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For young people, tobacco use hits hard and fast

Gopal Grandhige, MD, FACS, Board-Certified Surgeon Last Reviewed: April 5, 2026 Smoking significantly worsens acid reflux and GERD by weakening the lower esophageal sphincter (LES), increasing stomach acid production, and impairing the esophaguss ability to clear acid

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The best approach might be to restrict vaping activites to outdoors, or minimize indoor use as much as possible