REFLUX DIAGNOSED.

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

 

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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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4 Reasons Why Your Patient’s LPR Symptoms Didn’t Improve Despite PPI Therapy

1/30/18 2:06 PM / by Kathy Bach posted in PPI, symptom resolution

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Heartburn and regurgitation are easily identifiable symptoms of gastroesophageal reflux disease (GERD) and tend to be easier to treat with PPI therapy. However, symptoms of laryngopharyngeal reflux (LPR) or atypical reflux have become very prevalent in the population since they are difficult to spot and are often unresponsive to PPI therapy.

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The Restech Blog

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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