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Smoking or chewing tobacco can significantly worsen GERD symptoms. Tobacco products can relax the lower esophageal sphincter (LES), the valve responsible for keeping stomach contents from flowing back into the esophagus. This relaxation allows stomach acid to escape more easily, exacerbating reflux and heartburn.
In addition to weakening the LES, smoking can also increase stomach acid production and impair the body’s ability to heal the esophagus from any existing damage caused by acid reflux. Chewing tobacco has similar effects, including promoting acid reflux and causing additional irritation to the esophageal lining.
Quitting smoking and avoiding tobacco products can lead to a notable reduction in GERD symptoms and improve overall digestive health. Engaging in smoking cessation programs and seeking support can be effective strategies for overcoming these habits and managing GERD more effectively.