Hello,
As per my clinical experience, issue sounds secondary to chronic allergic condition with underlying GERD and secondary manifestations. My guidelines at present:
- Avoid triggers such as cold wind, dry air, animal dander, atmospheric pollen or industrial gases or chemical irritants
- Use of face mask (N95) is best way of prevention
- Deep breathing exercises and meditations help best
- Strict avoidance of active or
passive smoking at any place
- Balanced nutritious diet to combat the immunity
- Acute cases do require bronchi dilator as short acting albuterol with low dose of inhalation corticosteroid with or without long acting beta agonist as Salmeterol or femoterol
- Chronic cases do response to
montelukast,
zafirlukast or zileuton as per the clinician concern
- Simultaneous control of acid reflux of GERD is best recommended with dietary measures, aerobics and
proton pump inhibitors
- Control of blood sugar,
cholesterol, BP, body weight
Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Bhagyesh V. Patel, General Surgeon