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Tobacco Use and GERD Palmyra Surgical Bariatric Surgery Does Tobacco Increase Stomach Acid? GERD, Acid Reflux, Digestion 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 Secondhand Smoke Linked to Increased Risk of GERD, Peptic Ulcer in Non Smokers The Educated Patient
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