I'm still not sure how I got GERD. (And yes, I must have gastroparesis because the food often just sits in my stomach after eating.) Possibilities:
* Difficulties digesting started around same time as perimenopause. HORMONAL?
* Difficulties digesting started after an awful colonoscopy that left me passing clots for 2 days. (it was negative.)
* Difficulties digesting started after I had lived in a house for 8 years where the traffic and noise outside used to keep me up at night. NERVES?
* Difficulties digesting started after about 6 straight winters of sinus infections with corresponding antibiotic treatment. 2 years ago, the 3rd antibiotic in a row gave me c. difficile - something you wouldn't wish on anybody. IMBALANCED GUT FLORA?
* 7 years of a job where I burn a lot of calories, am always hungry, with never time to eat, and never have enough good food at hand to eat. NOT EATING ENOUGH?/ EMPTY STOMACH? I also have felt a bit hypoglycemic - tend to avoid straight sugar. I like the flavor of the DGL but don't feel they are good in my stomach. I have never tested positive for diabetes and have been a pretty healthy eater my whole life. DIET?
Like you, I have not had any success with PPI's. (And I have to be careful with them because of a possible relapse of the c. difficile ). In fact, the PPI's seem to slow my digestion down even more. The link Danie provided yesterday said that "alkaline reflux" doesn't respond to acid blockers. I thought that was really interesting. I'm about to google that one - haven't heard that term before.