You should not increase Pantocid 40 on your own, even if Cartigen Duo is causing stomach discomfort. Consult your doctor, who can adjust your treatment or suggest safe alternatives to protect your stomach without affecting your other medicines.

Yes, smoking can trigger acid reflux by relaxing the food pipe valve, leading to chest discomfort. It can also irritate the heart and lungs, causing chest tightness and occasional rapid heartbeat. Reducing or quitting smoking can help improve these symptoms.