REFLUX DIAGNOSED.

Craig H. Zalvan, MD

Craig H. Zalvan, MD, FACS is the Medical Director at the Institute for Voice and Swallowing Disorders and Chief of Otolaryngology at Phelps Hospital, Northwell Health, Sleepy Hollow, NY and Director of Laryngology at New York Medical College/Westchester Medical Center. Dr. Zalvan completed his residency training in Otolaryngology/Head & Neck Surgery at the Manhattan Eye Ear & Throat Hospital and at the New York Presbyterian Hospital. In addition, he has trained at Memorial Sloan Kettering Cancer Center, New York Hospital-Cornell Medical Center, and Lenox Hill Hospital. He went on to complete his Fellowship in Laryngology with Dr. Andrew Blitzer: Voice and Swallowing Disorders at Roosevelt Hospital/St. Luke's Medical Center. Dr. Zalvan's specialties include Adult and Pediatric Voice and Swallowing Disorders, Professional voice disorders, Vocal Fold Paralysis, Spasmodic Dysphonia, Neurolaryngology, Laryngopharyngeal Reflux, the Aging Voice, Zenker's Diverticulum, Laryngeal Cancer, and Chronic Cough. Dr. Zalvan has introduced numerous laryngological techniques to the Hudson Valley NY region including injection laryngoplasty, medicalization thyroplasty, transnasal esophagoscopy, office based laryngeal and pharyngeal KTP laser procedures, as well as the entire spectrum of operative laryngology. Dr. Zalvan lectures nationally and internationally with numerous presentations, publications, and research projects on topics such as: chronic cough, laryngopharyngeal reflux treatment with plant based diet, laryngeal EMG, Dysphagia, laryngeal sensory testing and many other IRB approved studies. Dr. Zalvan is an avid skier and scuba diver and shares a love of travel with his wife and two children.
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66 Year Old Male with Chronic Cough on Long-term PPIs

2/15/18 11:10 AM / by Craig H. Zalvan, MD posted in Cough, PPI, pH monitoring, LPR

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By: Craig H. Zalvan, MD, FACS
Chief of Otolaryngology and Medical Director
The Institute for Voice and Swallowing Disorders

 

Download a PDF of this Case Study

 

CASE HISTORY & EVALUATION

66 year old male presents with diagnosis of GERD and asthma for chronic cough. He reports being well until 5 years ago when he had a severe URI, symptoms of which resolved, except for a chronic cough. Additional symptoms of ongoing waterbrash, throat clearing, and globus sensation; a tickle sensation in the throat followed by spasms of coughing associated with bouts of “wheezing,” described as a high pitch sound when breathing inward. He also reports his eyes tearing, rhinorrhea, and vocal strain with occasional bouts of nausea. Cold air and talking trigger coughing episodes.

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Reflux Diagnosed. Reflux Treated.

Our blog articles aim to answer your questions about diagnostic and therapeutic approaches to reflux disease. Restech's pH system provides real-time pH data to help physicians develop the most targeted reflux treatment plan possible. Our new Stretta therapy is an effective alternative to anti-reflux surgery or implanted devices. It has been shown to reduce dependency on PPIs and improve reflux-related quality of life. 

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