Thanks so much for your helpful info, I too have my bed elevated and also usually have to use a couple extra pillows although have been told by one doctor extra pillows not a good idea as makes your sleeping position constrict you to much. But its the only way I can sometimes not have reflux at night. To add to the fun I also have a varicose vein that benefits from being elevated, but with the top of the bed elevated the leg is lower so now my vein is hurting, will have to wear compression stocking now. Like you, I have no alcohol, no chocolate, no caffeine , nothing spicy, do not eat after 7, also going to try no sugar although the Dr Pimentel anti inflammatory diet allows it. His diet a lot less restrictive than Low Fodmap but follows some of the same principals. I'll check out the antispasmodics etc on the Mayo site you referenced, thanks. I have a feeling I have a motility issue, doing the barium test on Mon, its the only abnormal test I had a year and a half ago, now being retested for that. Hmm I have a prescription waiting for another round of Rifaximin I will prob go ahead and fill it and see what the 1st Gi doctor says on Mon about trying a 2nd round. My insurance said they'll only cover it until May 9, which is before my doctor appointment so I'll have to get it ahead of time, and I still have the $650 Co pay! insurance such a pain! Rifaximin us under patent until 2029 too bad! But I've paid so much out of pocket for this thing over 2 years, if it made me better I'd gladly pay for one more expensive item. When I go to the next GI doctor I'm definitely going to ask for a dietician, thanks for that idea, they are covered by insurance with that doctor. I feel like this site is "true confessions" we tell people we don't know so many details about ourselves, but I've found some of it like your info very helpful. Hope I eventually feel better and have some things that can help other people!