Hi ! Good morning. I am Dr Shareef answering your query. Regarding the GERD aspect the following might prove to be helpful for you: 1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity. 2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food 3) Regular routine exercises like morning walk depending on your medical fitness. 4) Prescription for a prokinetic agent and a proton pump inhibitor (you are already on esomeprazole/Nexium) for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards. 5) A routine blood sugar test both fasting and post prandial. In case the symptoms increase in intensity, I would suggest you to get your self reviewed by a gastro-enterologist for a possible endoscopic evaluation of your stomach and duodenum. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.