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Reflux episodes often occur at night and one may develop a bitter taste in the mouth. The throat can be severely irritated when acid touches the vocal cords and can lead to spasms of coughing. To prevent throat irritation from reflux, one should lose weight, stop smoking, avoid coffee beverages and sleep with the head elevated.
Hypersalivation can contribute to drooling if there is an inability to keep the mouth closed or difficulty in swallowing (dysphagia) the excess saliva, which can lead to excessive spitting. Hypersalivation also often precedes emesis (vomiting), where it accompanies nausea (a feeling of needing to vomit).
Both of these features impair the ability of the esophagus to empty contents into the stomach. Patients usually complain of dysphagia to both solids and liquids. Dysphagia to liquids, in particular, is a characteristic of achalasia. Other symptoms of achalasia include regurgitation, night coughing, chest pain, weight loss, and heartburn.
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Sleep inertia is a physiological state of impaired cognitive and sensory-motor performance that is present immediately after awakening. It persists during the transition of sleep to wakefulness, where an individual will experience feelings of drowsiness, disorientation and a decline in motor dexterity.
If you’re stuck on today’s Wordle answer, we’re here to help—but beware of spoilers for Wordle 1264 ahead. Let's start with a few hints.
He was still in an early phase of the program, sleeping in a bunk bed in a communal room, and declaring that being in treatment was the greatest thing ever. Hamm told the young man that he might not get it yet, but he would eventually. Without his realizing it, the program would suddenly click. And the feeling, Hamm promised, would be worth it.
Herman & Sons Sperm Bank — George Herman (episode host Seth Rogen) and Eugene Sons (Kenan Thompson) announce a going-out-of-the-business sale at "the oldest sperm bank in greater Lansing;" they're turning the space into a TCBY franchise, so they need to get rid of their sperm stock to assure "minimal sperm-to-yogurt crossover." [328]