Chronic cough: an Asian perspective. Part 1: Epidemiology

Patient acceptance and clinical impact of Bravo monitoring in patients with previous failed catheter-based studies . Simultaneous recordings of oesophageal acid exposure with conventional pH monitoring and a radio system (Bravo) . Prolonged, wireless pH-studies have a higher diagnostic yield in patients with reflux symptoms and negative 24-h catheter-based pH-studies .

The results of a more recent meta-analysis of 22 placebo-controlled trials suggested that magnesium may effectively reduce atrial arrhythmia when administered post-operatively, as a bolus, and for a lot more than 24 hours (60). Current evidence does not support the usage of magnesium supplementation in clinical practice for aSAH patients beyond magnesium status normalization. The post-hoc analysis of a little randomized controlled trial suggested that maintaining magnesium sulfate infusion for 10 days post-aSAH or until signs of vasospasm disappear might drive back secondary cerebral infarction when markers of vasoconstriction and reduced brain perfusion can be found (57, 58). Another meta-analysis of 13 trials in 2,413 aSAH sufferers figured the infusion of magnesium sulfate had no benefit regarding neurologic outcome and mortality, despite a decrease in the incidence of delayed cerebral ischemia (56). Additionally, meta-analyses of prospective studies have discovered no associations between magnesium intake and cardiovascular (50) or all-cause mortality (43).

asians have more acid reflux den others

The role of oesophageal manometry and reflux monitoring in patients under the age of 18 years will not be addressed in these guidelines. 2.5 In patients with heartburn, acid regurgitation or chest pain, symptom association with reflux episodes is best assessed with both symptom association probability and symptom index.

The prevalence of chronic cough, as defined by the Medical Research Council definition of chronic bronchitis, was 2%. In a large-scale prospective cohort study, the hazard ratio of developing chronic cough was positively correlated with water arsenic and urinary arsenic levels [42]. The prevalence of chronic cough in roofing fibre cement workers subjected to high respiratory dust levels was greater than that of unexposed subjects (OR, 1.34; 95% CI, 0.80-2.25), although the difference was not statistically significant [38]. In addition, this study also indicated that coping with a smoker during childhood was linked to having chronic dry cough in adulthood among a cohort of middle-aged never-smokers [33].


Moreover, long-term use (90 days or longer) of proton-pump inhibitors (drugs used to lessen the amount of gastric acid) may increase the threat of hypomagnesemia (183, 184). The FNB cautions that folks with renal impairment are in higher risk for adverse effects from excess supplemental magnesium intake. The Food and Nutrition Board (FNB) of the united states Institute of Medicine set the tolerable upper intake level (UL) for magnesium at 350 mg/day; this UL represents the highest level of daily supplemental magnesium intake more likely to pose no risk of diarrhea or gastrointestinal disturbance in almost all individuals.

  • Magnesium supplements are available as magnesium oxide, magnesium hydroxide, magnesium gluconate, magnesium chloride, and magnesium citrate salts, in addition to a number of amino acid chelates like magnesium aspartate.
  • Patients with idiopathic pulmonary fibrosis, cystic fibrosis and lung transplantation with suspected gastro-oesophageal reflux disease
  • Prokinetics and reflux inhibitors have the potential to control motor abnormalities, however the results of clinical trials are inconsistent.

Acid reflux disorder episodes occurred more than twice as often in the right lateral position [20]. The proportion of erosive esophagitis on the AW or FU side was 20.2% (36/178), which was usually accompanied by mucosal breaks on the other sides, and 39.3% of the subjects had grade II or more grade of hiatal hernia.Table 1: Characteristics of the study subjects ().In univariate analysis, subjects with erosive esophagitis on the PW side had significantly lower height, weight, and WC than those without mucosal breaks in this direction (Table 2).

Pictograms denoting classic reflux symptoms (sour regurgitation, heartburn, retrosternal pain, and regurgitation) were created by the joint efforts of an artist and a gastroenterologist. Pictograms to supply a Better Understanding of Gastroesophageal Reflux Symptoms in Chinese Subjects It seems that in parallel with better therapeutic approaches and elimination of bacteria, a noticable difference in the personal hygiene and living conditions of the Iranian population contribute to lower prevalence of H. Conclusion: The present study revealed a substantial decline in the prevalence of H.

Inside our recent overview of Asian studies, infectious diseases such as pulmonary tuberculosis and paragonimiasis were identified as important factors behind chronic cough in several South and Southeast Asian countries [24 ]. Additionally, gastroesophageal reflux could cause or trigger cough hypersensitivity, via neuronal sensitization [20 ]. Chronic cough is really a significant condition with a high prevalence and a solid negative impact on the caliber of life [15 We conducted a literature review to look at common comorbidities in Korean adult patients with chronic cough, their clinical implications, and the issues that still must be addressed in the development of clinical evidence of chronic cough in Korean adult patients. Chronic cough is a significant medical condition with high prevalence and a solid negative impact on the caliber of life.

Even though prevalence of gastroesophageal reflux disease (GERD) used to be low in East Asia compared to Western countries, it has been increasing, most likely as a result of socioeconomic development in the East. Evaluations of life-style factors and the severity of Gastroesophageal reflux disease; a case-control study Introduction: Medical therapy of gastro-esophageal reflux disease (GERD) is based on the application of proton pump inhibitors (PPIs) as first choice treatment. The Effect of Zinc Supplementationon the outward symptoms of Gastroesophageal Reflux Disease; a Randomized Clinical Trial

Automated impedance-manometry analysis detects esophageal motor dysfunction in patients who’ve non-obstructive dysphagia with normal manometry . Correlation of esophageal pressure-flow analysis findings with bolus transit patterns on videofluoroscopy . Assessment of esophageal dysfunction and symptoms during and after a standardized test meal: development and clinical validation of a fresh methodology utilizing high-resolution manometry . Pharyngeal swallowing and oesophageal motility throughout a solid meal test: a prospective study in healthy volunteers and patients with major motility disorders .

asians have more acid reflux den others

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