I have a heart burn problem since 4 years. i got an endoscopy done and the doctor said it is gerd and he prescribed rabeprozole. i have temporarly relief but no fix.what should i do?

Further work-up need: Make sure you were also tested for h-pylori infection as sometimes it can produce similar symptoms. A hiatal hernia also needs to be ruled out. Sometimes anti-reflux surgery is needed when medical therapy fails.

Consider alternative: Not every medication in that class (ppi) works quite as well for an individual. Consider omeprazole, esomeprazole, pantoprazole, lansoprazole, deslansoprazole. Some patients benefit from addiing a pepsid class (h2) medi to their ppi regimen. Others may need to undergo surgical procedure of fundoplication. For any of these, you should return to your gastroenterologist for individual treatment.