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Sunday, November, 22, 2009
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Asthma: Linked to the Nose, Throat and Stomach?

James Thompson, MD
James Thompson, MD
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James Thompson, MD is How are you doing?
Board Certified Allergist and Internist

I spend most of my time treating patients with asthma and allergic...

James Thompson, MD

Monday, March 09, 2009
View All of James Thompson, MD's Posts
Asthma has impacted the lives of millions of people for centuries. Many millions of research dollars have unlocked some of the mysteries of how and why the lungs make you cough, wheeze, short of breath or feel tight. Several medications have been developed to remedy this sometimes life-threatening di...
  1. Asthma, sinus, throat, GERDS
    Roz Graham
    Thursday, March 12, 2009 at 04:18 PM

    Wow, after reading the article I can relate.  I was suffering severely from wheezing, coughing, shortness of breath, sinus, and hoarseness.  I went to urgent several times for hoarseness and was given antibiotics.  Finally I went to ENT about my throat for the hoarseness.  It was discovered that my sinusus were swollen and irriated.  I was given a script for antibiotics, Nasonex, and was to flush my sinsuses twice a day.  On my follow up appointment I had a CT scan and it showed my sinuses were clear and in good shape.  I was referred to a specialist to look at my larynx.  He said I have GERDS which was irriating my esophogus.  My asthma scripts had no refills and my internal med doctor wanted me to come in before he would refill them.  I've been off my inhaler over a month now and my breathing is much, much better.  I was using Xophenex and believe it was not helping my asthma.  But I do so how all of those symptoms tie in.

    Reply
    re: Asthma, sinus, throat, GERDS
    James Thompson, MD
    Monday, March 16, 2009 at 10:03 AM

    Hi Roz,

     

    Thanks for sharing your experience. I see dozens of patients with similar scenarios as yours each year. Sometimes people have sinus problems, GERD, and asthma bothering them all at the same time. This means treatment is needed for all three problems simultaneously. Otherwise they won't have a complete response and will continue to have symptoms. If you look at anatomy charts (very accessible on the Internet) it is easier to understand how throat, sinus and lung problems can converge to complicate each other.

     

    Almost every day I explain to patients that the drainage in their throat (or cough) may be resulting from sinus related postnasal drip, or mucus coming up from the chest (asthma) or reflux from the stomach (GERD) or a combination of 2 or more of these processes.

     

    Thanks again for your comments,

     

    J. Thompson, MD

    Reply
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