Hi iamloco, ALOE ALOE ALOE JUICE!!! works well for temporarily putting out the fire. Walmart or GNC has it as well as most helath food stores. I was on PPI's for 11 years....and desperately wanted to wean myself off but was so afraid of the rebound acid. I went to a well respected naturopathic doctor for help with the weaning process, and paid dearly for her advice. So here it is FREE, maybe you will find something new that you aren't already doing.
PPI cut back every third day. I was on Dexilent (because everything else had stopped working) once a day. So you would skip day 3, then PPI for 2 days then skip again.
Week2: PPI every other day
Week3: PPI twice in 7 days (for example Monday PPI, Thursday PPI
Week 4: PPI only once...when symptoms are really bad...you choose the day....and if you have 2 days out of seven that you cannot deal with the rebound....just repeat week 4
Week 5: OFF PPI's completely
I asked about taking Zantac, or Tagamet on the off days and she preferred that I NOT take them as she felt it would elongate the weaning process. She also did bloodwork for vitamin D levels and upped my dosage, and checked for celiac (wheat allergy).
DGL chewed 20 minutes before meals, digestive enzymes, also chewable anytime...but nothing with Hydrochloric acid until you are fully healed and weaned off acid blockers. Once this process is done....and IF you have acid under control, it is ok, according to the ND to take an occasional H2 blocker like Zantac or Tagamet.
Aloe juice, anytime
Stay away from trigger foods etc. (all the things you already know)
Raise the head of the bed, reduce stress if possible....yadayada...
It took me about 6-7months to just have the regular acid reflux that puts you on the meds in the first place...It was truly the hardest thing I have ever done health wise.BUT BUT BUT...
If you have a mechanical problem like a Hiatal hernia...you can only achieve so much success.
As soon as I had hernia surgery (done laparoscopically) and then TIF surgery, done through an endoscope to reinforce the LES....I am acid free....and life is soooo very much better.Not being in pain can even change your personality!!!
Good luck, I promise there is light at the end of the tunnel....just keep pursuing an answer for your gerd.Kathleen