What is meant by the term “stomach cough”? Quite often, people encounter such a cough, but few people know about the reasons for its appearance, and perhaps they don’t even realize that a seemingly ordinary cough can become a sign.

Such a symptom can appear at any time, in the absence of a sore throat or cold, disrupting the normal functioning of the body. At the same time, phlegm is released, there is a feeling of dryness, and the cough intensifies at night. Nausea, heartburn, dryness, difficulty breathing, but no cold are symptoms of a stomach cough.

Immediate consultation with a doctor is the correct action if you notice signs of such a cough. The specialist will order tests and prescribe a treatment plan. If you do not see a doctor in a timely manner and the prescribed treatment is not followed, complications may arise, the result of which will be negative.

Stomach cough occurs with food poisoning.

Conditions that provoke the appearance of stomach cough can be varied.

Age after 35 years, excess body weight, addiction to bad habits are factors that provoke the development of stomach cough.

If this sign is found in a child, then an urgent examination is necessary to prescribe treatment.

Characteristic symptoms

Stomach cough expresses itself in different ways, the differences are based on the main reason for its appearance. But the characteristic features will not allow this cough to be confused with a cold, ARVI or sore throat. All remedies for a common cough will not be effective when applied to a stomach cough. Signs accompanying stomach cough:

When lying down, the cough worsens, often at night. The patient finds it difficult to breathe and loses sleep. This causes lack of sleep, the person becomes irritable, weak, and an underlying illness develops.

Diagnostic methods

Abdominal ultrasound is a method for diagnosing this disease.

When self-medicating the first signs, the patient defines his condition as a cold or ARVI, and begins to take cough medicine, syrups, and lozenges.

If the cough lasts more than 5 days, the symptom becomes protracted, you should consult a doctor.

Not only can you not cure a cough on your own, but it can also make the situation worse; cough medications, sweet syrups, and lozenges increase the risk of developing the disease. Sugar in syrups will become a favorable environment for bacteria to multiply and develop.

The most important goal of a specialist is to identify the cause of the disease. Diagnostic methods prescribed by doctors have different forms:

1. Fibrogastroscopy or fibrogastroduodenoscopy: a general examination of the stomach and esophagus, the procedure is unpleasant, but very effective.
2. Blood and urine analysis: study of the general condition of the body necessary for diagnosis.
3. X-ray of the lungs: exclusion or identification of lung pathologies to determine the cause of cough.

The patient is referred to various specialists. It is important to go through all the necessary procedures, because proper functioning of the stomach contributes to the restoration and normal functioning of the entire body. If microbes are detected or obvious signs of infection, they are referred to an infectious disease specialist.

He conducts a detailed study of the tests, prescribes additional procedures, makes a decision on treatment, supplements or changes its content. A visit to a gastroenterologist is prescribed in case of disruption of the gastrointestinal tract. The specialist is obliged to carefully study the patient’s data and give an opinion in accordance with the individual characteristics of the body.

Treatment is determined by the attending physician only after receiving all the tests and conducting a detailed study.

Therapeutic measures

Diet is the key to getting rid of stomach diseases.

Stomach cough requires complex treatment. First of all, it is necessary to find out the underlying disease.

Without a full examination, this is impossible; self-treatment can lead to disruption of the functioning of the stomach organs and deterioration of the body’s condition.

Compliance is the key to getting rid of not only coughs, but also stomach diseases. The diet should be enriched with vegetables, lean meats and fish.

Special treatment is prescribed against the development of microbes. An individual diagnosis of the patient’s general condition is carried out, on the basis of which cough medications are prescribed. But most often, only after completely getting rid of the stomach disease can you forget about such a cough. The therapy uses phlegm thinners to improve breathing.

It is often used as an addition to the prescribed treatment, without worsening it. Their use should be under the supervision of a physician. The recipes are quite different. Olive oil and honey are suitable for gastritis. Honey envelops the walls of the stomach, soothing and normalizing the functioning of organs. The product is stored in the refrigerator, taken 1 tsp before meals.

Also, if you dilute mumiyo crumbs in warm milk and take them 2 times a day before meals, you can get rid of a cough. Milk itself contains many beneficial substances, and drinking large amounts of milk is effective in treating stomach diseases.

Consuming on an empty stomach will be a good remedy not only for cough, but also for reducing acidity. Many freshly squeezed vegetable juices help with stomach diseases.
Everyone knows that herbs are a cure for many diseases.

