I don't understand how you can have GERD with a normally functioning LES. The most common cause of GERD is an poorly functioning LES. www.practicalgastro.com/pdf/May04/MitreArticle.pdf
Hiatus hernias are also a cause, and often people have both. It seems to me, though, if you're suffering with extreme reflux that is painful and keeping you from sleeping, it's time to look into your options.
If you've made lifestyle changes, are taking meds, and still are having significant reflux, it's time for your doctors to look at other options.Best wishes,
Nissen Fundoplication 2/09
Allergy/Asthma"Whatever you fight, you strengthen, and what you resist, persists.”
“Worry pretends to be necessary but serves no useful purpose”
“Accept - then act. Whatever the present moment contains, accept it as if you had chosen it. Always work with it, not against it.”