Thank you for your query at DoctorSpring.com. I can understand your problem, and will try to help you the best possible
Let me explain the disease first ->
Sir your problem is Gasto-oesophageal reflux disease (GERD). There may be a associated allergic pharyngitis also.
Gastroesophageal reflux disease (GERD) is a condition in which the contents of the stomach are regurgitated back up into the esophagus.
Lining skin of oesophagus and pharynx is not as strong as of stomach. So this acid reflux caused oedema( swelling) there, So it will cause irritating sensation, foreign body sensation or sticky sensation and will cause dry irritant cough. Reflux increases when we lie down, so your problem increasing in night time.
Treatment usually involves a combination of medication, weight reduction if necessary, and changes in diet and lifestyle.
Weight loss can greatly reduce symptoms in obese people.
Avoidance of certain foods (such as caffeinated and/or carbonated drinks, chocolate, fatty foods, alcohol, and spicy foods) and stopping smoking can help to prevent reflux.
Eating meals at least one to two hours before lying down or going to bed and elevating the head of the bed a few inches may also help to prevent stomach contents flowing back up into the esophagus.
Proton pump inhibitors such as esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix) and rabeprazole (Aciphex) are another type of drug, which may be given regularly to cut down the acid production of the stomach and promote the healing of ulcers.
You can start with Tab. Rabeprazole 20 mg half an hour before breakfast once daily for 3 months after consulting your physician.
Rather than codeine(it causes constipation) we can start
Syr. Piriton –CS (Combination of chlorpheniramine maleate and dextromethorphan hydrobromide) 5 ml two times daily for 1 week. This will word as anti allergic and as a cough suppressant.
There is no role of antibiotic, it will make it worse only.
Summary of treatment ->
1. Life style changes
2. Rabeprazole 20 mg half an hour before breakfast once daily for 3 months
Hope this helps. Feel free to ask if you have any further queries.
Dr. Sunil Jalan
MBBS, DLO,MS(ENT), DNB,DAA