Incidence of Gastro Esophageal Reflux Disease (GERD) Related Manifestations of Pulmonary Symptoms

Noman Ul Haq, Abdullah ., Muhammad Saad Rafique



Objective: The main aim of this study was to find the incidence of GERD related manifestations of pulmonary symptoms.

Study Design: It is a cross sectional study.

Place and Duration: This study was carried out in a period of 8 months from March 2018 to October 2018 in OPD and emergency of Mayo Hospital Lahore.

Materials and Methods: Patients between the ages of 21-70 years who had burning sensations in the esophagus were included in this study and both males and females were included in this study without any gender discrimination. A carefully designed proforma was used to collect the data of the patients which included age, sex, address and physical symptoms like cough and heart burn. Patients confidentiality was maintained as a top priority. Only those patients were included who were willing to take part in this study. Informed consent was taken from all the patients.

Results: Among the 150 patients included in this study respiratory symptoms like dry cough was seen in 15 (10%) of the patients, hoarseness of voice was seen in 12 (8%) of the patients with acidic reflux. Asthma symptoms were seen in 51 (34%) of the patients. Less incidence of nasal symptoms around 2% was seen. No respiratory symptoms were seen in 54 (36%) of the patients.

Keywords: GERD, Pulmonary symptoms

Full Text:



Vakil N, Zanten SVV, Kahrilas P. the Montreal definition andclassification of gastro-esophageal reflux disease (GERD): a global evidence-based consensus. Am J Gastroenterol 2006; 101:1900-20

Ferguson DD, Devault KR. Medical management of gastroesophageal reflux disease. Mayo clinic Rochester 2007; 8(1):39-47.

Khan NR, Khan AI, Jehangir HM, Ghumman SR, Zulfiqar A. Dental erosion: a salient manifestation of Gastroesophageal reflux disease. J Pak Dent Assoc 2008; 17(1):22-5.

Richter JE. Gastroesophageal reflux disease and asthma: The twoare directly related.AM J Med. 2000; 108:153S-8S.

Sylvester DC, Karkos PD, Vaughan C, Johnston J, Dwivedi RC. Chronic Cough, Reflux, Postnasal Drip Syndrome, and the Otolaryngologist, Int J Otolaryngology. 2012; 2012:1155-60.

Khalil A, Zaidi SBH. Frequency of GERD in subjects with COPD. An experience from PNS Shifa. Pak J Chest Med 2008;14:21-6

Mathew JL, Singh M, Mittal K. Gastroesophageal reflux and bronchial asthma: Current status and future directions. Postgrad MedJ. 2004;80:701–5.

Fontana GA, pistolesi M. Cough-3: Chronic cough and gastroesophageal reflux disease. Thorax. 2003;58:488-1092-5,

Phua SY, McGaray LPA, Ngu MC, Ing AJ. Patients with gastroesophageal reflux disease and cough have impaired laryngopharyngeal mechanosensitivity. Thorax. 2005;60:488-91.

Jaspersn D. Extraesophageal disorders in gastroesophageal reflux disease. Dig Dis. 2004;22:115-9.

Poe RH, kallay Mc. Chronic cough and gastroesophageal reflux disease. Clevenland Clinic J Med. 2003;70:70:S20- 32.

Irwin RS, Madison JM. Anatomic diagnostic protocol in evaluating chronic cough with specific reference to gastro esophageal reflux disease. Am J Med 2000; 108 (suppl 4A):126S30.

D’Urzo A, Jugovic P. Chronic cough, three most common causes . Can Fam Physician 2002;48: 1311-16.

KoufmanJA.The otolaryngologic manifestations of gastroesophageal reflux disease:a clinical investigationof 225patients using ambulatory 24 hour pH monitoring and experimental investigation of role of acid andpepsin in development of laryngeal injury.Laryngoscope 1991;101(suppl53):1-78.

Champion GGL, Richter JE. Atypical presentations of Gastroesophageal reflux disease: chest pain, pulmonary and ear, nose, throat manifestations. Gastroenterologist 1:18–23.

Yellon RF. The spectrum of refluxassociated otolaryngologic problems in infants and children. Am J Med 1997;103(Suppl 5A):125S–129S.


  • There are currently no refbacks.

Creative Commons License
This work is licensed under a Creative Commons Attribution 3.0 License.