I control my diet pretty well these days, so it only happens maybe three or four times a year.

Both Prilosec and Nexium caused internal bleeding in my case. Zantac was ineffective.

Have you tried “crazy” things like going low fat or easy to digest foods? I used to have to take nexium, but stopped after having my gallbladder removed and, more impactfully, going vegan. I used to have full on esophageal spasms. They led me to the ER twice out of the pain. In hindsight, dairy’s fat content (amongst other things) was really irritating my stomach.

Yes, foods with high amounts of fat are on the long list of things I avoid. I ate a vegan diet for over a year, but have added some meats and eggs back more recently. Dairy fat is irritating to me too.

Funny, high fat used to be on my list too, but on a keto diet my Gerd has disappeared almost completely.

Am I right to infer that taking 2g of baking soda in 250ml water (as done in this study) to fight my autoimmune issues might lead to me having a higher risk of esophageal cancer?

Just freakin' roll your own, sheesh. Bake your own bread, get some bicarb-soda from the natural side of life, ingest it regularly instead of a trucked-in consumer-ingredient.

Its not so hard. For a lot of us, its a huge duh that bicarb is good for you. I mean, a lot of us get it already.

Tums are not baking soda though so...