Lately I'm finding that meal size / stomach volume is the biggest factor and biggest lever I have in avoiding symptoms
46M, GERD for 30+ years, had HH discovered during endoscopy in ~2015. Things well-controlled for a long time, I wonder if core/ab exercises caused the HH to get worse a few months ago
I had been trying lots of acid reflux stuff: 1 Prilosec in the morning, 1 Pepcid before dinner, and lots of Gaviscon. And it was weird because it didn't seem to be helping that much
I also have been trying to avoid the classic GERD trigger foods. But I was finding I was having symptoms even with avoiding those. And a couple nights ago I had avocado (fatty) with dinner, but had no issues.
Last night I had little to none in the way of trigger foods, but DID do a pretty large meal, including with liquid volume, and I ended up having upper abdominal/lower chest pressure/bloating for hours, and heartburn overnight.
It really seems like the big meal / big stomach volume is the biggest factor.