Hello, mghdpe, I can understand how anxious you might be , trying to deal with problems that you have. GERD symptoms can vary in different individuals. Eventhough the typical symptom is Heartburn , there are lots of other what we call extra esophageal symptoms. These include hoarseness, sore throat, recurrent sinus infections, chronic cough, especially at nights , sleep apnea , weight gain and anxiety etc. If you have complications from GERD with damage to the lining of the lower esophagus , you can have ulcers, scarring or stricture and have difficulty swallowing and sometimes bleeding. There is also a pre-cancerous condition called Barrett s esophagu which results from long term exposure to acid and changing of the lining. I am mentioning all these to point out the importance of control of acidity. Esomeprazole is an effective drug if taken appropriately and regularly. Make sure you take the medicine one to one half hour before you have your main meal. Don t eat close to bed time and make sure you are upright for at least two to three hours after your last meal. Unfortunately , grilled cheese and cheese quesadilla makes your stomach produce more acid because of the calcium the cheese contains. Milk products , all have calcium and if taken in excess can give you more reflux. Try to avoid very spicy food. Excess caffeine. I am sure that you don t drink alcohol or smoke tobacco. If you stay on the medicine and follow diet for about 8 weeks , you should heal well even if you have ulcers of the lower esophagus. If you continue to have problems, you need to have an upper endoscopy where the specialist can look in and take biopsies if needed. I wish you the very best.