Smoking is definitely a factor. Any irritant, smoking, chemical smells, sometimes perfume, will cause your symptoms to come on. The recommended treatment is aggressive reflux control with Proton pump inhibitors twice per day and H2 blockers at bedtime for three months. Also, breathing retraining exercises by a voice therapist, alongside treatment, works great.
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Annual Checkup
It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
The American Dental Association recommends dental cleanings for adults at least twice annually. Some stains can only be removed by a professional cleaning.
It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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