While many people have long-standing GERD, many have no reflux symptoms, a condition often called silent reflux. Whether this acid reflux is accompanied by GERD symptoms or not, stomach acid and chemicals wash back into the esophagus, damaging esophagus tissue and triggering changes to the lining of the swallowing tube, causing Barretts esophagus
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[10] [11] Clinicians should assess for hypoglycaemia risk, review concomitant medications, and ensure patients understand how to recognise and respond to concerning symptoms
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