About me: I'm 37, 115 pounds, healthy and active female. I have no other medical conditions and have never been on any medication for any length of time. I am negative for H Pylori. My story: About three months ago I developed acid reflux. It seemed to come on overnight. One day I was fine, the next day I couldn't eat anything without severe discomfort. I've never really experienced traditional acid pain in my throat or chest. My main symptoms were: extreme pressure just under ribs (making it difficult to breathe at times), extremely dry and hoarse throat in the mornings and stomach discomfort. At one point prior to diagnoses, the discomfort was so bad (shoulder pain, back pain, etc.) that I went to my local urgent care clinic thinking I was having a heart attack. After a few weeks of this I went to see my dietician. She said that my diet was already excellent and that she couldn't make any significant recommendations. I've never been a coffee/tea/alcohol drinker, so that wasn't an issue, but I did cut out tomatoes, chocolate, citrus, garlic and onions. From there I went to see my doctor who put me on 20mg of Losec / day. I did that for a week and felt great! I decided to taper off the drug. Almost immediately the acid returned — with a vengeance! It seemed to be worse than ever. The doctor told me to go back on the meds for a minimum of 2 months straight. He upped my dose to 40mg / day and suggested supplementing with Gaviscon when I noticed symptoms. It's been 6 weeks now since I've been on the double dose of Losec. Felt great for the first couple of weeks, and then I started to notice symptoms again. They are definitely manageable with the medication — but still noticeable. My main symptoms now seem to be difficulty swallowing, throat clearing and sweet taste in mouth on occasion. I'm feeling very alone in this right now. I seem to lack any focus at work, am feeling depressed and the difficulty swallowing is starting to make me anxious. I'm wondering if the Losec might be making me depressed. I plan to go see my doctor in a couple of weeks once I've been on the medication for 2 months. I really feel like at my initial meeting he really didn't address many of my concerns — or discuss any underlying cause of this — just put me on the meds and pushed me out the door. To this end, I want to make sure I have my questions lined up for the next appointment. I'd appreciate your answers to these questions, and any additional questions you might recommend that I ask my doctor. I'm generally pretty Type A about things and I am really determined to get to a solution. My major concern at this point is that my husband and I would like to have a baby. At 37, I need to get on this as my biological clock is ticking. Unfortunately, Losec is contraindicated with pregnancy. I'm concerned I'm going to have to be on this medication long-term and won't ever be able to try to get pregnant. Help! Alright, here are my questions: 1) What might be the causes of this condition? 2) Why might it have come on so suddenly? 3) Should we be investigating an underlying cause? 4) Aside from medication, what else should I be doing to treat this? 5) What alternative / complimentary treatment options should I be seeking (i.e. acupuncture, chiropractic, nutrition, exercises, etc.)? 6) Who are the experts in this field? 7) Who are the best specialists? Who is conducting research into this? 9) Where can I find the most recent research? 10) What is the purpose of the medication? 11) Is this medication treating an underlying cause of the issue or just the symptoms? 12) What is the plan if this medication does not work? 13) How / when do I taper off of this medication? 14) Is there a high likelihood of "withdrawal" making my symptoms worse? If so, what is the plan for that? 15) What is the next step if the medication doesn't work? 16) What are the latest developments in the treatment of this issue? 17) Is there an alternative treatment plan that I can be on while my husband and I try to have a baby? Any and all help would be tremendously appreciated.