Chronic Cough

Dear Dr. Meletis,

I have a constant cough due to stomach acid and nasal drip. I take a multi-enzyme formula and DGL. What do you suggest?

Thank you,

Mr. L.

Dear Mr. L.,

It is estimated that upwards of 50 percent of people have silent acid reflux, and that 25 percent of individuals with chronic sinusitis have the condition of acid reflux. The most important thing to do first and foremost is to avoid caffeine and chocolate after 12 noon. Also to consume no liquids 2 hours prior to bed.

If you have not been tested for H. pylori, the bacterium linked to gastritis and ulcers, this is something to visit with your doctor about. Many patients with acid reflux issues will also raise the head of their bed by 4 to 6 inches.

Relative to supplements, the quality of the enzyme is important, so trying an enzyme produced by a certified Good Manufacturing Practices facility is a must. VRP is cGMP and offers a product called Digestive Enzymes.  Also if DGL is not working by itself in a chewable form, the combination of DGL and mastic gum (as in CeaseFire®) often works well together.

Additionally, since it is obviously the GI tract that must cope with the foods we consume, it is not surprising that identifying and avoiding foods that serve as triggers to indigestion can be very helpful. A delayed IgG Food Allergy Test, which many of my patients have incorporated into their wellness program to aid in improved digestion and a myriad of other symptoms, is available here.

In regards to the nasal symptoms, QuerCelain® and EpiCor® are both strong considerations and work well together. Washing your hair prior to bed and not sleeping with down pillows or comforters also can help.

Sincerely,

Chris D. Meletis, ND