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.