I have been suffering with GERD on and off for nearly a decade. I tried taking medication and food control for months, the symptoms disappear but it comes back again the moment I start eating heavy or spicy. I could somehow control the burning sensation with strict "low spicy" and "home cooked" and "minimal backery" diet. Especially coke and pepsi were the culprits, and I have avoided them to a bare minimum level. When I am in severe heart burn, or stomach pain in relation to GERD, I consume chilled drinking yogurt which helps. But I do survive with Gaviscon during those moments. Over the years, I found out together with my physicians that the culprit behind my prolonged GERD is STRESS. Thanks to my very stressful managerial job, travelling and having to manage my family mostly from remotely. I am heavily stressed. When I was in Rwanda, I was blessed to spend months together in a very remote place, which was naturally calm and beautiful like heaven. I had ample time there to pray, meditate, do yoga, and to eat natural and fresh foods. The view of blue mountains, and chill breathe itself was enough to cure my mind and keep me stress free during those days. I swear, I didn't feel heartburn or anything then. But, it was just a short stay. Now I am back to square one. However, I do control my emotions and give enough time to sleep as lack of sleep is the other culprit. These days, thankfully I have less symptoms of heart burn and stomach pain. But constant indigestion, constipation or the urge to go to bathrooms, feeling full at night etc... I know it is also related to gastric, and I am trying my best to control the diet and stress to manage these symptoms.