Most folk remedies include herbal tinctures and decoctions. In the fight against the disease in question, you can also use herbs. Decoctions of licorice, chamomile, and sage will help in the treatment of stomach cough. They have an enveloping effect and muffle the cough.

If a symptom such as stomach cough appears, it is important to promptly consult a doctor and start treatment. The ease of this sign should not be neglected. Development and negative impact on the entire body can lead to negative consequences. Therefore, the main measure would be to contact a qualified doctor, undergo a full examination and receive quality treatment.

Watch the video about stomach cough:

Tell your friends! Share this article with your friends on your favorite social network using social buttons. Thank you!

Telegram

Read along with this article:

• 
  Signs of pneumonia in adults require special...
• 
  Worms in infants: symptoms, information about pathology, methods...

Chronic pancreatitis is quite common. It is caused by inflammatory diseases of the hepatobiliary system, duodenum, and other parts of the intestines, vascular diseases, infections, intoxications, alcohol intake, and allergies.

Clinically, the following main forms are distinguished: latent (painless), chronic recurrent (painful) pancreatitis, pseudo-tumorous (icteric) pancreatitis and chronic pancreatitis with predominantly impaired internal secretion.

In the latent form, dyspeptic disorders and periodic diarrhea predominate. The results of biochemical studies indicate a violation of external or intrasecretory function. Insufficient secretion of lipase, amylase, trypsin, and impaired carbohydrate metabolism are often noted.

With painful pancreatitis due to a violation of the diet, pain occurs, sometimes very intense. More often it is localized in the left hypochondrium. In this case, signs of exocrine insufficiency appear - emaciation, diarrhea. The diagnosis is confirmed by X-ray and enzymological studies.

Pseudotumorous pancreatitis often develops as a result of alcoholism. Its main symptoms are pain and impaired exocrine function, mechanical jaundice, and rapidly progressive emaciation.

In chronic endocrine pancreatitis (caudal), as a rule, the islets of Sobolev-Langerhans are affected. The disease takes on a hypoglycemic or hyperglycemic form. In the hypoglycemic form with preserved fatness of patients, signs of hypoglycemia appear. The hyperglycemic form is characterized by symptoms of diabetes mellitus along with pain and signs of impaired exocrine function.

Physiotherapy of chronic pancreatitis requires a very careful approach. It is possible only without exacerbation of the disease. One of the effective methods is drinking treatment, which is carried out in the phase of remission or unstable remission. Thus, in case of insufficiency of exocrine function, carbon dioxide, sodium chloride, sodium chloride-bicarbonate-sodium, bicarbonate-chloride-sodium waters are prescribed, taking into account the secretory-motor activity of the stomach. With increased activity of pancreatic enzymes, low mineralization waters, neutral or slightly alkaline (Berezovskaya, Naftusya, Kharkovskaya No. 1, etc.) are prescribed.

In chronic pancreatitis, nnductothermy deserves attention. Moreover, low-heat doses stimulate the function of the pancreas, while heat doses inhibit it. Microwave therapy reduces the increased exocrine function of the pancreas, and when the latter decreases, it increases it. The procedures are performed on the epigastric region.

To stimulate the exocrine activity of the pancreas, UHF EP can be used in a low-heat dosage. Ultrasound of low intensity (0.4 W/cm2) when exposed to the epigastric region causes inhibition of amylase activity.

In order to improve trophic function, electrophoresis of novocaine, papaverine, which affects the condition of adjacent organs, sodium chloride baths, radon (1.5 kBq/l), pine baths, circulatory shower (temperature 37 ° C, 2-3 min, 8- 12 procedures every other day).

Thus, physiotherapy for chronic pancreatitis has an analgesic, antispasmodic, and anti-inflammatory effect. For patients with chronic pancreatitis in the absence of a tendency to frequent exacerbations, sanatorium-resort treatment is indicated.

In recent years, reports have appeared of the successful treatment of patients with acute pancreatitis using a constant magnetic field. Magnetic recorders (magnetoelast) were fixed to the pancreas area for a period of several hours to 10 days.

Treatment of pancreatitis differs depending on the form of the disease: or, the phase of the disease: remission of the chronic form or exacerbation, and the cause that caused pancreatitis. Symptoms of pancreatitis also vary depending on the form and phase of the disease.

Without treatment, pancreatitis can lead to various severe complications or death.

So, how to treat acute pancreatitis? Is it possible to cure chronic or acute pancreatitis without going to the hospital? ? No, going to the hospital for medical help is necessary! AND ?

