You have not included vocal cord dysfunction cause by acid reflux burning the vocal cords. It causes changes in voice quality, makes asthma worse and makes intubation for any operation very difficult needing a consultant with specialist skills.
I also found problems with PPI because I don’t tolerate sugar which is used as a filler in most capsules. I found omeprazole was available as a tablet with sugar. I’ve been fine on it since. But you do have to ask for it.
Correction omeprazole tablet is without sugar.
Interesting. I'm currently suffering real problems with throat breathing and tired voice. Docs are not clear its asthma as lung.tests all good. So,......
It sounds similar to my issues. But I have been as asthmatic since 10mths old due to whooping cough. So I had a proven record of asthma.
The vocal cord issues came on fairly quickly but were not diagnosed until I had an operation and even the consultant anaesthetist could not intubate me for over an hr.
I was under a specialist heart hospital and asked to speak to the consultant anaesthetist- lovely guy with sense of humour.
He worked out how to intubate and my heart operation went ahead safely.
I don’t know if u r in UK or not.
But u need to find a sPecialist centre where u can get a nasal endoscopy done to view the vocal cords. Sometimes this is an ENT specialist or an asthma - upper respiratory specialist.
I don’t know if I’m allowed to recommend who or where on LONDON since I’m totally new to this Webb site & barely understand it. But worked 30 yrs in ENT so know the system.
Thanks. I'm in North UK. I've been referred to specialist cough clinic in Preston. They are going to examine my larynx to see whats going on. My amazing resp consultant (as I asked for second opinion on asthma diagnosis) thinks, not asthma but something else...hence the referral to specialist centre. I wait my appointment.....its going to be a long wait due to Covid. I'm told that if it is some larynx disfunction, I'll probably need Speech and language therapy. We will see. Thank you. Good to chat. 🙂
I’m under Royal Brompton and an environmental asthma clinic. I had speech therapy but stop from lockdown. Not that I found it helpful. I now have a respiratory physio who is better.
Basically the back of the pharynx becomes over sensitive to any irritant in the air or food.
The main exercise is a short sniff followed by a slow blow out. This causes the throat muscles to open to get rid of the irritant.
Drinking small sips of water on regular occasions during the day is of most help because it helps to wash away the acid from the stomach.
This diagnosis does not preclude asthma, it isn’t an either /or, but some consultants do see it that way.
I have asthma meds which I use with a spacer any other way causes intense irritation of the pharynx/larynx.
I never use ventolin via a puffer but use a nebuliser with liquid salbutamol. This much better for controlling coughing spasm.
The hospital will lend these out but usually largrcompression nebulisers. I bought a small portable sonic nebuliser; an moron. At the time, several yrs ago, it £300 but they are now £100. It has saved my life and my sanity many times. So I recommend if u can the liquid salbutamol from your GP.
Do be very careful of what u eat and what air u get into. Eg I belong to a disable swimming club and partake in galas around UK. Some pools are ok other pools use different types of cleanser and I can’t stay as it sets off my asthma.
Avoid perfume counters, detergent sections in the supermarket.
Make a list of places where it’s worse before u go and to give your existing resp guy- he sounds nice. Ask him if he had a resp physio u could see while waiting to look at breathing techniques.
My daughter lives in Skipton.
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Correction- the name of the sonic nebuliser is an omron- my iPhone clearly thinks it’s stupid.
A friend gave me this iph at the beginning of lockdown to get shopping- I’m shielded. I still trying to master it, rather than it mastering me and driving me to pulling my hair out!!😢🦉🌹
Try to avoid capsules of any Med. They usually contain substances to make it fizz in the stomach to release the Med- or in the small intestine. These always set off reflux and a coughing or burning in the oesophagus. Most meds can be obtained in tablet form thus avoiding sugar fillers, fizzers and heartburn.
Check out our website opa.org.uk or RefluxUK
Please can someone help, I’m so tired and just need answers
Acidity flare ups 
Lansoprazole ? 
on going heartburn with esophagitis 
Very confused and don't know what to do to help my body heal
