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Does Smoking Tobacco Make Heartburn Worse? Secondhand Smoke Linked to Increased Risk of GERD, Peptic Ulcer in Non Smokers The Educated Patient GERD occurs when acidic stomach contents reflux back into the esophagus, irritating its lining. Normally, the lower esophageal sphincter (LES) works like a one way valve, preventing this backflow. When this valve weakens Acid Reflux Diet: Foods to Avoid & GERD Friendly Tips Osmosis Causes of Heartburn (Acid Reflux)
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