I have severe GERD as well as Hiatal Hernia, and there's two things that really help. Number one is taking Zegerid, which is basically Prilosec formulated with baking soda. If Prilosec doesn't do the trick I would ask your GI about Zegerid.
Number 2 is diet. I have found that avoiding all chocolate/cocoa (yes, even fat free cocoa powder), tomatoes/sauce, citrus, ascorbic acid/vitamin c and the obvious coffee and alcohol makes a huge difference. I can tolerate the amount of C in my multivitamin, and that's about it. Cocoa was what really got me before, I was eating IBS safe brownies and cocoa flavored things all the time, and I realized what it was doing to my GERD. Apples don't bother my acid, but I agree fruit in general doesn't always feel great when you already have heartburn. Starchy foods like cereal, bread and potatoes seem to absorb the acid.
-------------------- IBS A (more D than C). Severe GERD & Hiatal Hernia as well.
"For I know the plans I have for you,” declares the Lord, “plans to prosper you and not to harm you, plans to give you hope and a future." Jeremiah 29:11
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