It is impossible to cure pancreatitis on your own at home. In case of acute pancreatitis, hospitalization is required. In case of chronic pancreatitis, hospitalization is necessary if there are indications: increasing and unrelieved abdominal pain, complications, severe diabetes mellitus, weight loss.

Modern medicine has three treatment methods: changing the diet, drug and surgical treatment of pancreatitis. All these methods of therapy must be prescribed and monitored by the attending doctor.

Acute pancreatitis and its signs:

• girdling pain (pain affects both hypochondriums, back, epigastric region), intensifies after eating. Pain in acute pancreatitis when coughing, taking a deep breath, or sneezing does not tend to increase;

The pain is so severe that some patients lose consciousness.

• acute pancreatitis is characterized by persistent repeated vomiting, after which the patient’s condition does not improve. Vomiting recurs after every meal or water. Abdominal pain after vomiting does not decrease; on the contrary, it only intensifies. First, vomiting pieces of food, and then mucus and bile;
• irritability, tearfulness, mental changes up to the appearance of hallucinations: auditory and visual;
• in patients with concomitant diseases of the lungs, heart, kidneys, exacerbations of diseases and deterioration of condition (multiple organ failure) are possible;
• When a large amount of enzymes from the pancreas enters the blood, blood clots can occur in blood vessels: thrombosis of the portal vein, venous vessels of the head, heart, lungs, and intestines. The consequence of such massive thrombosis is consumption coagulopathy: bleeding from injection sites, catheterizations, punctures;
• acute pancreatitis can be manifested by marbling of the skin, yellowing of the sclera, and a common symptom is bloating and lack of intestinal motility;
• the first two days, as a rule, body temperature is within normal limits. On the third and subsequent days, the temperature may rise to 38 degrees.

Chronic pancreatitis is not always recognized in time and is often disguised as other diseases. There are three periods and variants of the development of chronic pancreatitis: initial, advanced and complicated.

In the initial period, the main clinical sign of the disease is pain. Pain of varying strength and duration. Vomiting, heaviness in the epigastrium and nausea may occur, but they are temporary and quickly resolve with treatment. The initial period lasts approximately 10 years.

The second period - expanded - occurs after 10 years of the disease. Abdominal pain becomes less intense, and vomiting, nausea, belching, heartburn, and bloating come to the fore. Nutrients and vitamins are not absorbed due to a lack of pancreatic enzymes to digest food. The stool becomes liquid and profuse. Patients lose weight.

The third variant of chronic pancreatitis is complicated. Complications can arise both in the initial and in the advanced period. These include infectious complications, diabetes mellitus, splenic vein thrombus, pancreatic cancer, left-sided pleurisy, pancreatic cysts and others.

A characteristic sign of complications in chronic pancreatitis is a change in the intensity and location of pain. Pain can be projected only on the back or only in the right hypochondrium; in some patients there is no pain. Pain usually occurs half an hour after eating. Symptoms of dyspepsia worsen: heartburn, vomiting, nausea, belching, diarrhea.

As mentioned above, pancreatitis is treated three methods:

• and lifestyle;
• drug treatment;
• surgery.

Acute pancreatitis is treated with fasting in the first 2-3 days.

In acute pancreatitis, an important condition in the first 2 days is to create rest for the pancreas so that it does not produce enzymes for digesting food. This is achieved by prescribing hunger and simultaneously supporting the body with nutrients (through a tube or through injections).

If there is no persistent vomiting or stagnation of contents in the stomach and intestines, then you are allowed to drink water. The water should be at room temperature, boiled, without gas. You can drink rosehip decoction, weak tea, but no more than 1 - 2 glasses a day. You need to drink at least 1000 - 1500 ml of water per day.

If long-term fasting is necessary, it is very important to support the patient's body with nutrients. This should be done using an enteral tube or through injections of special intravenous nutritional mixtures into a vein. An enteral tube is a tube that is inserted through the mouth into the intestines and feeds food into the small intestine.

This method of supporting the body is preferable and more physiological, since atrophy of the intestinal mucosa does not occur, rest is created in the pancreas, and conditions for normal functioning of the intestine appear.

It is advisable to use special nutritional mixtures that do not require additional enzyme preparations.

During prolonged fasting, parenteral nutrition is used as an alternative to an enteral tube. With this method of nutritional support of the body, intravenous injections of amino acid solutions are prescribed up to 1 liter per day, fat emulsions 0.5 - 1 liter per day, glucose with insulin 1 - 2 liters per day.

