Hi, thanks for using healthcare magic
Some persons with peptic ulcer disease
may have a bacteria called H pylori which , if not treated, would result in continued symptoms despite using other appropriate medication. A blood test
is all that is needed to diagnose it and it is treated with an antibiotic regimen combined with medication normally used for GERD
or peptic ulcer. Treatment is for 10 to 14 days usually.
You may want to consider having this test done.
Other aspects of treatment for reflux are: (1) avoidance of spicy foods (2) avoiding acidic foods (3) avoiding fried or fatty foods (4) small meals (5) weight loss
if there is excess weight (6) elevating the head of the bed (7) waiting at least 2 hrs before lying down after eating.
I hope this helps