{"id":5823,"date":"2023-06-01T06:30:47","date_gmt":"2023-06-01T09:30:47","guid":{"rendered":"https:\/\/gastropedia.pub\/pt\/?p=5823"},"modified":"2025-03-03T18:25:59","modified_gmt":"2025-03-03T21:25:59","slug":"minha-tosse-e-por-causa-do-refluxo","status":"publish","type":"post","link":"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/esofago\/minha-tosse-e-por-causa-do-refluxo\/","title":{"rendered":"Minha tosse \u00e9 por causa do refluxo?"},"content":{"rendered":"<div class=\"pdfprnt-buttons pdfprnt-buttons-post pdfprnt-top-right\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/5823?print=pdf\" class=\"pdfprnt-button pdfprnt-button-pdf\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/pdf.png\" alt=\"image_pdf\" title=\"Ver PDF\" \/><\/a><a href=\"https:\/\/gastropedia.pub\/pt\/wp-json\/wp\/v2\/posts\/5823?print=print\" class=\"pdfprnt-button pdfprnt-button-print\" target=\"_blank\" ><img decoding=\"async\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/plugins\/pdf-print\/images\/print.png\" alt=\"image_print\" title=\"Conte\u00fado de impress\u00e3o\" \/><\/a><\/div>\n<p>N\u00e3o \u00e9 incomum o gastroenterologista receber no consult\u00f3rio pacientes encaminhados por queixa de tosse cr\u00f4nica e achado de laringite posterior. Mas voc\u00ea sabe como proceder nestes casos?<\/p>\n\n\n\n<p>Alguns estudos sugerem que a tosse cr\u00f4nica pode de fato ser devido \u00e0 doen\u00e7a do refluxo gastroesof\u00e1gico (DRGE) em 21 a 41% dos casos. Teoricamente, o refluxo pode causar irrita\u00e7\u00e3o e inflama\u00e7\u00e3o da mucosa do trato aerodigestivo superior, seja por contato direto ou por reflexo neuromediado. O diagn\u00f3stico, no entanto, pode ser mais desafiador do que parece, pois s\u00e3o sintomas pouco espec\u00edficos e que se confundem com outras patologias.<\/p>\n\n\n\n<p>Abaixo, seguem algumas dicas chaves para entender melhor a rela\u00e7\u00e3o tosse x DRGE.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-1-a-tosse-cronica-pode-ter-diversas-etiologias\"><strong>1. A tosse cr\u00f4nica pode ter diversas etiologias<\/strong><\/h2>\n\n\n\n<p>Uma avalia\u00e7\u00e3o multidisciplinar deve ser realizada e <strong>outras etiologias n\u00e3o devem ser negligenciadas<\/strong>, tais como:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Irritantes ambientais ou ocupacionais<\/li>\n\n\n\n<li>Tabagismo<\/li>\n\n\n\n<li>Uso de IECAs (inibidor da enzima de convers\u00e3o de angiotensina)<\/li>\n\n\n\n<li>Asma<\/li>\n\n\n\n<li>S\u00edndrome da tosse das vias a\u00e9reas superiores (antigamente denominada S\u00edndrome de gotejamento p\u00f3s-nasal) devido a uma variedade de condi\u00e7\u00f5es rinossinusais<\/li>\n\n\n\n<li>Bronquite eosinof\u00edlica n\u00e3o asm\u00e1tica<\/li>\n\n\n\n<li>Doen\u00e7as pulmonares supurativas (bronquiectasias e abscessos).<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-2-laringite-posterior-nao-e-sinonimo-de-refluxo\"><strong>2. Laringite posterior n\u00e3o \u00e9 sin\u00f4nimo de refluxo<\/strong><\/h2>\n\n\n\n<p>A <strong>inflama\u00e7\u00e3o lar\u00edngea posterior<\/strong> \u00e9 classicamente considerada como sinal de refluxo laringofar\u00edngeo. No entanto, outros fatores tamb\u00e9m poderiam estar implicados com esta inflama\u00e7\u00e3o, tais como tabagismo, abuso de \u00e1lcool, infec\u00e7\u00f5es virais ou bacterianas, alergias, sinusite cr\u00f4nica e abuso da voz. Al\u00e9m disso, diferentes estudos enfatizaram que esses sinais s\u00e3o pouco precisos por causa de uma <strong>baixa concord\u00e2ncia interobservador, vari\u00e1vel confiabilidade intra-observador e alta preval\u00eancia em indiv\u00edduos saud\u00e1veis<\/strong>.