Can reflux disease affect the lungs?

A patient’s story

Jane, a 47-year-old teacher living in south London, came to LSDC Clinic because of a persistent dry cough that had lasted for months. Her chest X-ray was normal. Inhalers made little difference. She did not feel breathless, yet the cough disrupted her sleep and her voice.

 

What surprised her most was that she rarely experienced classic heartburn. She did mention occasional throat irritation and a sour taste in the morning, symptoms she never connected to her chest. This scenario appears frequently in clinic and often leads us to explore the relationship between reflux disease and the lungs.

What is reflux disease?

Gastro-oesophageal reflux disease, often called GERD, occurs when stomach contents move back up into the oesophagus.

This happens due to:

  • Weakening of the lower oesophageal sphincter

  • Increased pressure within the abdomen

  • Impaired clearance of acid from the oesophagus

GERD does not always cause burning chest pain. In many patients, symptoms appear outside the digestive system.

How reflux can affect the lungs

Reflux disease can affect the lungs through two main mechanisms.

Micro-aspiration

Small amounts of stomach contents can travel beyond the oesophagus and enter the airways. This process is known as micro-aspiration.

It often occurs:

  • At night

  • Without obvious choking

  • Without classic reflux symptoms

Even tiny amounts of acid or gastric fluid can irritate the airways and lung tissue, leading to inflammation.

Nerve reflex pathways

Acid exposure in the oesophagus can trigger reflex pathways that cause coughing or airway narrowing, even without fluid entering the lungs.

This explains why lung symptoms may occur despite minimal digestive discomfort.

Secure Your Appointment. Your Path to Relief Starts Here.

Lung symptoms linked to reflux disease

In our clinical experience at LSDC Clinic, reflux-related lung symptoms often include:

  • Chronic cough

  • Wheezing

  • Throat clearing

  • Recurrent chest infections

  • Voice hoarseness

These symptoms frequently overlap with respiratory conditions, which leads to delayed recognition of reflux as a contributing factor.

Reflux, chronic cough, and asthma

Chronic cough

Reflux represents one of the most common causes of chronic cough in adults. Many patients receive repeated respiratory treatments before anyone assesses the oesophagus.

The cough persists because ongoing acid exposure sensitises the cough reflex.

Asthma overlap

Reflux can worsen asthma symptoms by:

  • Increasing airway inflammation

  • Triggering bronchospasm

  • Reducing asthma control despite correct inhaler use

This does not mean reflux causes asthma, but it can complicate management if left unrecognised.

Why reflux-related lung symptoms are often missed

Reflux affecting the lungs frequently presents without:

  • Chest pain

  • Obvious indigestion

  • Meal-related discomfort

Patients may feel confused when tests appear normal, yet symptoms continue. Without a structured assessment, reflux remains overlooked while symptoms persist.

A structured assessment approach at LSDC Clinic

At LSDC Clinic in central London, we approach suspected reflux-related lung symptoms systematically.

We focus on:

  • Symptom pattern and timing

  • Night-time and voice symptoms

  • Interaction between breathing and reflux features

  • Excluding primary lung disease when appropriate

Correct diagnosis matters. Treating the lungs alone without addressing reflux often leads to incomplete improvement.

When to seek specialist review

You should consider medical assessment if:

  • A chronic cough lasts longer than eight weeks

  • Respiratory symptoms worsen at night

  • Asthma remains poorly controlled

  • You experience throat symptoms without clear cause

  • Repeated chest infections occur without explanation

Early clarification often prevents prolonged uncertainty.

Speak to a clinician about reflux-related symptoms

LSDC provides high-quality private services in central London, offering thorough medical assessment, treatment, and referral when needed. Whether you require clinical evaluation, ongoing care, or specialist coordination, our experienced clinicians are here to support you with clarity and professionalism.

Book Your Private Gastroenterology Appointment in London Today

FAQ's

Can reflux affect my lungs without heartburn?

Yes. Many patients experience silent reflux, where lung or throat symptoms appear without chest burning.

Can reflux cause pneumonia?

Recurrent aspiration can increase the risk of chest infections in some individuals.

Will treating reflux improve breathing symptoms?

In many cases, addressing reflux reduces cough and airway irritation, but outcomes vary.

Is reflux-related cough common?

Yes. Reflux is a frequent contributor to chronic cough in adults.

Schedule an appointment

Schedule an appointment to book a convenient time for your consultation, service, or meeting.

Subscribe Our Newsletter

Subscribe to our newsletter for the latest updates, exclusive offers, and valuable insights delivered regularly.
Scroll to Top

Contact

Find our clinic

23 Widegate Street, City of London, London, E1 7HP, United Kingdom

Media channels

(You may need to log in)