It is possible to use ready-made balanced parenteral mixtures containing all the necessary nutrients and vitamins (oleclinomel, for example). This method of supporting the body during fasting is expensive.

On the second or third day, the condition of patients with this treatment should improve noticeably. Now you can switch to oral nutrition, but this must be done very carefully.

You need to switch to nutritious oral nutrition gradually, after the symptoms of inflammation of the pancreas have completely eliminated, the patient’s condition has stabilized and appetite has improved.

First, slimy liquid soups, pureed porridges, fruit and vegetable purees are allowed. Dishes should not be hot or cold. It is recommended to eat in small portions, but approximately 5 – 7 times a day. The patient must adhere to such a diet for 3–4 days, then a mechanically and thermally gentle diet is prescribed for a month.

The next important point is the use of cold in the projection of the pancreas, which also contributes to the functional rest of the diseased organ.

Treatment of pancreatitis with medications has the main goal of creating rest for the pancreas so that it does not produce enzymes.

This is achieved by diet - starvation, and also prescribed the following drugs:

• a synthetic analogue of somatostatin, ocreotide, is the main drug in the treatment and prevention of complications of acute pancreatitis. The principle of action of this drug is to suppress the activity of pancreatic cells and suppress the secretion of gastric juice by the stomach, which creates rest for the pancreas. A side effect is the excessive “switching off” of the pancreas from the digestion process, which is manifested by bloating and copious loose stools. These signs are easily eliminated by reducing the dose or discontinuing this drug. The only contraindication for use is an allergy to this drug;
• treatment of pancreatitis is impossible without eliminating the increased amount of enzymes in the blood; for this, the drug aprotinin (Kontrikal,) is successfully used. This drug is administered intravenously or intra-arterially. Contraindications to the use of this medicine: allergic reactions to aprotinin, use of aprotinin in the previous 12 months, disseminated intravascular coagulation syndrome, allergy to cattle protein, pregnancy, childhood, lactation. Side effects: allergic and anaphylactic reactions, intravascular thrombosis, myocardial ischemia, hallucinations, confusion, renal dysfunction.

Aprotinin is produced from the pancreas, salivary glands and lungs of animals. Therefore, this medicine contains a foreign protein that can cause allergies in patients.

• H2 – histamine blockers and proton pump blockers. These drugs suppress gastric secretion, thereby inhibiting the synthesis of pancreatic enzymes. These include: ranitidine, famotidine, omeprazole, lansoprazole. Contraindications to the use of this group of drugs are: allergic reactions, pregnancy, malignant neoplasms of the gastrointestinal tract, lactation. Side effects: nausea, headache, allergic reactions in the form of skin rash, loose stools;
• To reduce pain, non-narcotic analgesics (tramadol, ketorolac, metamizole sodium, butorphanol) are used. Together with this group of drugs, H1 histamine receptor blockers (diphenhydramine, suprastin) are used, which enhance the analgesic effect of non-narcotic analgesics and have a sedative and antiemetic effect. It is possible to use antispasmodics (drotaverine, platyphylline);
• M1 - anticholinergic blocker - pirenzipine - affects only the gastrointestinal tract, has the property of inhibiting gastric and pancreatic secretion, regulates intestinal motility, improves blood supply to the pancreas, relaxes the sphincter of Oddi. Contraindication for use is congestion in the duodenum, allergy to this drug. Side effects: temporary blurred vision, dry mouth, loose stools, allergic reactions;
• procaine, glucose-novocaine mixture have analgesic properties, reduce pressure inside the pancreatic duct and reduce sphincter tone (Oddi);
• A very important point is infusion therapy, with the help of which the volume of circulating blood is normalized, the functioning of the kidneys, heart, and blood vessels is restored, and the body is cleansed of toxins. The volume, type of solution, and rate of administration are prescribed and determined by the attending physician, assesses the effectiveness and monitors the patient’s condition using pulse, blood pressure, central venous pressure, diuresis and blood pH;
• for concomitant diseases: HIV infection, viral hepatitis, oncopathology, diabetes mellitus, tuberculosis, pancreatitis due to cholangitis or use antibiotics for prophylactic purposes.

The specific antibiotic and dose are prescribed by the attending physician!

In people without the above-mentioned concomitant diseases, antibiotics are not prescribed for prophylactic purposes.

