There are several theories put forward about the relationship of gerd and asthma include: Stimulation at esofagolaringeal reflex, reflex of the distal esophagus stimulates the vagal reflexes that cause bronchoconstriction (reflux theory). Another mechanism is reflux esfagobrokhial; acid from the esophagus could stimulate acid sensitive receptors in the upper respiratory tract, causing bronchospasm.
Gastroesophageal reflux was found in 45-89% of patients with asthma, this may be caused by esophageal reflux, refluksesfagopulmoner and the smooth muscle relaxant that is betha adrenergic group, aminophylline, inhibitr phosphodiesterase causing Esophageal LES incompetence. The clinical presentation of gerd is a sour taste in the mouth, heartburn, and disfagi. If the substance of the pharynx and mouth reflux will cause laryngitis, hoarseness and aspiration pneumonia, pulmonary fibrosis and chronic asthma.
The researchers still disagree about the treatment of gerd can reduce the dose of the treatment of asthma and improve lung physiology. The goal of treatment is to treat asthma and gerd esfageal while reducing reflux and protects esophageal mucosa. Asthma and gerd should be treated together to avoid more serious complications.
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