Are you avoiding trigger foods - coffee, chocolate, mint, thick red tomato sauce, wine. Sometimes a person needs to eat 5 small meals instead of 3. Chew slowly. Also it could take about a month to two before you see improvement. Hopefully the test in January will give doctor more info. Have you had a esophageal manometry test? I found out that I have that in addition to a HH. There's a new drug that was recently approved that's different than PPIs. It's originally from Japan. Vonoprazan is the name.