GERD and lung disease

In the March 2014 edition of ACP Internist (American College of Physicians News for Internist publication)  an excellent article by Leah Lawrence  described what is known and not known between a possible link from gastroesophageal reflux disorder (GERD) and pulmonary diseases.  GERD can be asymptomatic and, thus, missed as a possible link to a patient’s pulmonary symptoms. A variety of lung diseases are associated with GERD: asthma, aspiration pneumonia, chronic cough and even idiopathic pulmonary fibrosis (IPF) have been linked. ...

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The cough that won’t go away

During the winter season one of the most common reasons to see a patient for a consultation is a cough that seems to last forever. In the past few years attention has focused on the resurgence of pertussis (Bordetella pertussis) in the adult population. Famous for the “whooping” cough association, this is not as common in the adult population compared to the younger people.

Pertussis is highly communicable between people and is most commonly seen in the late spring and early ...

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Devices to help with mucous clearance

Several devices abound for helping patients with chronic bronchitis and productive coughing of mucous. Patients may experience difficulty expectorating the phlegm in their chest. While I am not endorsing any particular device, the following are devices that can be considered:
1. Lung Flute (by Medical Acoustics). medicalacoustics
2. Flutter (by Axcan Scandipharm, Inc) axcan.
3. Acapella (by Smiths-Medical).acapella

For more severe problems there are VESTS that can be used to strap onto a patient’s chest to provide percussive therapy ...

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