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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medications For Acid Reflux & Sinus With Persistent Cough

I have acid reflux and allegy real bad and I have a bad cough I wentto the hospital they said its from my sinus and acid reflux they gave me allegra/ steroids that helped a lil so now my coughcomes and goes I have had this cough for at least 3wks or more but it comes and goes. I got me tablets from thestore calledchest congestion relief DM when I cough I feel my sinus draining can u please help me thank you
Thu, 10 Jul 2014
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Allergist and Immunologist,  's  Response
Hello.

Thank you for asking at HCM.

I went through your history and I think you have cough due to both - acid reflux (we call it GERD - Gastroesophageal Reflux Disease) and post-nasal drip due to sinusitis.

Were I to treat you, I would suggest you omeprazole (or similar drug) before each meal for GERD for at least 6-8 weeks. Also, I would suggest you to avoid hot, spicy meals and eating too much at a time, especially in the evening. If possible, a relaxing brief walk after evening meal will also help.

Of you smoke, drink alcohol or consume excessive tea-coffees, please try to avoid them. If this does not apply to you, that is great!!

For sinus, I would advice you to take montelukast and levocetirizine for at least 2-4 weeks. I would also suggest daily irrigation of nasal cavities with nasal saline spray 3-4 times a day. I would also suggest you to avoid air pollution, dusts and smoke as much as possible. Daily steam inhalation and gargles with warm saline will also help if you are comfortable with it.

Since both GERD and sinus disease need a long treatment, patience and positive attitude will be help you a lot.

Hope this will be helpful to you.

Wish you the best of the health.

Regards.
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Suggest Medications For Acid Reflux & Sinus With Persistent Cough

Hello. Thank you for asking at HCM. I went through your history and I think you have cough due to both - acid reflux (we call it GERD - Gastroesophageal Reflux Disease) and post-nasal drip due to sinusitis. Were I to treat you, I would suggest you omeprazole (or similar drug) before each meal for GERD for at least 6-8 weeks. Also, I would suggest you to avoid hot, spicy meals and eating too much at a time, especially in the evening. If possible, a relaxing brief walk after evening meal will also help. Of you smoke, drink alcohol or consume excessive tea-coffees, please try to avoid them. If this does not apply to you, that is great!! For sinus, I would advice you to take montelukast and levocetirizine for at least 2-4 weeks. I would also suggest daily irrigation of nasal cavities with nasal saline spray 3-4 times a day. I would also suggest you to avoid air pollution, dusts and smoke as much as possible. Daily steam inhalation and gargles with warm saline will also help if you are comfortable with it. Since both GERD and sinus disease need a long treatment, patience and positive attitude will be help you a lot. Hope this will be helpful to you. Wish you the best of the health. Regards.