How can I relieve breathing issues triggered by spicy foods?

Question

Hello doctor,

I have been experiencing breathing difficulty for the past four weeks. I consulted a respiratory specialist, and after blood and urine tests, the doctor said everything was normal. However, they suggested that consuming too much coffee has led to excess acid in my body, which might be causing breathing issues. I have completely cut out coffee and tea for the past two weeks and feel somewhat better, but I am still not fully recovered. I have noticed that certain foods like chili noodles, red apples, lemon, and any foods with preservatives seem to worsen my breathing. I do not have pain or fever, and my X-ray shows that my heart and lungs are healthy. I am a smoker but do not have asthma.

My question is, how can I fully resolve this issue? I am unsure how much longer it will take to recover or what foods I should avoid. I find that chocolate milk, yogurt, rice, and potatoes do not affect my breathing. My nose also gets blocked frequently. The doctor prescribed Bilastine 20 mg, but I have not used it yet. I am a 35-year-old male.

Kindly help.

Answer 1

Hi,

Welcome to icliniq.com.

Where is the breathing issue? Is it in the lower airways, like in the chest, or in the upper airway, like in the throat? Is there a blocked feeling or lump sensation in your throat that you might be mistaking for breathing trouble? Are you experiencing sneezing, a runny nose, or post-nasal drip?

Looking forward to your response in order to help you.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

You need to take antihistamines, nasal steroid sprays, proton pump inhibitors, and mucolytics. The problem seems like laryngopharyngeal reflux with rhinitis. I would suggest taking Montelukast 10 mg and Fexofenadine 120 mg, one tablet in the evening for a week. Take Esomeprazole 40 mg, one tablet before breakfast for seven days. Take Ambroxol 30 mg, one tablet twice daily before meals for three to four days to help with thick mucus. Use Fluticasone furoate nasal spray by spraying two puffs in each nostril once daily after breakfast; hold your breath for 10 seconds, then breathe out.

This approach should help alleviate the allergic component or post-nasal drip causing your issues and control the reflux. Additionally, follow these lifestyle and dietary changes: avoid spicy, oily, and masala-rich foods; steer clear of oils and fried items; do not lie down immediately after eating; avoid drinking large amounts of water right after meals. Otherwise, drink plenty of water between meals and stay well-hydrated. Also, avoid dust, smoke, pollution, and viruses.

You can always reach me at icliniq.com.

Thank you for consulting me.