I have CF along with delayed gastric emptying which causes me to reflux a lot of food. I take Aciphex 20mg once daily. Every since I started experiencing more reflux, especially at night, I have started to experience hemoptysis. My first episode of hemoptysis was in January 2011 followed by a massive hemoptysis in February 2011. While my CF doctor believes my hemoptysis and increased infections are related to Aspergillus, I still believe aspiration is playing a big role in my frequent hemoptysis. However, there is no clear way to determine exactly what is causing me to be sick and if the bleeds and infections are related to aspiration/regurgitation/reflux or CF. I suppose it's a process of elimination. But, I do believe my hemoptysis and infections are 75% likely related to aspiration--especially since I am prone to aspirating more than the average person due to having delayed gastric emptying.