I have been experiencing GERD
for the past 3 years.
Heart Burning experienced after waking up, going to the GYM, tension at work, plus spicy food, tomato sauces, and fatty food. I have have done all the life style changes required ... but nothing worked.
I have been on medication Nexium 40mg, the Nexium 20 mg, then other PPIs together with Anti Acids.
No matter what I do I try any of the above activity I have a good chance of getting reflux at least twice per week.