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Is it normal spring allergies or something more serious?
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"While frequent heartburn is a common symptom of GERD, in some cases it manifests itself in unusual ways such as asthma, sore throat or chronic cough," said Kenneth DeVault, M.D., consultant at The Mayo Clinic - Jacksonville and Fellow of the American College of Gastroenterology. "What people do not know is that many symptoms like this may seem minor but could be signs of an underlying digestive disease like acid reflux."

GERD occurs when the muscle valve at the lower end of the esophagus malfunctions, allowing a backward flow of acid from the stomach into the esophagus. Without effective treatment, GERD can cause serious complications such as severe chest pain, esophageal stricture (a narrowing or obstruction of the esophagus), bleeding, asthma-like symptoms, or Barrett's esophagus (a pre-cancerous condition of the esophagus).

Acid reflux may aggravate asthma and a recent article in the February 1997 Internal Medicine suggests that the majority of asthmatics have acid reflux. Signs that GERD may be worsening a person's asthma include:

  • asthma that appears for the first time during adulthood;
  • asthma that gets worse after meals, lying down, or exercise; and
  • asthma that occurs mainly at night.

Acid reflux may also be a cause of chronic cough, sore throat, laryngitis with hoarseness, or frequent throat clearing.

"Many of my patients suffer asthma- or allergy-like symptoms for months or years before they come to see me," said Dr. Joel Richter, past president of the American College of Gastroenterology (ACG) and chairman of the gastroenterology department at The Cleveland Clinic Foundation. "The good news is that effective treatments for acid reflux are available that can give sufferers tremendous relief and allow them to have a normal lifestyle."

People whose asthma or allergy symptoms do not resolve through standard treatment should ask their doctor about acid reflux.

Through a national education campaign, ACG hopes to dispel some of the confusion about heartburn problems and GERD. ACG has set up a toll-free number,1-800-HRT-BURN, that provides callers with information on heartburn and a brochure on GERD.

Even among Americans without asthma or allergies, acid reflux is often not diagnosed. Although more than 15 million Americans experience daily heartburn, many are reluctant to consult their physician because they do not know enough about heartburn to realize their problem may be something more serious, such as GERD.

The American College of Gastroenterology was formed in 1932 to advance the scientific study and medical treatment of disorders of the gastrointestinal tract. The College promotes the highest standard in medical education and is guided by its commitment to meet the needs of clinical gastroenterology practitioners.

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