Hi, there! Oh goodness...my heart goes out to you...yes, this is super tough! I have finally gotten my gastritis and gerd way down recently. I think what helped are the following: Original papaya enzymes, Digestive enzymes ultra (by Pure...I take 1 per meal, after 4-5 bites.), I chew extra, extra well now...I try and eat lots of fruit and veggies, no red meat, very little dairy (1/2 slice of cheddar), and no prescribed medicines. I believe that I have Dercum's Disease which is a lipoma/connective tissue thing...anyway, I believe that for me, lipomas have grown in my stomach and decreased the stomach acid in my stomach...and created all the problems with that. It also creates fatty liver (and I don't drink at all)...so, I'm working on that too. Actually, this darn thing I have gets into every spot in my body...so, I'm trying to stay calm, use magnesium baths...eat amazing, keep a gratitude journal and try to walk at least 1 mile of steps per day. I also need a CPAP now, as I found that my oxygen levels go too low at night...oh boys! Thanks for listening...I've decided to not waste any time, not even one minute, on shoulda, woulda, coulda's...I realize now that I want to enjoy every minute of today and all of my tomorrows and not fret about the past too much (as much as possible...but, it's hard!) Also, Reflux Relief from Gaia Herbs really, really helps! I suck on one after most meals and it really helps with acid reflux and gerd. Ok, I hope some of these tips will help you!!! I agree small meals work best for me too. I also try and walk at least 6-8 minutes after every meal...don't just sit, it helps with motility, digestion and prevents (or helps to prevent) constipation. The toughest part is I don't really get hungry anymore...I really miss that! But, on the positive I've lost 30 pounds and am finally in the healthy BMI, yay! Something positive!! Hang in there...focus on the small wins and positives...sending you endless prayers and big hugs!! Best...Mia 🙂