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Thursday, December 12, 2013
Scleroderma, PH, GERD and cough syncope
My husband has scleroderma-crest, the most serious is the Pulmonary Hypertension. He has had two dilations of the esophagus, but has diaphrahm constriction (hernia surgeries-4,& large gortex.) He is on bosentan, aldactone,nexium,viagra,coumadin,some lasix; recently discontinued diovan and digitek due to the cough syncope - yet no relief. The cough was the first issue presenting 5 years ago, and continual nasal drip has not helped. What possible treatments are available that he can use with PH? The cough seems to be the issue and there is no warning symptoms.
Cough in scleroderma-crest can be because of persistent reflux or development of lung fibrosis. Post nasal drip and/or asthma can also lead to cough. It would be best to identify what is causing the cough and treat that problem.
Namita Sood, MD, FCCP
Associate Professor of Pulmonary, Critical Care & Sleep
College of Medicine
The Ohio State University