My acid reflux is very inconsistent. i can get it everyday for 1 month, then go months w/out any. same routine, same diet. why these fluctuations?

It happens: Everyone can develop reflux depending on their diet, habits & lifestyle. Since these vary, those with the tendency will often have periods of more or less symptoms. Consumption of caffeine or nicotine keeps the stomach entrance from closing well & aggravates. Laying down soon after meals removes the gravity assist from helping stop reflux. Staying symptom free is often a balancing act.