Yes GERD doesn't always play fair. Some people have lots of pathology (signs of reflux damage or gastritis) and very little by way of symptoms - yet other people (like myself) have a ton of symptoms and very little actual pathology!
The various tests help determine what's going on, and of course add their own anxiety into the mix. Medication wise it can take some trial and error to reach maximum benefit, after which people may decide to continue down that route for as long as they can, they may decide (or be told) to explore surgical options, or (like many on this forum) they end up somewhere in between, doing their best with medication and looking to improve their symptoms using dietary measures (no tea, coffee, alcohol, spicy food etc) and lifestyle measures (losing weight, raising the head of the bed, not eating within 3 hours of lying down, taking appropriate exercise (some forms of exercise worsen symptoms) and experimenting with natural "add-ons" like licorice, aloe vera, honey and (if you're brave enough) apple cider vinegar!
It's a process of exploration, requiring perseverance and a certain amount of courage. Do stick with us and share your news and progress, good or bad!
New stuff: GERD, Recurrent cystitis/Overactive bladder
Lifelong stuff: Food allergies/intolerance, eczema, asthma