has anyone ever coughed up a little blood when reflux symtoms were acting up

A while ago a doctor (friend) told me that it was reflux abut i hadn't had the coughuing blood at the time yet. She gave me nexium for my refluxand also flonase for my post nasal drip which she thinks may be aggravating the reflux...However I will not take drugs and only want to use a holistic approach...unless of course antibiotics are the only way.  to make matters worse I'm a singer so its even a bigger issue and disrupts my life even further by affecting my vocal health. does anyone have any advise or similar issues? Thank you so much for reading this very long saga!