Diabetes , GERD , overweight are all lifestyle diseases which require a lifestyle solution with minimal medicines . You have said that you took 2 antibiotics every month. Amtibiotics kill both the good as wellas bad bacteris unless it was replenished with probiotic intake . To have a healthy gut flora stop indiscriminate use of antibiotics Start using Probiotics Dont eat outside cook your own food No processed foods stop all soft and hot drinks Eat a high fibre diet cut down animal protein eat a plant based diet reduce oily foods , spicy and fast foods hydrate according to your body weight and activity level Keep moving for your bowels to move exercise daily reduce stress with yoga , meditation Gastroesophageal reflux disease (GERD) is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe (esophagus). The backwash (reflux) irritates the lining of your esophagus and causes GERD. Diagnosis of GERD is based on: Your symptoms. Your doctor may be able to diagnose GERD based on frequent heartburn and other symptoms. Ambulatory acid (pH) probe tests use a device to measure acid for 24 hours. The device identifies when, and for how long, stomach acid regurgitates into your esophagus. Barium swallow or upper GI series, Upper GI Endoscopy is a way to visually examine the inside of your esophagus and stomach. Esophageal motility testing (manometry) measures movement and pressure in the esophagus. The test involves placing a catheter through your nose and into your esophagus. Treatment for heartburn and other signs and symptoms of GERD usually begins with over-the-counter medications that control acid. If you don t experience relief within a few weeks, your doctor may recommend other treatments, including medications and surgery. Over-the-counter treatments that may help control heartburn include: Antacids that neutralize stomach acid. Antacids, such as Maalox, Mylanta, Gelusil, Gaviscon, Rolaids and Tums, may provide quick relief. But antacids alone won t heal an inflamed esophagus damaged by stomach acid. Overuse of some antacids can cause side effects, such as diarrhea or constipation. Medications to reduce acid production. Called H-2-receptor blockers, these medications include ranitidine (Zantac). Medications that block acid production and heal the esophagus. Proton pump inhibitors are stronger blockers of acid production than are H-2-receptor blockers and allow time for damaged esophageal tissue to heal. Over-the-counter proton pump inhibitors include lansoprazole (Prevacid 24 HR) and omeprazole (Prilosec, Zegerid OTC). Esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec, Zegerid), pantoprazole (Protonix), rabeprazole (Aciphex) and dexlansoprazole (Dexilant). These medications are generally well-tolerated, but long-term use may be associated with a slight increase in risk of bone fracture and vitamin B-12 deficiency. Medications to strengthen the lower esophageal sphincter. Baclofen may decrease the frequency of relaxations of the lower esophageal sphincter and therefore decrease gastroesophageal reflux. Surgery to reinforce the lower esophageal sphincter -Nissen fundoplication- laparoscopically. Lifestyle changes may help reduce the frequency of heartburn. Consider trying to: Maintain a healthy weight. Excess pounds put pressure on your abdomen, pushing up your stomach and causing acid to back up into your esophagus. Avoid tight-fitting clothing. Clothes that fit tightly around your waist put pressure on your abdomen and the lower esophageal sphincter. Avoid foods and drinks that trigger heartburn. Everyone has specific triggers. Common triggers such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine may make heartburn worse. Avoid foods you know will trigger your heartburn. Eat smaller meals. Avoid overeating by eating smaller meals. Don t lie down after a meal. Wait at least three hours after eating before lying down or going to bed. Elevate the head of your bed. If you regularly experience heartburn at night or while trying to sleep, put gravity to work for you. Place wood or cement blocks under the feet of your bed so that the head end is raised by 6 to 9 inches. Raising your head with additional pillows is not effective. Don t smoke. Smoking decreases the lower esophageal sphincter s ability to function properly. Relaxation therapies. Techniques to calm stress and anxiety may reduce signs and symptoms of GERD. Ask your doctor about relaxation techniques, such as progressive muscle relaxation or guided imagery. For your diabetes meet with your diabetic educator and fix your diet . Try to exercise daily , reduce refined carbs intake and reduce weight. All these measures can help to tackle your GERD , Obesity and Diabetes . Hope this helps Remember your gut is the gateway to your health and you cannot fix your health without fixing your diet.