This is called serous otitis media
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If the patient never smoked, but used other types of tobacco, he/she is a Tobacco or its derivatives user, period
The most plausible explanations for the observed changes in smoking prevalence since 2019/20 are: (i) growing use of ECs is resulting in increased quitting smoking among people who smoke and/or reduced uptake if young people substitute vaping for smoking
If the mouth is chronically dry, it may be appropriate to consult a doctor and consult the drugs that trigger the saliva flow