Just a thought! Maybe you could take your PPI before dinner since it is worse after dinner. Ask your doctor first. That's when I take mine.

@biga282 and @waterlilly I have had GERD due to a hiatal hernia too. I have been told the hernia repair causes problems of its own, so I will not go through that. I don’t think my hernia is big enough to warrant surgery anyway, as no doctor has suggested getting it repaired.

What has helped me is: I stop eating and drinking by 8:00 p.m. - 9:00 p.m. the latest - since I usually go to bed around midnight. I take one Lansoprazole 30mg. at bedtime only. I used to use bed risers (available at Amazon and any bed and most department stores) to raise the head of my bed a few inches which helped keep the GERD episodes to a minimum. Now I have an adjustable bed, which is even better for me as I can custom raise the head of my bed (added bonus, even the foot of my bed if I ever need to - haven’t used that feature since no need yet but a handy thing to have should I need it)!

I do experience chest pains that feel like a heart attack, usually during the day if I strain my stomach muscles lifting anything heavy or even bending down to do some work. When I get those pains I take sips of water and it settles down. Sometimes I get these pains during the night though not too often, but I keep a bottle of water handy to ease them.

I also wear loose fitting clothes that don’t put pressure on my waist and stomach. I have a big enough belly that pushes against my stomach when I sleep on my side with my legs bent, causing chest pain sometimes, so I have to be mindful to keep them straight when I sleep.