The information you provide suggests that you probably have both gastroesophageal reflux disease (GERD) and asthma. GERD can aggravate asthma. For the reflux, you and your doctor should try a strong proton pump inhibitor in the highest recommended dose. You should embrace all reflux precautions, such as:
• Limit citrus and tomato products, strong spices, caffeinated drinks, carbonated drinks, fatty foods, chocolate, mint, alcohol or nicotine;
• Eat smaller, more frequent meals rather than three large ones;
• Avoid food or liquids for 2-3 hours before bedtime;
• Elevate the head of the bed 6 to 8 inches, by placing blocks under the legs of the head of the bed;
• Avoid lifting heavy objects;
• Avoid bending forward at the waist;
• Avoid wearing tight fitting clothing.
You should also continue with the Asmanex® Twisthaler® 220 mcg (mometasone furoate inhalation powder) and an inhaled long-acting beta agonist drug, such as Serevent® Diskus® (salmeterol xinafoate inhalation powder) or Foradil® Aerolizer™ (formoterol fumarate inhalation powder).
If you have not had a pH probe to assess reflux you should have this done; first while off medicines and then while on the reflux medicines.
Asmanex® Twisthaler® 220 mcg (mometasone furoate inhalation powder) is a safe, effective medicine. In very high doses it can cause mostly minimal "steroid side effects", but if you have asthma and it and your cough are controlled by this medicine, the trade-off is worth it.
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