<\/p>\n\n\n\n<p>Milstein e colaboradores, por exemplo, avaliaram exames de laringoscopia flex\u00edvel de 52 indiv\u00edduos n\u00e3o fumantes e sem sintomas de DRGE e identificaram que 93% deles apresentavam ao menos um sinal de irrita\u00e7\u00e3o tecidual, com 76,3% revelando edema ou eritema do complexo ariten\u00f3ideo. Essa alta preval\u00eancia de achados em pessoas assintom\u00e1ticas, levanta, portanto, o questionamento sobre o qu\u00e3o espec\u00edficos e relevantes estes achados seriam.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-3-a-monitorizacao-de-ph-proximal-tem-resultados-controversos\"><strong>3. A monitoriza\u00e7\u00e3o de pH proximal tem resultados controversos<\/strong><\/h2>\n\n\n\n<p>Os primeiros estudos de teste de pH orofar\u00edngeo foram promissores e pareciam prever o sucesso da cirurgia antirrefluxo. No entanto, estudos subsequentes falharam em identificar uma correla\u00e7\u00e3o significativa entre eventos de refluxo orofar\u00edngeo e eventos de refluxo na imped\u00e2ncio-pHmetria, sugerindo que a <strong>diminui\u00e7\u00e3o do pH orofar\u00edngeo pode ser devido a outros fatores al\u00e9m do refluxo gastroesof\u00e1gico<\/strong>. Alguns estudos tamb\u00e9m n\u00e3o identificaram diferen\u00e7as significativas na exposi\u00e7\u00e3o ao \u00e1cido orofar\u00edngeo entre os pacientes que responderam ao IBP, os que responderam parcialmente e os que n\u00e3o responderam.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-4-a-resposta-ao-ibp-nao-e-tao-satisfatoria\"><strong>4. A resposta ao IBP n\u00e3o \u00e9 t\u00e3o satisfat\u00f3ria<\/strong><\/h2>\n\n\n\n<p>Outro ponto importante sobre as manifesta\u00e7\u00f5es extraesof\u00e1gicas \u00e9 que a resposta ao tratamento com inibidores de bomba de pr\u00f3tons (IBPs) n\u00e3o \u00e9 t\u00e3o boa. Enquanto \u00e9 esperado que os sintomas t\u00edpicos ir\u00e3o resolver em 4 a 8 semanas, a literatura sugere que a melhora da tosse pode demorar at\u00e9 3 meses. Algumas metan\u00e1lises inclusive n\u00e3o foram capazes de demonstrar benef\u00edcios do tratamento emp\u00edrico de IBP em pacientes com laringite ou tosse cr\u00f4nica.<\/p>\n\n\n\n<p>Utilizar doses maiores de IBP (isto \u00e9, duas vezes ao dia) parece ser mais eficaz para controle de sintomas extraesof\u00e1gicos. Em um estudo de coorte prospectivo (Park et al, 2005), 54% dos pacientes com sintomas extraesof\u00e1gicos que n\u00e3o responderam ao IBP uma vez ao dia tiveram melhora dos sintomas ap\u00f3s 8 semanas adicionais de IBP duas vezes ao dia.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-5-recomendacoes-gerais\"><strong>5.Recomenda\u00e7\u00f5es gerais<\/strong><\/h2>\n\n\n\n<p>Os algoritmos de diagn\u00f3stico para manifesta\u00e7\u00f5es extraesof\u00e1gicas s\u00e3o complexos porque elas s\u00e3o heterog\u00eaneas e muitas vezes se sobrep\u00f5em a outras condi\u00e7\u00f5es. Conforme os Guidelines do American College of Gastroenterology (2022), as principais recomenda\u00e7\u00f5es s\u00e3o:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Pacientes com queixas extraesof\u00e1gicas + sem sintomas t\u00edpicos DRGE &#8211; Realizar algum teste objetivo para DRGE antes da terapia emp\u00edrica com IBP. Se a endoscopia for normal, considere monitoriza\u00e7\u00e3o prolongada do refluxo.