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My mother is 51 years old, and over the past one year, she has been having cough problems. This seems to happen every two days (sometimes before food, sometimes after). On some of these occasions it is just cough, but on others it leads her to throw up (not necessarily food, sometimes only phlegm). One of the previous doctors she had consulted, recommended she take an endoscopy of esophagus, but she is not comfortable with that. Do these symptoms have anything to do with menopause? is there an alternative to endoscopy? if endoscopy is a must, can it be done with anesthesia? kindly advice. Someone I know from work has consulted with you for their mother who had similar symptoms, hence seeking your guidance.

2 Doctors Answered
I seriously suggest you to undergo endoscopy asap to rule out any kind of obstructive disease and ulcers. Endoscopy is non invasive and very easy investigation done in opd. Generally it is 5-10 minutes job in hands of experienced endoscopist. Inj. Midazolam is given and there is no need of any anaesthesia. Patient does not know & will not remember the procedure.
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Hi . These symptoms don't appear to be related to menopause. It sounds like she has acid reflux disease or laryngopharyngeal reflux disease. There is a simple way to rule this out. Give her an antacid like tab sompraz 40 mg or tab neksium 40 mg empty stomach once in the morning for a week. If her symptoms improve for 2-3 days with over 50% recovery then the diagnosis is likely and she can continue the medications for 3 weeks. If there is no change in her condition then she is recommended to undergo an endoscopy which can be performed under anesthesia if requested to the gastroenterologist.
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