But if the slightest symptoms of inflammation appear (fever, deterioration of condition, signs of intoxication), it is necessary to decide on antibiotic therapy. They use powerful broad-spectrum antibiotics.

• Prokinetics (domperidone, metoclopramide) are used to eliminate congestion in the duodenum and stomach. These drugs also reduce spasm of the sphincter of Oddi and facilitate emptying of the gallbladder. Contraindications to the use of these drugs: allergic reactions, gastrointestinal bleeding, children under 5 years of age, mechanical intestinal obstruction, increased levels of prolactin in the blood, perforation of the stomach and intestines. Side effects: spasms of the intestinal muscles, constipation or diarrhea, changes in appetite, drowsiness, headache, increased prolactin levels, enlarged mammary glands, skin rash, changes in the menstrual cycle;
• acute pancreatitis is often accompanied by a violation of the intrasecretory function - insulin production. Lack of insulin and increased blood sugar. Patients with a mild form of this pathology are prescribed limited carbohydrate intake and medications that reduce blood sugar concentrations. For more severe pathology, insulin therapy must be used. When taking insulin, it is necessary to take into account that the blood sugar level should not be lower than 4.5 mmol/l, since a sharp drop in blood glucose is possible with the development of hypoglycemic coma.

Insulin therapy must be carried out under the control of sugar concentrations in the blood and urine.

1. used in 3 cases:

• with destructive pancreatitis;
• with peritonitis;
• early minimally invasive surgery is necessary in the presence of fluid formations to drain these formations.

A patient with acute pancreatitis first of all needs powerful drug therapy.

Surgical treatment of pancreatitis without special indications is relegated to the background, since unjustified intervention often leads to death. So, principles of surgical treatment:

1. For mild acute pancreatitis, good drug therapy is prescribed.
2. If there are indications for surgical treatment, the operation should be performed as minimally invasive as possible.
3. In case of pancreatitis of biliary origin (when the root cause of the disease is cholelithiasis), the gallbladder should be removed; the operation is recommended to be performed after the inflammatory process has resolved and clinical recovery has occurred.
4. For infectious pancreatic necrosis and sepsis, a surgical treatment method is used: purulent foci are drained.

1. Diet.

In order to reduce pancreatic secretion in the acute phase of chronic pancreatitis, fasting is prescribed for the first two to three days, cold is applied to the epigastric region, and drinking plenty of fluids. Then, on the third or fourth day, the diet is gradually expanded, meals are prescribed in fractional amounts, in small portions, but often. Limit fats, milk, organic acids.

In the phase of initial remission (fading exacerbation), the diet is gradually expanded, but the energy value of food is limited to 1200 kcal; if the condition improves, it can be increased to 2500 kcal (100 g of proteins, 400 g of carbohydrates, 50 g of fat).

Food must be mechanically, thermally and chemically gentle. Meals should be 5 - 7 times a day, before and after meals it is important to rest for 15 - 20 minutes. Food is prepared boiled.

Gradually, raw vegetables are being added to the list of allowed foods: cabbage, celery, carrots. Vegetables are excluded in case of severe deficiency of pancreatic enzymes, in the presence of loose stools.

It’s a good idea to include foods containing “proteolytic enzyme inhibitors” in your diet: potatoes, buckwheat, oatmeal, egg whites, soybeans, beans.

During the remission phase, it is very important to follow a diet, as this helps to stabilize the patient’s condition and prolong the remission phase.

The diet should contain an increased amount of protein with a reduced amount of fat (75 g fat, 130 g protein, 400 g carbohydrates).

The energy value of products should not be more than 2500 - 2800 kcal per day. It is good to eat cottage cheese, lean meats and fish, and various cereals in the form of porridges. If necessary, use enzyme preparations (Pancreatin, Creon, Micrasim).

Fried, smoked, spicy foods, alcohol, coffee, very fresh cookies and bread are excluded from foods.