<\/li>\n\n\n\n<li>Pacientes com queixas extraesof\u00e1gicas + sintomas t\u00edpicos DRGE &#8211; Terapia emp\u00edrica com IBP em dose dobrada (duas vezes ao dia) por 8 a 12 semanas antes de teste adicional.<\/li>\n\n\n\n<li>Confirmar que existe DRGE n\u00e3o confirma que a DRGE \u00e9 a causa dos sintomas extraesof\u00e1gicos.<\/li>\n\n\n\n<li>Os achados da laringoscopia N\u00c3O s\u00e3o suficientes para diagn\u00f3stico de refluxo laringofar\u00edngeo. O uso da laringoscopia tem muitas limita\u00e7\u00f5es, como visualiza\u00e7\u00e3o de inflama\u00e7\u00e3o em volunt\u00e1rios assintom\u00e1ticos, baixa reprodutibilidade e falta de correla\u00e7\u00e3o entre achados e sintomas. Testes adicionais devem, portanto, ser realizados para o correto diagn\u00f3stico.<\/li>\n\n\n\n<li>A monitoriza\u00e7\u00e3o de pH em orofaringe ou faringe com sondas de dois canais tem resultados vari\u00e1veis e n\u00e3o deve ser recomendada de rotina. A dosagem de pepsina salivar tamb\u00e9m n\u00e3o tem evid\u00eancias suficientes para ser utilizada.<\/li>\n<\/ul>\n\n\n\n<p class=\"has-text-align-center\"><strong>O fluxograma 2 tenta sistematizar essas diretrizes.<\/strong><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><a href=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/05\/fluxograma-tosse2.png\" data-rel=\"penci-gallery-image-content\" ><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"566\" src=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/05\/fluxograma-tosse2-1024x566.png\" alt=\"\" class=\"wp-image-5857\" srcset=\"https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/05\/fluxograma-tosse2-1024x566.png 1024w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/05\/fluxograma-tosse2-300x166.png 300w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/05\/fluxograma-tosse2-768x425.png 768w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/05\/fluxograma-tosse2-1536x850.png 1536w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/05\/fluxograma-tosse2-1170x647.png 1170w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/05\/fluxograma-tosse2-585x324.png 585w, https:\/\/gastropedia.pub\/pt\/wp-content\/uploads\/2023\/05\/fluxograma-tosse2.png 1889w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\"><strong>Fluxograma 2: Algoritmo diagn\u00f3stico para sintomas extraesof\u00e1gicos em Doen\u00e7a do Refluxo Gastroesof\u00e1gico (<em>American College of Gastroenterology<\/em>, 2022)<\/strong><\/figcaption><\/figure>\n<\/div>\n\n\n<blockquote class=\"wp-block-quote has-pale-ocean-gradient-background has-background is-layout-flow wp-block-quote-is-layout-flow\">\n<p>Conhe\u00e7a nosso curso <strong><a href=\"https:\/\/gastropedia.pub\/pt\/cursos\/gastroenterologia-do-consultorio\/\" target=\"_blank\" rel=\"noreferrer noopener\">Gastroenterologia do Consult\u00f3rio<\/a><\/strong> e saiba como lidar com as queixas mais comuns que encontramos no dia a dia<\/p>\n<\/blockquote>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-referencias\"><strong>Refer\u00eancias<\/strong><\/h2>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Ghisa M, Barberio B, Savarino V, Marabotto E, Ribolsi M, Bodini G, et al. The Lyon Consensus: Does It Differ From the Previous Ones? J Neurogastroenterol Motil 2020;26:311\u201321. doi:10.5056\/jnm20046.