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Chewing gum is used as a novel approach for the treatment of gastroesophageal reflux disease (GERD). One hypothesis is that chewing gum stimulates the production of more bicarbonate-containing saliva and increases the rate of swallowing. After the saliva is swallowed, it neutralizes acid in the esophagus. In effect, chewing gum exaggerates one of the normal processes that neutralize acid in the esophagus. However, chewing gum is sometimes considered to contribute to the development of stomach ulcers. It stimulates the stomach to secrete acid and the pancreas to produce digestive enzymes that aren't required. In some cases, when consuming large quantities of gum containing sorbitol, gas and/or diarrhea may occur.