If it burns going down, it’s going to burn coming up. If your esophagus is a tube of raw, scorched meat from a caustic substance, then vomiting it up is going to disintegrate what’s left. Your esophagus is incredibly vascular (lots and lots of blood flow), a simple tear and you can bleed out in minutes, and there’s no way to staunch the flow. A total erosion? Your done in seconds.
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