GERD (Acid Reflux) Expert Forum
Could a hard, gagging cough be GERD
About This Forum:

This forum is for questions and support regarding Gastroesophageal Reflux Disease (GERD) / Acid Reflux with topics including: Causes, Constipation, Diagnosis, Diarrhea, Drugs and OTC medications, Living with GERD, Loss of Appetite, Preventing Flare-ups, Research, Risk Factors, Symptoms, Support, Surgery, Tests, Treatments.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Could a hard, gagging cough be GERD

For about 6 months last year and now for the past 4 or 5 months, I've had a forceful, persistant, gagging, hacking cough that normally is not productive. When there is a little phlegm, it's clear.  The coughing ALWAYS starts after I eat, but sometimes it starts between meals and I almost NEVER cough when lying down at night to sleep. I've tried to determine if it's a food allergy but I cough no matter what I eat....fruit, veggies, candy, bread, meat....I can't find any difference.   A cough drop will stop the cough quickly.

I've been checked  by an ENT for cancer, TB, had chest x-ray...nothing.  What's my next step?  Could this be GERD ? I don't seem to have any other symptoms other than the feeling that there's always a grain of rice or something small in my throat that causes the tickle that starts the cough.   A preliminary allergy test didn't have any positive reactions.  

What's the most logical next specialty to visit?  I'm sooo tired of the cough and it really sounds nasty to others when I'm in public.

Thanks
Darlene
Related Discussions
Avatar_m_tn
Hi Darlene,
If the cough is due to GERD it will worsen after lying down. Since you have said that you never cough after lying down, the possibility of GERD is only remote.
But GERD cannot be completely ruled out by this as - if you lie down to sleep after 2-3 hours after your food, you might not cough due to GERD even if it is present.
A 24 hours pH monitoring might show whether reflux is present or not.

Coughing after eating indicates that you are aspirating the food particles in to your lungs.
One of the GI causes for this is presense of Zenker's diverticulum.It is a pouch like thing in the food pipe just below the throat. Food particles get collected which later get aspirated to cause cough.
You need to undergo upper GI endoscopy to look for Zenker's diverticulum.
You need to consult your gastroenterologist.
================================================================
The information provided is for patients’ education only and is not a medical advice. Always consult your personal physician for complete evaluation of your health problem.

- Ratnakar Kini M.D.
1 Comment
Blank
Avatar_n_tn
A related discussion, Gagging with exercise. was started.
Blank
Avatar_n_tn
A related discussion, gagging at night was started.
Blank
Continue discussion Blank
This Forum's Experts
4610897_tn?1393869202
Joseph Sclafani, M.D.Blank
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank