Hello, As per your clinical history is concerned, please follow like this- 1) Do a clinical examination by your doctor [Gastro] and do a few investigations like [Endoscopy and manometry] 2) Regarding prescription medications, you can discuss with your doctor [Pantoprazole] and OTC antacid like [Gelusil] 3) If already tried medications but no result, then go for [laparoscopic surgery] which will resolve your problem permanently. Do follow lifestyle modifications like this - 1) Try to eat several smaller meals throughout the day rather than a few large meals. 2) Avoid foods that trigger heartburn, such as chocolate, onions, spicy foods, citrus fruits, and tomato-based foods. 3) Try to avoid alcohol and stop smoking 4) Eat at least three hours before bedtime, and make a regular sleep pattern. 5) Try to lose weight if you re overweight or obese. 6) Elevate the head of your bed six inches (about 15 centimeters). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Uday Nath Sahoo