I have had GERD now for 20 years. I take a pretty stong rx and it
helps a lot. If I forget it, I am in agony.

Now, don't think I am nuts with this off-the-wall suggestion for a
total change...
Try hot buffalo wings made with Durkee red hot sauce. The cayenne
pepper acts as an anesthetic.
I used to go to my Dr and tell him iced tea and spaghetti would kill
me but hot wings did nothing.