Reuters Health has reported that Patients with cough or throat clearing are not likely to have gastroesophageal reflux disease (GORD), according to new findings.
Based on the findings, patients with these untypical symptoms should undergo impedance-pH testing, rather than a trial of proton pump inhibitors (PPIs), Dr. Mustafa Abdul-Hussein, of the Medical University of South Carolina in Charleston, the new study’s first author, told Reuters Health. “I prefer that we test the patient before we start the therapy, because you don’t want to waste therapy 75% of the time,” he said in a telephone interview.
Cough and throat clearing are the most common non-typical symptoms of GORD, Dr. Abdul-Hussein and his team noted, and patients may have these symptoms without the classic “typical” symptoms of heartburn and regurgitation. Usually, the researchers added, these patients undergo a trial of PPI, and then have 24-hour reflux monitoring if PPI treatment in unsuccessful.
By Anne Harding