I had Gerd so badly that prilosec did nothing. I got a surgery that no one wants to do any more Nissan fundal plication.Have not had heartburn since.The down fall you will not be able to vomit and need to seek help to stop the vomiting. An annual endoscopy to check for any problems . I would first discuss with GI doctor the possibility that you have esophageal spasms. I have that also and addressing this may prevent surgery.Good luck.
Let me add that since having surgery I developed Irritable bowel syndrome diarrhea since the surgery. It is equally or more distressing than gerd.I can not work go anywhere or eat out due to this horrible disease. I would avoid surgery at all costs
I have used baclofen and trazodone. I prefer the baclofen, but I am still bothered by the side effects (headache, drowsiness). My spasms are triggered by GERD. Getting the GERD under control will be the answer to my spasms so I have an appt. with a surgeon on Tues. about Nissen Fundoplication. My diagnosis was confirmed after an endoscopy with biopsies for H. pylori, 48 hr. pH bravo, and manometry.
Talk to your doc about using anti-spasm meds or specific calcium channel blockers. Other help can come from using nitroglycerin.
Make sure you're scoped - upper endoscopy - to find out the status of your esophagus. And get tested for H. pylori.