For the past few years I have had a problem with prolonged coughing fits, particularly after meals, in cold weather and when I m out walking. My doctor sent me to a specialist who said it was just an allergy. Then I had a follow up visit with another specialist and he said it was dry skin due to old age (I m 62). My doctor tried me on anti-histimines, steroids and asthma inhalers but nothing worked. Then I read online about GERD and she gave me a losec type drug which which while not curing the problem, gave me relief when nothing else did. After a while, they didn t work any more and I tried cider vinegar, which worked for an ever shorter time. I read about an operation to repair the oesophageal syphincter. I don t know if that would help me. I get no heart burn, just the coughing.
Thanks for your question on Chat Doctor. In my opinion you should first try lifestyle modification and Chat Doctor.  Surgery is the last option. Lifestyle modification needs following things to be done.1. Avoid oily, spicy and hot food.2. Avoid large meals. Instead, take frequent small meals.3. Avoid stress and anxiety. 4. Go fir walk after meals.5. Keep 2-3 pillows under your head in bed. Along with all these, you should take proton pump inhibitors and prokinetic