GERD is triggered when ANY STOMACH ACID is pushed back into the swallow tube by the normal squeezing/mixing action of the stomach. The lower the acid value the less likely it will irritate when it backwashes. The LES is a fold in the tube, not a valve. Its weakness can be a normal variant or aggravated by some foods & chemicals like caffeine & nicotine which keep it loose.
Answered 10/11/2022
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