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While many people with Barrett's esophagus 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 Barrett's esophagus

Secondhand smoke can also lead to the development of a smokers cough

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Sugiyama K, Shimizu M, Akiyama T, Tamaoki T, Yamaguchi K, Takahashi R, et al