If you suffer from heartburn, you know how acid reflux can be no fun, but gastroesophageal reflux disease (GERD), also known as acid reflux, can also cause a number of symptoms. You might not even realize it, but you could be exhibiting some weird signs you have acid reflux. Acid reflux is common, but its symptoms aren’t always as obvious, which makes it easy to mistake it for another health issue.

Over three million people a year get diagnosed with acid reflux, according to Mayo Clinic, but lifestyle changes can often help with the issue. “Lifestyle factors are to blame for most cases of acid reflux,” says Brunilda Nazario, M.D., board-certified internist, endocrinologist and associate medical director at WebMD, over email.When heartburn happens, a tight waistband, smoking, alcohol, or foods cause a valve-like stomach muscle to loosen, allowing stomach acid to backwash into the esophagus. This exposes sensitive tissue in the chest to stomach acids, causing painful symptoms.”

Left untreated, acid reflux can cause bigger issues such as esophageal ulcers and bleeding, increased risk of esophagus cancer, and even tooth decay, according to webmd.com, which makes it important to keep your GERD at bay. Here are 11 weird signs that you might have acid reflux.

1. Salivating Excessively

If you notice your mouth salivating a lot more than usual, it could be acid reflux. “Salivating excessively is a relatively unusual symptom in which people can foam at the mouth, secreting as much as two teaspoons of saliva per minute in response to stomach acid irritating the esophagus,” says Rachel Carlton Abrams, MD over email.

2. Radiating Pressure

Many people often mistake acid reflux for a heart attack, and that is because it can cause pressure in the chest that radiates to other body parts. “This is caused by the stomach acid irritating the esophagus and the pain radiating to arms, neck, or back,” says Carlton.

3. Headaches

Many people who suffer from GERD get frequent migraines or headaches, according healthcentral.com. “Acid reflux may make some patients feel pain in their head or sinuses, either chronically or with sudden shooting pains,” says Dr. Shawn Tsuda over email.

4. Chronic Cough

“Reflux can cause people to breath gastric contents into their lungs, causing a chronic cough,” says Tsuda. In fact, GERD is one of the most common causes of a persistent cough, according to healthline.com. A cough caused by acid reflux often occurs at night, while lying down, or without post-nasal drip.

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