1. Drug treatment:

• in order to reduce the secretion of hydrochloric acid in the stomach, thereby reducing pancreatic secretion, proton pump inhibitors are prescribed: omeprazole, lansoprazole, H2 - histamine receptor blockers: ranitidine, famotidine;
• antacid drugs (Almagel, Maalox, Phosphalugel) are also a necessary medicine. They are prescribed 4–7 times a day. Contraindications to the use of this group: allergies to these drugs, breastfeeding, severe kidney disease. Side effects: nausea, abdominal pain, constipation, drowsiness;
• Anti-enzyme drugs are used when the concentration of pancreatic enzymes (amylase, trypsin, lipase) in the blood increases and pain in the upper abdomen does not subside. These drugs include: aprotinin, contrical, gordox. The positive effect from the use of the above drugs appears on the 3rd – 4th day;
• to reduce pain, antispasmodics and non-narcotic analgesics are prescribed: baralgin, ketorol, platyphylline, drotaverine, papaverine;
• Recommended products for use include debridate and trimedate. This medicine restores the motor activity of the gastrointestinal tract: with weak peristalsis it increases, with strong peristalsis it has an antispasmodic effect. Contraindications: allergy to debris, pregnancy, lactation. Side effects: allergic reactions are possible;
• Enzyme preparations are used only those that do not contain bile acids. These include: pancitrate, creon, pancreatin, mezim. These drugs are used both during fasting and when food intake is resumed. It is very important to exclude drugs containing bile acids: festal, enzistal, panzinorm;
• to quickly restore the body, infusion and detoxification therapy are used;
• If it is impossible to relieve pain with non-narcotic analgesics and antispasmodics, then they resort to prescribing narcotic drugs. If the pain does not decrease within a week, provided that narcotic analgesics are added to the treatment, then one should think about the presence of a pathology that requires immediate surgical assistance.

Surgical treatment is provided in three cases with chronic pancreatitis:

1. Severe, intractable pain syndrome. In this case, before surgery, the pancreatic ducts are carefully examined to find the cause of the pain. The organ is examined using CT, MRI, and endoscopic retrograde cholangiopancreatography. If the cause of pain is cysts and pseudocysts in the tail of the pancreas, then distal resection of the pancreas is performed.
2. Pancreatic cancer is suspected if the diagnosis is not confirmed histologically.
3. Strictures, abscesses, cysts, pancreatic pseudocysts, pancreatic fistulas, duodenal stenosis - when these diseases cannot be eliminated by the endoscopic method, surgical treatment is resorted to. Pancreatogastrostomy is performed (drainage of cysts and pseudocysts of the pancreas into the stomach cavity): in 83% of patients the pain syndrome decreases or disappears, pancreatojejunostomy with distal resection of the pancreas is also effective (in 80 - 90% of cases) and a safe operation (mortality less than 2% and the complication rate is 5%).

Subtotal pancreatectomy and pancreaticoduodenectomy are traumatic operations, the principle of which is to remove the diseased part of the pancreas, as well as remove part of the stomach, duodenum, gallbladder, and sometimes the spleen.

The consequence of these operations is intra- and exocrine pancreatic insufficiency (poor digestion of food, diabetes mellitus, etc.).

Conclusion

Treatment of acute and chronic pancreatitis must be carried out by a doctor. Self-medication in this matter is unacceptable. If signs of acute pancreatitis and exacerbations of chronic pancreatitis are detected, it is necessary to promptly go to the hospital and receive good treatment under the supervision of specialists.

Symptoms of acute pancreatitis in typical cases are clearly manifested. The main symptom of acute inflammation of the pancreas is a rather pronounced sharp pain in the abdomen, localized primarily in the umbilical region or in the hypochondrium, most often in the left, but can also be in the right; the pain can also surround the patient. Pain in acute pancreatitis has its own distinctive features: it usually appears (up to 80% of all cases) suddenly, against the background of complete well-being, quickly becomes intense and does not subside even with the administration of strong painkillers, including narcotics. There is often a connection between the onset of an attack and the consumption of alcohol the day before or a meal with an abundance of fatty, spicy food. Most often, pain in acute pancreatitis radiates to the back.

In rare cases, there is no pain during acute inflammation of the pancreas (the so-called painless form of the disease); in this case, the patient is worried about nausea and vomiting, belching air, hiccups, bloating, upset stool and other dyspeptic symptoms.

The overwhelming majority of patients with acute pancreatitis experience nausea and vomiting, and movements or coughing (and even deep breathing) increase the pain, while complete immobility alleviates suffering to some extent. Nausea and vomiting do not bring relief to patients with pancreatitis. Often in acute pancreatitis there is flatulence (bloating), an increase in body temperature: usually moderate (37.2-37.4 ° C), less often significant, which happens with severe damage to the pancreas. A laboratory test in the urine reveals an increase in the level of enzymes produced by the pancreas; in the blood - an increase in the number of leukocytes (white blood cells), which indicates inflammation; The concentration of glucose (sugar) in your blood may also increase.

