@nanny23 - Seek a second opinion …? I am surprised your current gastroenterologist has let the situation get this far and not done anything to prevent your getting Barrett’s esophagus.

Mine is also small, but my LES is wide open. I take a ppi in the morning and a famotidine in the evening. When I told my gastro I wasn't interested in surgery that is so uncertain for many, he pretty much said fine and never contacted me again. I am going to ask for another endoscopy in Jan. Then it's been 2 years since my last.

One thing I can suggest, is strict diet. No spices, no coffee or chocolate, no red sauces, nothing oily, or sweet. Eat less meat or no meat. If you do eat meat, eat very lean meat, chew every bite 20 times, even eggs. Eat smaller meals six times during the day. Don't overeat. Drink PH water. Don't bend after eating, don't lift anything heavy, don't take muscle relaxer, if you are taking it. Sweets and fat and gluten and dairy and stree are the worse things for Hiatal Hernia. Don't eat anything that is fried. No mint or Spearmint. No garlic or onion or sodas or alcohol. No smoking. No tight fitting clothes. Make your own chicken broth. I make it and put in frig overnight and in the morning, I remove the fat from top of the broth. Lose weight. I used to be 165lbs then after diet, 130. I was doing very good, then started to eat pastries and coffee and bacon during Xmas and got very sick again and never got better till recently. I am 126 pounds now. PPIs don't work for everyone. Try Gaviscon or extra strength Gaviscon from Amazon, and Tagement extra strength. Get a prescription for a liquid medication that you can take before you eat so it covers your esophagus, like liquid Carafate. Don't eat four hours before you lay down or at night before you go to bed. Get a wedge that is 8 inches high and sleep on your left side on the wedge. Please consult a good doctor as well.