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"These drugs are effective for treating

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heartburn, and if you have asthma and heartburn, then these drugs may well be used for those symptoms." Wise said the researchers were not advocating that anyone stop taking
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their medications, but that they should talk with their physicians. "People need to follow their doctor's advice and take their asthma medications
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on a regular basis," he said. The study, which was funded by the American Lung Association and the U.S. Acid reflux might cause asthma symptoms through aspiration of fluid into the airways, or acid might irritate
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the esophagus and upper airway, according to the study. Proton pump inhibitors work by suppressing acid production. The diaphragm may overinflate, and the extra pressure may cause the esophageal sphincter
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to herniate, allowing
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fluids to toby out of the stomach. But a study in the issue of the New England Journal of Medicine repots that a PPI probably isn't going
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to help lessen wheezing in people with silent GERD.

"If you have questions or concerns because you're taking Nexium or another proton pump inhibitor, talk to your doctor." The U.S.

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All had either no symptoms or just minimal symptoms of GERD. According to Wise, people given the drug took a larger-than-standard dose. "Patients with asthma that is not adequately controlled with
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the usual asthma medications, and who have no symptoms of heartburn, but who may or may not have silent GERD, don't seem to have any improvement of asthma when treated with esomeprazole (Nexium)," said one of the study's authors, Dr. Although the two conditions may seem quite different,
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doctors have long suspected that they're linked, with each disorder possibly triggering the other.

In most people, he said, a 40-mg dose would suppress nearly all acid production in the stomach. The rate of asthma events was 2.3 per person-year for the placebo group and 2.5 events per person-year

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for the treatment group. Acid Reducers May Not Help All With Asthma --
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Acid-suppressing medications won't ease asthma symptoms if you don't have heartburn symptoms, too, a new study has found.
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And asthma might trigger GERD when it causes difficulty breathing. There was no statistically
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significant difference between those who took Nexium and the placebo group with respect to asthma control, lung function, GERD symptoms, night awakenings and quality
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of life, the study found. "The vast use is around treatment
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of GERD and heartburn," he said. But some people have what's known as silent GERD, meaning they have no symptoms.

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Hains, a spokesman for AstraZeneca, which makes Nexium, said that the drug is not indicated for use in asthma and asymptomatic GERD. National Heart, Lung, and Blood Institute has more on asthma treatments..
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To reduce that possibility, doctors have been prescribing acid-suppressing
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medications known as proton pump inhibitors (PPI). "For those who have asthma and have GERD, we want to make sure they continue to take their medications as directed," Hains said.

"Our study sho this is not an effective practice," Wise said. They took 40 milligrams of Nexium or a

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placebo twice a day. Doctors have suspected that if people with asthma breathe in during reflux, they might breathe irritating stomach fluids into the lungs. National Institutes of Health, included 412 people whose asthma was badly controlled even though they were being treated with inhaled corticosteroids.

Robert Wise, a professor of medicine in the division of pulmonary and critical care medicine at Johns Hopkins University School of Medicine in Baltimore. Many people with asthma also have gastroesophageal reflux disease, or GERD.

   
















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