Constant GERD on longstanding PPI therapy

I have constant GERD.  I have been treated with Prilosec for 8 years, and the amount has had to be increased several times over the years.  I am now taking 40 mg of Prilosec in the morning and 40 mg Prilosec in the evening.  This has not been helping me, so I am now also taking Zantac 150 mg h.s. in addition to the 40 mg of Prilosec b.i.d.  The head of my bed is on 2 x 4s to keep it elevated, and I sleep on 3 pillows at night.  I have GERD all the time:  Before meals, after meals, in between meals, and while sleeping.  The acid comes up into the back of my throat and burns my throat raw.  I have a very hoarse voice all the time due to the acid reflux.  I have been tried on other medications, but these are the ones on my insurance formulary that seem to work the best for me.  I have had 2 upper endoscopies over the years, which did not show any issues.  During both of those EGDs, I had dilatation of the esophagus.  My question is:  What is my next step?  Are there other noninvasive forms of treatment or am I probably looking at surgery?  I just started a new job and will not have insurance for 90 days, so I have made an appointment to see my gastroenterologist in 3-1/2 months.  What specific questions should I ask him?

[Tatin109]

Ask him about low stomach acid, possible food allergies, food intolerances, maybe just simply high stomach acid. If I were you I would try out some natural remedies for all these problems, because all that medication is not good for you. How are your stools, normal?

[buffy323]

Yes, normal stools.  What natural remedies are there for this problem?

[alex3932]

Try this herbal tea , 3 BALLERINA TEA .

and if you can google this herbal product and see if this can help

Jing Fang Bai Du San

[lelina]

i have suffered from Gerd for most of my life,  the remedy that works with meis not to eat diary products, cut them out completely when I do that I feel wondeerful

[SHNERLIKH]

can you please tell me what kind of symptoms you experienced with your GERD