Hi and thank you so much for this query. i am so sorry to hear about the difficulties you have had controlling these symptoms. Besides drugs, lifestyle modifications should be incorporated into GERD treatment. You should limit the amounts of fats intake, chocolates, caffeine, avoid eating late at night, adopt an upright position shortly after eating, raise the head of your bed using multiple pillows, avoid smoking and also avoid eating liquid foods in large quantities. Also, if you are obese, loosing weight is going to be very helpful. These measures and drugs should help. If the -prazoles have not been helping very much, then the doctor may want to add others like promotility drugs, antacids, and consider doing an endoscopy exam for a more detailed evaluation. Hope this helps and provides guidance on how to approach this problem. If you have more questions, please send them to me and i shall be very happy addressing them. I wish you good health. Dr. Ditah, MD.