Q. I wake up coughing at night and swallow water to relieve this. Please advise.

Answered by
Dr. Noushif M
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 27, 2018

Hi doctor,

I always wake up coughing during the night. And when I eat, I get discomfort like trapped wind in my esophagus and have to swallow water hard to relieve this. I tested negative for H. pylori and currently on Lansoprazole which is not improving my symptoms much.

#

Hi,

Welcome to icliniq.com.

Your symptoms are most likely due to gastroesophageal reflux disease, that is, acid reflux from the stomach to the food pipe in the chest. This happens more in the night hours which results in cough and sleep disturbances. Occasionally, it can also result in bad taste especially of undigested food particles at the rear end of the tongue.

This needs consistent lifestyle and diet modifications as well as medicines.

  1. Avoid heavy meals. Rather prefer small but short interval feeds.
  2. Avoid excess coffee, carbonated drinks, spicy foods and food items which can potentially relax the gastroesophageal sphincter.
  3. Avoid lying down or sleeping in a recumbent position immediately after having food. Rather have an early dinner and give an interval of one to two hours before you sleep.
  4. Keep the head end of the bed elevated (30 to 45 degrees) during sleep.

Regarding medicines, I suggest you add prokinetics like Domperidone (10 mg) or Ondansetron (8 mg) three times a day. You will need to continue this consistently for six weeks and see the response. I would like to have a look at your endoscopy report. You can send across the same when you review. Consider a review after four weeks.

Revert after four weeks to a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Thank you doctor,

I will try to find the report. All it said was dyspepsia and inflamed duodenum.

#

Hello,

Welcome back to icliniq.com.

One of the two tablets I have mentioned will suffice.

All the best.

For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

Thank you doctor,

Would I find it OTC?

#

Hello,

Welcome back to icliniq.com.

You can try getting medicines after consulting local GPs. Please consider sending the endoscopy, ultrasound and other reports too.

For more information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist


Thank you doctor,

Is there anything herbal you would recommend? And, how safe is Domperidone?

#

Hello,

Welcome back to icliniq.com.

No herbals, please. I would say a big 'no' to those.

Domperidone is a relatively safe drug. Take it for three weeks.

For further queries consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist


Was this answer helpful?

 | 


Related Questions:
How can pain in the back of chest with poor bowel movements be cured?

In addition, I want you to get Vitamin D and serum uric acid blood test and the complete blood count ...   Read full

I have chest congestion, nose block and cough after a recent weather change. Please help.

.. the following medications: Alex cough syrup (a combination of Dextromethorphan, Guaifenesin, and Chlorpheniramine) 10 ml, after food, morning and night till the cough subside and your chest congestion is relieved. Tablet Levocetirizine for cold,...   Read full

Should I take Prevacid in the night for GERD?

I am currently taking Prevacid (over-the-counter) once a day in the morning ... Should I take Prevacid at night too ... GERD (gastroesophageal reflux disease) ...   Read full

Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Also Read


COVID-19 Vaccines
A COVID-19 vaccine provides acquired immunity against the new Coronavirus. Read the article to know everything about the...  Read more»
The Perils of Social Media Addiction
Social media addiction affects both physical and mental health. Read this article to know more.  Read more»
COVID-19 - Second Wave
The second wave of COVID-19 is a red flag. Read more to know about the precautionary measures.  Read more»

Ask your health query to a doctor online?

Ask a Medical Gastroenterologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.