<human>: Hello, I am having bronchial asthma for last 15 years. I am now 40 years old. Recently ( last two months) i have developed symptoms like chest burn or heart burn associated with increased asthmatic spasm. As per my observation , i feel better when i drink more cool water.  Is this related to acid reflux or gastroesophageal reflux disease...?
<bot>: Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions to you:1. First, yes, from your complaints, I would first think of acid reflux/HERD.2. I usually suggest my such patients regular antacid like pantoprazole before meals for at least 6-8 weeks.3. I also suggest them to avoid hot/spicy foods, caffeinated beverages, alcohol, smoking.4. Furthermore, I suggest my HERD patients to take a brief relaxing walk after evening meals.5. HERD is a very important consideration in patients with asthma as many Chat Doctor. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards.