Hi ! Good afternoon. I am Dr Shareef answering your query. One of the main cause of the GERD could be the anxiety itself. Everyone passes through hard life sometime or other, but one has to cope with it and have control over the anxiety, and not to allow anxiety to control oneself. Once the anxiety is over, 50% of your problem would be over. For the rest of your symptoms, you could do the following: 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 towards 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) Prescription for a prokinetic agent and a proton pump inhibitor (Rabeprozole which she is already on) for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards. If these measure do not work, then you might have to consult a gastro enterologist for further management of your symptoms. 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. Wishing you an early recovery. Dr Shareef.