Gastroesophageal reflux disease (GERD) can present with extra-esophageal symptoms such as asthma-like dyspnea and hoarseness. The present case is a 42-year-old male who developed post-infectious GERD with hoarseness and upper back pain. Laryngoscopy showed laryngeal inflammation and esophageal biopsy confirmed eosinophilic infiltration. Pharmacologic therapy provided partial relief; however, dysphonia persisted. Lifestyle modifications led to significant symptom improvement. This case highlights the interplay between GERD and airway symptoms and the role of lifestyle intervention in management.
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