I was diagnosed with gerd and i was nexium (esomeprazole) and it helped. i stopped taking nexium (esomeprazole) and problems came back. how do i fix it permanently?

Calm the volcano: Time for change: *stop smoking. *avoid triggers: caffeine, chocolate [sorry!], alcohol, citrus, sour/acid foods, fatty/spicy foods, carbonated drinks, garlic, spearmint. *eat small meals. Sit down and eat slowly. *reduce stress. *after you eat, wait 2-3 hours before laying down. Get checked for h. Pylori germs, which can kick up the acid in your stomach.

H. pylori: Definitely get tested for h. Pylori. In folks who are infected with this bacterium, treating it with an antibiotic cocktail can sometimes provide significant improvement in their symptoms. In the mean time, you should continue taking the Nexium (esomeprazole) as it was controlling your symptoms effectively.

Surgery is an option: Patients with gerd should be formally seen by a gastroenterologist. If a patient has relief with a ppi such as Nexium (esomeprazole) that can be continued. If despite remaining on therapy with a ppi the symptoms persist an upper endoscopy is indicated and consideration for referal to a surgeon to have an antireflux proceedure should be offered. Surgery, can often obviate the need for life long ppi treatment.

Prevention?: What steps have you taken to prevent gerd? Change diet? Sit down, eat slow small meals? Balance play/work. Chill, not stress. Check out h. Pylori infection. Hope your stomach's happier soon.