User Submitted Question: My asthma was diagnosed as reflux-induced. The usual reflux meds control my reflux only partially, since I have a weak sphincter muscle and hiatal hernia. Vanceril hasn’t helped much either.
Is there some steroid inhaler that is advisable for reflux-induced asthma, or is there some other way to treat it short of surgery (which I’m trying to avoid)?
No one steroid seems to be better than any other for any asthma if dosing is equivalent (i.e. some are stronger than others) and there’s no particular steroid that will be better for reflux related asthma.
Other measures to help with reflux are to avoid mints and chocolate, avoid eating close to bed time, sleep with the head of the bed elevated a little (brick under headboard posts), avoid obesity, and some surgical options.
I have the same thing, with bad sinuses and draining to boot! Anyway, my doctor told me to take a tablespoon of an antacid (Mylanta etc:) before using my inhaler. I use albuterol. I should also add that my “need” for albuterol is NOT a daily requirement (at this point and knock on wood) My reflux is also from a bad sphinctor and there’s no telling when it will “flare” up. All I can say is that fried foods, chocolate, carbonated colas, alcohol, smoking and at times, too many starches, spices and hard-to-digest foods like eggs can cause an attack. Are you taking any additional vitamins/supplements? Vitamin C as well as the fad of taking shark cartilage can cause problems. Stress is
another trigger as well as eating, drinking a few hours before going to bed. Well, I’ve had “attacks” even when I thought I was doing everything “right”. If you have to use an inhaler everyday or some other medication, please check
with your doctor before trying an antacid. You can also try Spiriva (check for costs here). As I said, I do not at this point have to use an inhaler every day and I was advised not to take the antacid before my inhaler while taking pills….such as my blood pressure meds or anyother asthma med I’ve taken over the past 9 months. I was told to keep these actions separate as drug interactions can occur. Also, for the reflux, my doctor told me several years ago that taking a fiber supplement (likeMetamucil) could help. Well, I did and it did not help me but then again, you might want to ask your doctor about this. I’ve heard that taking 1 tablespoon of cider vinegar mixed with a six-ounce glass of water before eating helps to quiet stomach acid. I have done this and it did seem to help some, yet I do not have the patience to practice this everyday.