about three months ago I had three severe episodes of painful reflux. Since then I have had no appetite whatsoever, I belch constantly, I get very nauseous and I can't eat much. I have lost 30 pounds and have withdrawn from all activities in my life. I also am constantly clearing my throat and sniffing back large amounts of phlegm, although this has been happening and worsening for three or four years. I also took 80 mgs of omeprazole a day for 11 weeks with no improvement. I had an endoscopy which revealed a very small hiatal hernia and esophagitis. My doctor doesn't seem to think this is a huge problem or that it's causing my symptoms. I feel like my only hope is the nissen surgery. Would anyone perform this on someone who DOESN'T have regular heartburn and acid reflux? Doesn't the esophagitis mean that I am suffering from GERD?