Aciphex is a fine choice for a proton pump inhibitor to treat the GERD.
If the symptoms continue, you may want to consider a 24-hr pH study to quantify the severity of the disease. Sometimes adding an H2-blocker like Pepsid or Zantac can help.
If GERD continues to be present, and the symptoms refractory, you can consider surgical treatments like a fundoplication.
Otherwise, other disease can be considered, including delayed gastric emptying, and evaluated by a gastric emptying scan.
These options can be discussed with your personal physician or gastroenterologist.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin Pho, M.D.
www.kevinmd.com
www.twitter.com/kevinmd
Ask to get checked for Zollinger-Ellison Syndrome, you seem to fit the pattern.
I have acid reflux for over 8 years now and I have tried almost every medicine,OTC or prescription except yours and protonix.
Now I dont take anything,these medicatin just makes it worse,not better.
I was home visiting my folks in Asia and we ate every night at 7 pm,traditional Chinese meal starting with soup which is usually some neckbones,carrots and corn on the cob.then veggies with meat and fish etc/
since my parents are elderly,everything is cooked well.
afterwards we will have fruits.
surprise,surprise,no acid reflux all the days I was with them.
It could be I am not eating dairy product,hard to digest stuff and not overeating,soup and fruits could help digestion as well.
so review your own habits and try to weed out the culprits.