma sufferers, but many patients don’t make the connection that control of their asthma is tied to control of their GERD. Do you have symptoms of regurgitation?

While I’ve read about this in several articles, I have yet to find a credible explanation for it. Another theory is that medicines used to treat asthma may cause GERD. For instance, systemic steroids are known to cause reflux.

Methacholine challenge test (MCT). Even if lung function tests are normal, you can still have mild, intermittent asthma. Your doctor may order a methacholine challenge test. During this test, you inhale increasing amounts of a mist of methacholine before and after spirometry.

Physicians recommend that people with reflux problems avoid fatty and fried foods; caffeinated drinks; onions; garlic; tomato-based products; citrus fruits; pepper; chocolate; peppermint; and alcoholic beverages. Some people have GERD with no symptoms of heartburn. These individuals may feel chest pain, difficulty swallowing, or have the feeling that something is stuck in their throat or swallowing becomes blocked. Since small children have underdeveloped digestive systems, they are more likely to experience GERD and its consequences.

Now, Dr. Rothenberg and his colleagues at Cincinnati Children’s food allergy clinic treat about 60 cases each year. Physicians throughout the United States also report an explosion in the number of cases. There are, of course, foods that Cory has to avoid, including tomato-based products and sodas, which we as a family need to be aware of. Cory eats an apple every day to help manage his acid and, surprisingly, pickles help too.

Why Asthma May Trigger GERD

When diagnosed in non-allergic asthmatics, GERD tends to be poorly responsive to asthma rescue and controller medicines, and is therefore considered difficult to control, or severe asthma. At the present time, it is unknown whether GERD treatment results in better asthma control. What causes asthma? Are there home remedies for asthma?

Further, even among those who show abnormal proximal esophageal pH, there is improvement in respiratory symptoms with control of distal gastroesophageal reflux alone. It is also possible that physiological changes in asthma, including increased lower esophageal pressure, the mechanical influence of a depressed diaphragm caused by hyperinflation, and cough mediated by increased abdominal pressure, may contribute to gastroesophageal reflux to some degree. In addition, some of the medications used for treatment can aggravate gastroesophageal reflux; thus, there is a perception that gastroesophageal reflux may be an effect rather than cause of chronic respiratory conditions. Gastroesophageal reflux disease (GERD) is a condition in which the esophagus becomes irritated or inflamed because of acid backing up from the stomach.

acid reflux mimic asthma

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