Janie - Are you on Nexium? I've heard of a lot of people having the symptoms you are describing from being on Nexium, so was wondering. My parents both had such an awful experience with it they had to be taken off of it. I have GERD unfortunately and to keep it under control, I take a Pepcid every morning along with a Prevacid. I've tried Protonix, Nexium, Prilosec, you name it, but only Prevacid 30 mg works for me. In the evening before dinner, I take another Pepcid. I'm usually able to wean myself off of the Pepcid after I've gotten a "flare up" under control. I have cut down drastically on my caffeine intake. I don't drink coffee anymore and if I do have an occasional cup, I make sure it is decaffeinated. I also avoid sodas period. The caffeine is bad, but the carbonation is just as bad, so even caffeine free can cause problems. Tea is another drink I really cannot have. Everyone has different trigger foods that cause problems, so you will have to kind of figure out what those are and limit those. Also, don't drink right before bed. I've been told about elevating the bed, but honestly I just can't sleep like that. Sleeping with a few extra pillows doesn't help either, you would have to completely elevate the head of your bed for that to be effective, so I haven't bothered. With the meds, I'm pretty much in control.