Mr. Santos, a 45-year-old male, presents to the clinic with complaints of frequent heartburn and regurgitation of stomach contents. He reports that these symptoms have been occurring for the past few months and are significantly affecting his quality of life. Upon further assessment, the nurse notes that Mr. Santos experiences these symptoms mainly after meals and when lying down. He also reports occasional difficulty swallowing. Mr. Santos has a history of smoking and regularly consumes spicy and Fatty Foods.