Gastroesophageal reflux disease (GERD) may cause, trigger or exacerbate many pulmonary diseases. pathological GERD can be found in 30% to 80% of patients with asthma. The prevalence of GERD-associated cough ranges from 10% to 40%. The physiological link between GERD and pulmonary disease has been extensively studied in chronic cough and asthma. The prevalence of GERD-associated cough ranges from 10% to 40%.

Many patients with asthma report GERD symptoms, including heartburn, regurgitation and dysphagia. A primary care physician often encounters patients with extra esophageal manifestations of GERD in the absence of heartburn. Causes: Medications: calcium channel blockers, theophyllines, nitrates, antihistamines. Lifestyle: alcohol or cigarettes, obesity, poor posture (slouching), eating large meals, eating soon before bedtime. Diet: Fatty and fried foods, chocolate, garlic and onions,…