• Fifteen patients with both nonallergic asthma and symptomatic gastroesophageal reflux were studied before and after an eight-week period of vigorous antireflux therapy, which included ranitidine hydrochloride, 150 mg twice a day. Pulmonary and esophageal symptoms were recorded on daily diary cards. Therapy was associated with prompt amelioration of reflux symptoms and with a less dramatic and more delayed improvement in pulmonary symptoms. Objectively, esophageal erosions healed completely in eight of the ten patients who had them at the beginning of the trial, and pulmonary function measurements improved significantly. Intraesophageal infusions of physiologic saline and 0.1N hydrochloric acid in patients and healthy controls did not significantly alter pulmonary function, as measured by standard spirometry. There is a subset of patients in whom bronchoconstriction is triggered by gastroesophageal reflux. Treatment of reflux in such patients may improve their asthma.
(Arch Intern Med 1987;147:56-60)
Harper PC, Bergner A, Kaye MD. Antireflux Treatment for Asthma: Improvement in Patients With Associated Gastroesophageal Reflux. Arch Intern Med. 1987;147(1):56–60. doi:10.1001/archinte.1987.00370010060015
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: