Hello, Thanks for the query to H.C.M. Forum. As diagnosis is there so , here we will discuss about the treatment line. For how long , you have to take NEXIUM ( esomeprazole 40 mg) life long or less ? The goal of treatment is to provide complete relief , complete cure. You have not mentioned weight ? alcoholic or not ? smoking or not ? Any way first note down the avoidance for gastric reflux. smoking, fatty food, coffee, chocolate, alcohol, mint, orange juice, tomato juice, overeating, fried & spiced food, chillies, lemon in any form, Avoid large quantities of fluid with meals, certain medicines which causing irritation to stomach. These measures are only the treatment of mild and moderate degree of gastric reflux. Other measures are weight reduction ,if in your case, sleeping with the head of bed elevated by about 4-6 inches with the help of blocks. avoid the factors which increases abdominal pressure as constipation, weight lifting of any type. I have tried rebamipide 100 mg 2 tablets three times a day for at least 3-6 months and complete cure. Hope I have answered your question . If further any question I will help. GOOD WISHES, Dr. HET