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Eating right before bed is a recipe for gaining weight and sleeping poorly, but it can also seriously damage the tissue in your throat and esophagus. No doubt you’re familiar with acid reflux—which occurs when digestive juices back up into the chest or throat and cause a burning sensation—but there’s also something called “silent reflux,” which is different from common heartburn. It has the same causes but without the usual symptoms. Instead of indigestion, sufferers get sore throats, chronic coughs, and difficulty swallowing. Nearly 50 percent of Americans have silent reflux and don’t know it, says aryngologist Jamie Koufman, M.D., who has been studying and treating the condition for about 30 years.

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