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Something similar happens in the case of acid reflux too (1)

In addition, seek medical attention if there is a fever of 102 degrees or higher, visible pus on tonsils, red rash, vomiting, or swollen tonsils that make it difficult to breathe or swallow

If you havent already done this, I would ask your health care professional to order breathing tests (called pulmonary function tests abbreviated PFTs)

It should be noted that FDA and SAMHSA regulations define tobacco products differently