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Children with continuing recurrence of cough and croup could probably be suffering from stomach acid reflux.
Croup, or ‘Kali Khansi’ as it is called in local parlance, is characterized by a loud cough, often sounding like the barking of a seal. It can lead to rapid or difficult breathing, and sometimes wheezing. Croup seems to be caused by a virus; however, reflux acidity has been suggested as a possible trigger.
In gastroesophageal reflux disease (GERD), stomach acid leads to swelling and inflammation of the larynx, thus narrowing the airway. It can trigger more swelling with any viral or respiratory infection.
Identifying children with GERD could assist with the treatment and improve recurring croup. It is unusual for a child to have three or more bouts of croup over a short span of time. Therefore, these children need to be evaluated.
The same is true for adults also. Patients with non-responding asthma should be investigated for underlying acidity as the cause of acute asthma.