Most, but not all, studies show that smoking has a negative effect on LES pressure, and perhaps more importantly, diminishes the concentration of salivary bicarbonate. This latter factor indirectly could be extremely important in view of data that have shown that reducing salivation will markedly retard esophageal acid clearance and, conversely, enhancing salivation will facilitate acid clearance. In view of epidemiological data suggesting a relationship between smoking and AC of the distal esophagus, and the overall negative health consequences of smoking, a strong recommendation to stop smoking would be advisable for GERD patients.

A Disquistion On The Evils Of Using Tobacco

A Disquistion On The Evils Of Using Tobacco

Among the evils which a vitiated appetite has fastened upon mankind, those that arise from the use of Tobacco hold a prominent place, and call loudly for reform. We pity the poor Chinese, who stupifies body and mind with opium, and the wretched Hindoo, who is under a similar slavery to his favorite plant, the Betel but we present the humiliating spectacle of an enlightened and christian nation, wasting annually more than twenty-five millions of dollars, and destroying the health and the lives of thousands, by a practice not at all less degrading than that of the Chinese or Hindoo.

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