I have been first diagnosed with LA-C esophagitis last year with a 3 cm hiatal hernia. First round of treatment was PPIs with almost no changes to diet and lifestyle - result was esophagitis turned into LA-D. Second round of treatment was a change to the PPI and a few diet/lifestyle changes - result was still LA-D. I continued eating lots of high fat/friet food, including night meals little time before bed, loads of tea including mate which contains caffeine, and water minutes before sleeping.

Now I changed doctors, going to two of them and gathering different opinions, researching a lot more, going all-in in the GERD diet, I am consulting a specialized nutritionist, went through manometry and ph-metry test yesterday. Now taking Nexium and Motilium, raised my bed by about 15 cm to avoid night reflux. I am under a good health plan in São Paulo, going to the best hospitals in the country for the tests. I have been consulting GIs under the health plan, but I may try a fourth opinion outside it. I may follow advice in this market.

I have little symptoms, which is in one hand good, but which combined with the hiatal hernia is the reason why I suspect this is going to be difficult to treat by "knowing the triggers". I am a 33 year old male, not obese, non-smoker. The plan is to get my next endoscopy in about 4 months. Goal is to avoid Barrett and/or surgery.

• Update 2024-18-12 (PST) (AI summary of creator comment): - The next endoscopy will be performed in early February while taking PPIs

  • The endoscopy's purpose is to evaluate treatment effectiveness while on PPIs, not to assess ability to discontinue PPI use