The main clinical manifestations of chronic inflammation of the pancreas:

• abdominal pain (usually after eating),
• bloating,
• nausea,
• feeling of discomfort
• weakness,
• stool disorder,
• weight loss.

In parallel, there is a disorder of the functions of the pancreas: the production of digestive enzymes and hormones is disrupted. In the presence of pancreatitis, persistent digestive disorders occur in the body due to the functional failure of the affected organ.

If exacerbation of chronic pancreatitis occurs no more than 1-2 times a year, this form of the disease is called rarely recurrent (relapse - repetition); with exacerbations that occur at least 3-4 times a year, the disease is considered often recurrent.

A distinction is made between primary pancreatitis, when the pancreas is primarily affected, and then neighboring organs are affected, and secondary pancreatitis, which develops against the background of diseases, for example against the background of chronic cholecystitis. The appearance or intensification of pain in patients with chronic pancreatitis is often associated with the consumption of alcohol, fatty, fried, smoked, baked, spicy, cold and fizzy drinks, fizzy and fortified wines. Most often, pain appears 30-60 minutes after eating and weakens or goes away after 2-3 hours.

However, with the so-called painful form of the disease, the pain can be almost constant, not as intense as during an attack, but aching. With chronic inflammation of the pancreas, pain is most often localized in the upper half of the abdomen, depending on whether the head of the gland, its body or its tail are more affected; pain is noted either in the right hypochondrium (head), or in the left (tail), or in the epigastric region (body of the gland).

Often the pain in chronic pancreatitis is girdling in nature, radiating (radiating) to the lower back, shoulder, lower abdomen, under the shoulder blade and even to the heart area, reminiscent of a heart attack. Vomiting, often observed in chronic pancreatitis, does not bring relief to the patient. Those suffering from chronic pancreatitis often experience a decrease in body weight, and after pain syndrome with chronic damage to the pancreas, this is the most common symptom.

Often, chronic damage to the pancreas is manifested by diarrhea, which can last several (3-5) days, not only during exacerbation of the disease, but also outside of exacerbation. Stool with pancreatitis is usually foamy, grayish, with particles of undigested food, and is poorly washed off the surface of the toilet (“greasy”). Quite often, dyspeptic symptoms are observed: loss of appetite, up to its complete absence, heartburn, nausea, vomiting, belching of air after eating or on an empty stomach, drooling, bloating.

After an intense attack of pancreatitis, especially with severe pain, jaundice may appear, which is relatively quickly eliminated with adequate treatment of the disease. If, during chronic inflammation of the gland, the islets of Langerhans, which produce insulin, are simultaneously affected, then symptoms of diabetes mellitus appear: increased appetite, unmotivated thirst and an increase in the volume of urine excreted.

Stomach cough is considered the first sign of colds, some chronic and acute forms of diseases of the upper and lower respiratory tract. Irritation of the respiratory tract and cough reflex can be the cause of disorders of internal organs, such as the heart, stomach or esophagus. In gastroenterological practice, the term gastroesophageal reflux is known. So, can a cough be caused by diseases of the stomach or esophagus?

Unpleasant sensations in the larynx

Nature of the pathology

Cough due to gastroesophageal disease (GERD cough) is non-productive, without sputum production, accompanied by pain and belching with an unpleasant odor. With reflux, it is impossible to reliably determine the nature of the cough, since during a coughing attack a certain amount of air comes out with belching, which may resemble the discharge of sputum. According to the type of course, gastroesophageal reflux is classified into two main forms:

• acute process;
• chronic form.

In acute gastroesophageal reflux, the cough is paroxysmal in nature and occurs immediately after any meal. An acute cough does not go away for a long time. When the disease becomes chronic, a cough accompanies the patient after eating foods that are aggressive to the gastric mucosa (sour, salty, spicy), is characterized by belching and disappears after some time. The cough may be accompanied by severe pain in the chest and heartburn. Differential diagnosis for suspected gastroesophageal reflux involves endoscopic examination methods. Minimally invasive techniques allow you to quickly identify any damage to the stomach or esophagus, tumor-like growths and other pathological formations.

Important! The treatment process for stomach cough differs from the nature of its occurrence. So, if there is damage to the esophagus as a result of chemicals entering its cavity, then intensive gastric lavage is performed. Minor gastric damage may require surgical correction. Any treatment is agreed with the doctor on an individual basis.

