• Less common manifestations include coughing; chest pain; wheezing; damage to the
lungs (e.g., pneumonia, idiopathic pulmonary fibrosis), vocal cords (e.g., laryngitis),
ear (e.g., otitis media), or teeth (e.g., enamel decay); hemorrhagic esophagitis; peptic
strictures; Barrett’s esophagus (i.e., condition associated with increased risk for
adenocarcinoma