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Damage to the oral-sinus cavities from GERD: Dental Erosions Mouth Ulcers Loss of taste Mouth pain Sinusitis Ear pain and inflammation Asthma and Upper Airway Problems Acid refluxed up into the back of the throat can be inhaled into the bronchial (airway) tubes and burn them, causing constriction, swelling, and large amounts of mucus production

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The observed findings highlight the need for public health policies and clinical interventions targeting high-risk groups, including those who smoke heavily and those regularly exposed to secondhand smoke