Hi Lab, I have been having long-standing GERD for almost 19 years so I think I can relate. Out of experience what really aggravates my reflux is drinking a lot of fuids even water all at once and not taking break. For example, if you're thirsty, take a sip of water or juice every now and then but don't drink it all at once. Never lie down after you drink as all would regurgitate. Wait for 2 hrs at least. The same applies to food. Don't eat large meals, 5 or 6 snacks would be better.
Avoid tomato and tomato sauce, strawberry, chocolate, preserved juices, spicy food, too much salt, very hot or very cold food, citrus and caffeine. My GI has always warned me against drinking tea but I drink tea,a,lot and he eventually gave up and told me to add a few drops of milk to it. Also, don't drink milk. Just a few of it would be Ok.
As for medication, I have been on Nexium 40 double dose for 10 years now. I have to take Baclofen and Zantac (300 mg once) or famotidine along with it. I'm also keen to take Maalox before bedtime to prevent reflux of building up while I'm sleeping.
I have developed tolerance to other types of meds as well. If I might say I have exhausted all types,of PPI. But when I feel that a flare up is lurking, I resort to boiled potatoes w/o skin, milk or butter and hard boiled eggs. I stay on this diet for a couple of days until my stomach gets,well. If things get out of control, my GI would put me on Nexium iv and,other iv injections and order me to eat just rice pudding, custard w few rops of skimmed milk and jello for 2 weeks to rest my stomach.
I use two pillows while sleeping so that I don't get acid reflux.
GERD, perianal fistula, CD, IBS, persistent mouth ulcers & fissures
Meds: Remicade, Cortiment, Nexium, Imuran, colifoam, monthly B12 inj.
Pred 40 mg from Oct. 2010 till Jan. 2012
Previous: Mesalamine tablets & supp.
Failed:Azathioprine (generic), Methotrexate