I have breathing difficulty which triggers on eating some spicy foods. Why?

Question

Hello doctor,

I am having breathing difficulty for the past four weeks. I went to a respiratory specialist, after doing a blood and urine test, and the doctor told me everything shows normal, but due to consuming too much coffee, I have too much acid in my body, which is the reason for the breathing issue. For the past two weeks, I completely cut my coffee, and tea I feel better but still, I am not fully recovered. Some fruits and foods like chili noodles, red apples, lemon, and any food with preservatives I consumed during this time I could feel that it tightened my breathing flow. I do not have pain or fever. I am a smoker, I do not have asthma, the x-ray shows my heart and lungs are very healthy.

The question is how do I fully get rid of this issue? I do not know how much longer it will take or what should I avoid eating. When I drink chocolate milk, yogurt, rice, and potato my breathing is normal. My nose also gets blocked most of the time, the doctor gave me Bilastine 20 mg but I never used it. I am a 35-year-old male.

Answer 1

Hi,

Welcome to icliniq.com.

Where is the breathing issue? Is it in the lower airways like in the chest or upper airway like in the throat? Is there any blocked feeling or lump sensation in the throat that you are mistaking as breathing trouble? Is there sneezing, runny nose or post nasal drip?

Answer 2

Hi,

Welcome back to icliniq.com.

You need to take antihistaminic, nasal steroid sprays, proton pump inhibitors, and mucolite. The problem appears like laryngopharyngeal reflux with rhinitis.

I would suggest you take Montelukast 10 and Fexofenadine 120 (Allegra M or Montek FX or Telekast FX) one tab in the evening for a week. Take Esomeprazole 40 (Raciper 40 or Neksium 40) one tablet before breakfast for seven days. Take Ambroxyl 30 mg (Mucolite or Nacxol) one tablet twice daily before meals for three to four days to lighten the thick mucus. Take Fluticasone furoate nasal spray (Flomist or Furamist or Flutipril or Fluticone FT or Floresp) two puffs of the spray in each nostril once daily after breakfast and keep holding the breath for 10 seconds and then breathe out.

This way we shall remove the allergic component or post-nasal drip that is causing all the problems in you. The additional factor of reflux will also get controlled. You need to follow some lifestyle and dietary changes. Do not take spicy oily and masala-rich foods. Avoid oil and fries. Do not lie down immediately after food. Do not drink a lot of water immediately after food. Otherwise, drink plenty of water between meals and hydrate yourself well. Stay away from dust smoke pollution and the virus.

I have breathing difficulty which triggers on eating some spicy foods. Why?

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