<\/li>\n\n\n\n<li>Chen JW, Vela MF, Peterson KA, Carlson DA. AGA Clinical Practice Update on the Diagnosis and Management of Extraesophageal Gastroesophageal Reflux Disease: Expert Review. Clin Gastroenterol Hepatol 2023. doi:10.1016\/j.cgh.2023.01.040.<\/li>\n\n\n\n<li>Katz PO, Dunbar KB, Schnoll-Sussman FH, Greer KB, Yadlapati R, Spechler SJ. ACG Clinical Guideline for the Diagnosis and Management of Gastroesophageal Reflux Disease. Am J Gastroenterol 2022;117:27\u201356. doi:10.14309\/ajg.0000000000001538.<\/li>\n\n\n\n<li>Kahrilas PJ, Altman KW, Chang AB, Field SK, Harding SM, Lane AP, et al. Chronic Cough Due to Gastroesophageal Reflux in Adults: CHEST Guideline and Expert Panel Report. Chest 2016;150:1341\u201360. doi:10.1016\/j.chest.2016.08.1458.<\/li>\n\n\n\n<li>Milstein CF, Charbel S, Hicks DM, Abelson TI, Richter JE, Vaezi MF. Prevalence of laryngeal irritation signs associated with reflux in asymptomatic volunteers: Impact of endoscopic technique (rigid vs. flexible laryngoscope). Laryngoscope 2005;115:2256\u201361. doi:10.1097\/01.mlg.0000184325.44968.b1.<\/li>\n\n\n\n<li>Park W, Hicks DM, Khandwala F, Richter JE, Abelson TI, Milstein C, et al. Laryngopharyngeal reflux: Prospective cohort study evaluating optimal dose of proton-pump inhibitor therapy and pretherapy predictors of response. Laryngoscope 2005;115:1230\u20138. doi:10.1097\/01.MLG.0000163746.81766.45<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-como-citar-este-artigo\"><strong>Como citar este artigo<\/strong><\/h2>\n\n\n\n<p class=\"has-background\" style=\"background-color:#ccd9d4\">Lages RB. Minha tosse \u00e9 por causa do refluxo? Gastropedia 2023, vol. 1. Dispon\u00edvel em: <a href=\"https:\/\/gastropedia.pub\/pt\/?p=5823\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/gastropedia.pub\/pt\/sem-categoria\/minha-tosse-e-por-causa-do-refluxo<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>N\u00e3o \u00e9 incomum o gastroenterologista receber no consult\u00f3rio pacientes encaminhados por queixa de tosse cr\u00f4nica e achado de laringite posterior. Mas voc\u00ea sabe como proceder nestes casos? Alguns estudos sugerem&hellip;<\/p>\n","protected":false},"author":4165,"featured_media":5826,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","footnotes":""},"categories":[19,18,397],"tags":[],"ano":[137],"tipo":[121],"volume":[57],"class_list":["post-5823","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-esofago","category-gastroenterologia","category-traducao","ano-137","tipo-assuntos-gerais","volume-volume-i"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Minha tosse \u00e9 por causa do refluxo? - Gastropedia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/gastropedia.pub\/pt\/gastroenterologia\/esofago\/minha-tosse-e-por-causa-do-refluxo\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Minha tosse \u00e9 por causa do refluxo?\" \/>\n<meta property=\"og:description\" content=\"N\u00e3o \u00e9 incomum o gastroenterologista receber no consult\u00f3rio pacientes encaminhados por queixa de tosse cr\u00f4nica e achado de laringite posterior. 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