Having Breathing Problem Due To Reflux Laryngitis. Can Acid Reflux Cause Pulmonary Fibrosis?
GERD has a relationship with Lung fibrosis
Detailed Answer:
Hi,
Thanks for posting your query on XXXXXXX After going through your query, I would like to comment the following:
1. Yes, Acid reflux has been linked to Pulmonary fibrosis but the relationship is not very well established. The microspirations due to acid reflux probably go down the throat and may injure the lungs causing pulmonary fibrosis but it has not been proven substantially. However it is recommended that all Pulmonary fibrosis patient be given antacid medications. GERD(Acid reflux) is a common cause of chronic cough also.
2. Since you have breathlessness since 3 years, get your pulmonary function test done along with clinical evaluation by a Pulmonologist. Did you ever smoke?
3. The X-ray film should ideally be photographed on a view box however no apparent major abnormality seems on your chest X-ray.
I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.
Regards
Dr. Gyanshankar Mishra
MBBS MD DNB
Consultant Pulmonologist
CT thorax is final diagnostic tool.
Detailed Answer:
Hi,
Thanks for the follow up.
1.If you have persistent breathlessness, then other common causes like anemia, overweight etc. need to be ruled out first. Since your pft was normal no major abnormality seems to be present at this stage.
2. Chest xray can miss pulmonary fibrosis in early stage. Your Xray apparantly does not show any major abnormality. However for changes of early pulmonary fibrosis they need to be viewed mounted on a view box.
3. If the breathlessness is persistent then HRCT thorax may be done to rule out any lung involvement.
I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.
Regards
Dr. Gyanshankar Mishra
MBBS MD DNB
Consultant Pulmonologist
GERD is not a strong fibrotic cause.
Detailed Answer:
Hi,
Thanks for the follow up.
1. Remember GERD is not a proven causative agent in pulmonary fibrosis but it does have a casual relationship. You cannot predict if pulmonary fibrosis will develop or not and hence there is no such time frame.
2. GERD most of the times responds to medications. If your Pulmonologist has clinically evaluated you, then there is no need of worry. Your Xray, PFT are normal and that is a good sign. PFT does detect early changes of Fibrosis in the form of small airway involvement.
3. Just get a stress treatmill test done to rule out any underlying cardiac cause.
4. Be under regular follow up with your Pulmonologist.
I hope I have answered your query. I will be glad to answer follow up queries if any.
Please accept my answer if you have no follow up queries.
Regards
Dr. Gyanshankar Mishra
MBBS MD DNB
Consultant Pulmonologist