Hi ! Good evening. I am Dr Shareef answering your query. The following could give you some relief : 1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity. 2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food 3) Regular routine exercises like morning walk depending on your medical fitness. 4) Get your blood pressure checked and blood sugar level tested both fasting and post prandial. 5) Get your ears checked up for any ear pathology which might be co existent with the GERD and causing nausea and vertigo. You might continue with your GERD medications as well. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.