Hi.
Noted your history related to GERD, erosive
gastritis and
duodenitis, rare hearburn, reflux, feeling small lump in throat and so on.
It is good that Upper GI
Endoscopy is done and you know the diagnosis.
Continue the precautions you have mentioned about diet, caffiene and so on.
One of the most important factors for Nexium alone not working in your case is
anxiety and stress.
These two factors instigate or enhance the symptoms in spite the patient is taking Nexium.
Hence I would advise you additional medicines that you need to take after consulting your Doctors.
Domperidone to avoid the reflux.
Antacids particularly when you are empty stomach.
Medicines for anxiety or stress if needed help a lot.
Changes over anything that increase the causative factors.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. T. Chandrakant, ENT & General Surgeon