Brief Answer:
besides dexlansoprazole, Endoscopic examination maybe considered

Detailed Answer:
hi.
Thanks for posting query at HCM.

You maybe familiar with the common mechanism of gastroesophageal reflux disease (GERD) ; however i will briefly explain:

Food enters in to stomach from esophagus via lower esophageal sphincter (LES) . If XXXXXXX fails to close/contract effectively food content from stomach may reflux into the esphagus leading to GERD.

Certain food may lead to relaxation of XXXXXXX and/or increase gastric acid production. :
1. chocolate 2. caffeine. 3 Alcohol. 4. fatty meal. 5. citrus fruit and tomato

as you have a pretty long history of GERD that has NOT been treated successfuly , endoscopy is recommended if you also have any one or more of following:
- dysphagia for solids/liquids or both
- sudden weight loss
- anemia

if NO associated aforementioned symptom, you may have a trial of dexlansopraole for a week to couple of weeks, and further course of action maybe advised accordingly.
also strictly:
1. avoid chocolates; carbonated drinks,
2. avoid tomato juice, decrease salt intake
3. minimum alcohol intake and try quit smoking ( if your a smoker)
4. eat your dinner at least 2 to 3 hours before going to bed
5. raise your head by placing two pillows under your head before sleeping

Hope to answer your concern
Further questions are most welcome
Regards
Dr Tayyab Malik

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Brief Answer:
thank you

Detailed Answer:
sure.
you may take Dexlansoprazole for 2-3 weeks.
If no relief, visit treating physician/ gastroenterologist.

wish you speedy recovery alongwith good n sound health thereafter

if no further questions, kindly close dialogue box.

thank you

regards
DR Tayyab Malik

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