The earth is back to spring, the birds are singing and the flowers are fragrant, a scene of vitality. Many people have chosen this time to go out and enjoy the beautiful spring scenery. However, some patients with respiratory illnesses have to huddle at home and are not blessed with the beautiful spring colors. Spring flowers, pollen and grass fragrance add romance and poetry to the earth, but they also ravage and erode the fragile respiratory tract of these patients. When you see this, you must think of asthma, a disease that is allergic to pollen, but what I would like to introduce is not asthma, but GERD, which is often misdiagnosed as asthma. In GERD, gastric juices can often reflux into the respiratory tract and cause rhinitis, pharyngitis, laryngitis, bronchitis, and even asthma-like attacks. In early spring, when the climate changes drastically and it is warm and cool at first, if you do not pay attention to keeping warm, once you get cold, it often affects the function of the digestive system of GERD patients and leads to the aggravation of respiratory symptoms, and makes the patient manifest the suffocation caused by smelling pollen or other odors, which is actually GERD at work. When you suffer from year-round episodes of coughing, throat tightness and wheezing, it is often GERD, not asthma. GERD is a common digestive disorder, a condition in which reflux of stomach and duodenal contents causes uncomfortable symptoms and/or complications, with the typical symptoms of acid reflux and heartburn. And when gastric and duodenal contents reflux into the pharynx, they can be ejected into the larynx and inhaled into the trachea, bronchi and lungs, causing severe coughing, coughing up sputum and dyspnea. Thus, when diagnosing the disease, attention should also be paid to its atypical manifestations, such as chronic cough, hoarseness, foreign body sensation in the pharynx, snoring, nocturnal asphyxia and/or episodes of dyspnea induced by improper eating, and asthma-like attacks. When the weather turns warm in spring, people like to go out for a walk or gather with friends, mostly with stimulating food and drinks, and their spirits are in a state of excitement at the moment, and their daily routine is disrupted. In recent years, the incidence of GERD has been increasing year by year due to the intense pace of life and increased work pressure. However, because many patients and even doctors are not fully aware of the atypical symptoms of the disease, many patients are treated with asthma for a long time, which only treats the symptoms but not the root cause, causing patients to have recurrent episodes of dyspnea and seriously affecting work efficiency and quality of life. Therefore, raising the awareness of both doctors and patients is the key to preventing and treating this disease. The goal of treating GERD is to control the patient’s symptoms, cure the esophagitis, reduce recurrence and prevent a series of serious complications. First of all, we should change our lifestyle, eat slowly, eat less and more often, avoid lying in bed immediately after meals, at least 2 hours later; elevate the head of the bed appropriately when sleeping; do not tighten the belt, avoid constipation and control weight, etc.; try not to eat high-fat food, chocolate, coffee, strong tea, and quit smoking and alcohol. Secondly, there are medications and micro radiofrequency treatment for GERD at the lower esophagus. Medications include proton pump inhibitors, gastric mucosal protectors and gastrointestinal motility drugs. The above mentioned medications are quite effective in relieving the symptoms of GERD. When the patient has respiratory complications, appropriate treatment such as cough suppression, wheezing and phlegm reduction is necessary. Although medication is effective in treating the disease, the relapse rate is high after stopping the medication, so patients need to use medication for a long time, not only to suffer from the problem of side effects caused by medication, but also to bring many inconveniences to their life. Lower esophageal micro radiofrequency therapy is a newly developed technique with the advantages of less trauma, faster recovery and reliable efficacy, and has become the treatment of choice for controlling the respiratory complications of GERD. Therefore, when you experience acid reflux, heartburn, or frequent severe coughing, throat tightness and wheezing while eating or sleeping, you must go to a GERD specialist as soon as possible to confirm the diagnosis and cooperate with your doctor to receive the correct diagnosis and treatment to avoid enduring unnecessary pain and financial loss.