Diagnosis and treatment of patients with nonacid gastroesophageal reflux-induced chronic cough

Gastroesophageal reflux (GER) is one of the most common causes of chronic cough, and chronic cough due to GER represents a subtype of GER-related diseases. Gastroesophageal reflux-induced chronic cough (GERC) can be divided into two subgroups based on the pH of the GER. Nonacid GERC is less common t...

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Main Authors: Xianghuai Xu, Li Yu, Qiang Chen, Hanjing Lv, Zhongmin Qiu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Journal of Research in Medical Sciences
Subjects:
Online Access:http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2015;volume=20;issue=9;spage=885;epage=892;aulast=Xu
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author Xianghuai Xu
Li Yu
Qiang Chen
Hanjing Lv
Zhongmin Qiu
author_facet Xianghuai Xu
Li Yu
Qiang Chen
Hanjing Lv
Zhongmin Qiu
author_sort Xianghuai Xu
collection DOAJ
description Gastroesophageal reflux (GER) is one of the most common causes of chronic cough, and chronic cough due to GER represents a subtype of GER-related diseases. Gastroesophageal reflux-induced chronic cough (GERC) can be divided into two subgroups based on the pH of the GER. Nonacid GERC is less common than acid GERC, and its diagnosis and treatment strategy have not been standardized. However, nonacid GERC usually presents with its unique set of characteristics and features upon diagnosis and treatment in the clinic. Although the underlying molecular mechanism of nonacid GERC is not fully understood, it is considered to be associated with reflux theory, reflex theory and airway hypersensitivity. Multi-channel intraluminal impedance combined with pH monitoring is a promising new technique that can detect both acid and nonacid reflux, and our findings as well as those of others have shown its usefulness in diagnosing nonacid GERC. Development of new diagnostic techniques has led to an increased rate of nonacid GERC diagnosis. We summarize our experience in the diagnosis and treatment of nonacid GERC and provide a guide for future therapeutic approaches.
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spelling doaj.art-7decc52cc7b84d75a2cfad0c821c7d502022-12-21T17:48:40ZengWolters Kluwer Medknow PublicationsJournal of Research in Medical Sciences1735-19951735-71362015-01-0120988589210.4103/1735-1995.170625Diagnosis and treatment of patients with nonacid gastroesophageal reflux-induced chronic coughXianghuai XuLi YuQiang ChenHanjing LvZhongmin QiuGastroesophageal reflux (GER) is one of the most common causes of chronic cough, and chronic cough due to GER represents a subtype of GER-related diseases. Gastroesophageal reflux-induced chronic cough (GERC) can be divided into two subgroups based on the pH of the GER. Nonacid GERC is less common than acid GERC, and its diagnosis and treatment strategy have not been standardized. However, nonacid GERC usually presents with its unique set of characteristics and features upon diagnosis and treatment in the clinic. Although the underlying molecular mechanism of nonacid GERC is not fully understood, it is considered to be associated with reflux theory, reflex theory and airway hypersensitivity. Multi-channel intraluminal impedance combined with pH monitoring is a promising new technique that can detect both acid and nonacid reflux, and our findings as well as those of others have shown its usefulness in diagnosing nonacid GERC. Development of new diagnostic techniques has led to an increased rate of nonacid GERC diagnosis. We summarize our experience in the diagnosis and treatment of nonacid GERC and provide a guide for future therapeutic approaches.http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2015;volume=20;issue=9;spage=885;epage=892;aulast=XuChronic coughmulti-channel intraluminal impedance combined with pH monitoringnonacid gastroesophageal reflux
spellingShingle Xianghuai Xu
Li Yu
Qiang Chen
Hanjing Lv
Zhongmin Qiu
Diagnosis and treatment of patients with nonacid gastroesophageal reflux-induced chronic cough
Journal of Research in Medical Sciences
Chronic cough
multi-channel intraluminal impedance combined with pH monitoring
nonacid gastroesophageal reflux
title Diagnosis and treatment of patients with nonacid gastroesophageal reflux-induced chronic cough
title_full Diagnosis and treatment of patients with nonacid gastroesophageal reflux-induced chronic cough
title_fullStr Diagnosis and treatment of patients with nonacid gastroesophageal reflux-induced chronic cough
title_full_unstemmed Diagnosis and treatment of patients with nonacid gastroesophageal reflux-induced chronic cough
title_short Diagnosis and treatment of patients with nonacid gastroesophageal reflux-induced chronic cough
title_sort diagnosis and treatment of patients with nonacid gastroesophageal reflux induced chronic cough
topic Chronic cough
multi-channel intraluminal impedance combined with pH monitoring
nonacid gastroesophageal reflux
url http://www.jmsjournal.net/article.asp?issn=1735-1995;year=2015;volume=20;issue=9;spage=885;epage=892;aulast=Xu
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AT qiangchen diagnosisandtreatmentofpatientswithnonacidgastroesophagealrefluxinducedchroniccough
AT hanjinglv diagnosisandtreatmentofpatientswithnonacidgastroesophagealrefluxinducedchroniccough
AT zhongminqiu diagnosisandtreatmentofpatientswithnonacidgastroesophagealrefluxinducedchroniccough