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Isaac KM et al. – Health care providers should be aware that GERD is a potential trigger of asthma, although not all asthma patients with GERD experience reflux symptoms. All patients with asthma should be questioned about reflux symptoms, and antireflux therapy, in particular high–dose PPI therapy, should be initiated if appropriate. If symptoms are not improved after 3 months of empiric therapy, then either reflux is inadequately controlled or GERD–induced asthma is not present. Referral to a gastroenterologist may be warranted.

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