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You should consider seeking medical evaluation if: Heartburn occurs more than twice per week Symptoms persist despite over-the-counter medications Reflux symptoms interfere with sleep You develop difficulty swallowing You experience unexplained weight loss Symptoms worsen over time You experience frequent regurgitation Persistent symptoms can indicate GERD, esophagitis, Barretts esophagus, or other digestive conditions that require specialist care

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Not boorishness but self-effacement could have prompted his lapses away from polite taste, as corroborated by the many accounts of his shy and quiet personal demeanor