History A 48‑year‑old male presented with retrosternal burning persisting for ~5 years, initially 1–2 times per week post‑prandially, now occurring daily and nocturnally. Associated symptoms included cough, regurgitation, acidic taste, postprandial fullness, and early satiety, worsened by spicy food, bending, or lying flat. Sleep was significantly disturbed. He reported recurrent shortness of breath over 4 years, diagnosed as bronchitis, with severe cough episodes often stre