Etiological factors

The occurrence of stomach cough can be caused by a number of provoking factors. In children, the cause of the disease is often various anomalies in the development of the digestive tract. Adults suffer from pathology as a result of a lack of diet and a history of other diseases of the gastrointestinal tract. The main causes of stomach cough include the following conditions:

Stomach cough can be caused by a low standard of living, addiction to alcohol and tobacco, and drug addiction. The lack of a diet and high-quality multi-component food can contribute to the development of diseases that can provoke the development of stomach cough and severe belching.

Important! Stomach cough is not an independent disease; it is a symptom of some disorder in the epigastric region. The symptoms of stomach cough in adults and children are approximately the same, accompanied by pain and discomfort in accordance with the existing gastroenterological disease.

Clinical picture

The manifestation of gastroesophageal reflux in each patient varies depending on the triggering factors. It is the combination of cough and a burdened gastroenterological history that makes it possible to identify reflux from a sore throat, ARVI, cough due to heart failure, and colds. After treatment with mucolytic drugs, there is no relief from stomach cough, and attacks occur only after eating. Depending on the type of course of the provoking disease, cough features are also noted:

When the patient is positioned on his back (usually at night), coughing attacks may intensify, and its intensity may provoke a gag reflex. The disease is accompanied by general malaise, irritability, fatigue, and pain in the sternum due to frequent muscle contractions when coughing. Coughing with heartburn becomes the most unpleasant and is associated with the penetration of acid into the respiratory tract.

Important! With severe impairment of motility in different parts of the digestive tract, stomach contents are refluxed into the esophagus, which leads to acid damage to the mucous tissues. Cough with this pathology is accompanied by severe heartburn, dryness, intermittent breathing with a characteristic whistle, up to the development of apnea.

Diagnostics

The final diagnosis is made after studying the patient’s clinical history, his complaints, based on data from clinical studies (laboratory or instrumental). The most informative methods for studying internal organs include:

The course of gastritis is accompanied by secretions entering various parts of the esophagus. The condition occurs when the acidity of gastric juice increases. The irritated mucosa contains special receptors responsible for the formation of the cough reflex. A cough with gastritis of the stomach appears only an hour after eating, which allows the stomach to have time to digest a small part of it. Gastritis, when chronic, is detected by gastroscopy. Treatment of gastritis comes down to reducing the acidity of gastric secretions, prescribing a strict diet, and eliminating aggressive and unhealthy foods. Advanced forms of gastritis lead to ulceration of the gastric mucosa, opening the beginning of the development of ulcerative damage to the organ. Against the background of the rapid development and spread of ulcerative lesions on the mucous membrane, the patient complains of pain in the chest, back or abdomen, a deep cough without sputum and difficulty breathing. The cough with a stomach ulcer is dry, debilitating, with a strong sore throat.

Important! Stomach ulcers and gastritis are among the most common diseases that provoke the formation of gastroesophageal reflux and cough. Identifying the root cause of cough allows you to develop the correct treatment tactics and allows you to cure the disease in the early stages using conservative methods without surgical intervention.

Treatment tactics

Before treating a stomach cough, you must undergo a full examination. Treatment of stomach cough is carried out comprehensively, which is explained by the multidirectional course of the pathological process. Therapy is aimed at eliminating the root cause of cough, relieving pain, and restoring normal well-being. Drug correction of the pathological condition is predominantly used. Surgery is indicated when drug treatment is impossible or ineffective or in severe forms of the provoking disease. Mandatory therapy includes a special diet, which includes a number of basic rules:

• small portions of food (up to 5 times a day);
• cooking from quality products;
• exclusion of fast food, alcohol, tobacco;
• after eating you need to walk or sit for about half an hour;
• presence of fruits and vegetables in the diet.

With adequate therapy, the cough gradually goes away. After treatment, patients are forced to maintain a healthy lifestyle, engage in normal physical activity, and eat properly and regularly. Following the doctor’s recommendations will protect you from relapse of the disease.

Important! Mandatory in the treatment of cough with heartburn is the prescription of drugs from the antacid group. Antacids carefully envelop the mucous membrane of the stomach and lumen of the esophagus from the aggressive effects of secretory fluid. The dosage and duration of the course are determined only after the final manifestation of the diagnosis.

Cough with gastrointestinal tract disease is an unpleasant symptom. With adequate therapy, the cough gradually goes away. After treatment, patients are forced to maintain a healthy lifestyle, engage in normal physical activity, and eat properly and regularly. Following the doctor’s recommendations will protect you from relapse of the disease.