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Gastroenterology (Expert Forum)
Symptoms Get Worse After Eating
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Symptoms Get Worse After Eating
by myelnick, Sep 16, 2004 12:00AM
I had a cold three years ago, and have not stopped coughing since.
I have a dust allergy, for which getting shots about 9 months/no appreciable results.
Was diagnosed by throat doctor as having a white spot on my esophagus; put on an anti-acid/reflux regimen for about 5 months: change of diet late in day, Nexxium, elevated pillow.
No beneficial results.
Had sinuses x-rayed. Negative
I can pretty much cough up clear mucus at any time. Clear throat a lot, sometime pretty intensively. Some coughing. Feel lump at back of throat some of the time.
I notice that most of the time right after I eat, the lump returns and feels more prominent. Coughing up mucus restarts. These symptoms lessen over time, within the hour.
I have a dust allergy, for which getting shots about 9 months/no appreciable results.
Was diagnosed by throat doctor as having a white spot on my esophagus; put on an anti-acid/reflux regimen for about 5 months: change of diet late in day, Nexxium, elevated pillow.
No beneficial results.
Had sinuses x-rayed. Negative
I can pretty much cough up clear mucus at any time. Clear throat a lot, sometime pretty intensively. Some coughing. Feel lump at back of throat some of the time.
I notice that most of the time right after I eat, the lump returns and feels more prominent. Coughing up mucus restarts. These symptoms lessen over time, within the hour.
Doctor's Answer
by Kevin Pho, MD, Sep 17, 2004 12:00AM
, Sep 17, 2004 12:00AM
There are 3 major reasons for chronic cough. They would be GERD, asthma, or post-nasal drip. Assuming infection has been ruled out (i.e. bronchitis and pneumonia), you may want to consider being evaluated for some of these causes.
They would be an upper GI series and/or 24-hr pH study to evaluate for GERD, a PFT or asthma testing looking for asthma or sinus films (or CT scan if the films were negative) looking for sinusitis leading to post-nasal drip.
The lump in the throat can be suggestive of GERD - so I would consider leaning in that direction. A 24-hr pH study can be considered if the symptoms are not alleviated with the Nexium.
I would discuss these options with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
They would be an upper GI series and/or 24-hr pH study to evaluate for GERD, a PFT or asthma testing looking for asthma or sinus films (or CT scan if the films were negative) looking for sinusitis leading to post-nasal drip.
The lump in the throat can be suggestive of GERD - so I would consider leaning in that direction. A 24-hr pH study can be considered if the symptoms are not alleviated with the Nexium.
I would discuss these options with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
Medical Weblog:
kevinmd_b
