Silent/Asymptomatic?: Presuming you are referring to gastric reflux into the esophagus, this is commonly intermittent, often asymptomatic, ↑ed with longitudinal esophageal spasm producing hiatal hernia, commonly comes ; goes ; is unlikely to be affected or changed by citric acid supplements. These are all brain controlled, emotionally driven hidden internal behaviors. Gi specialists ; tests only see results not cause.
Answered 4/26/2016
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