you should consult for repeat upper GI endoscopy to see the status of hernia if it has increased or not /or  has it caused more esophagitis. if the severity is mild than cause may be musculoskeletal

continue dietary modification

Lifestyle modification or diet modification will work if the hiatus is small …

For further management or advice kindly consult me on practo

observe your symptoms. and consult to your doctor for better evaluation if new symptoms appear.

feel free to consult me here, if you want to look at all aspects. For that I need detailed history

1. Continue current treatment (Vono 20 mg + Sucrafil O gel) for at least 4–6 more weeks — do not stop abruptly. 2. See your gastroenterologist again in 1–2 weeks (not emergency) — report that burning is reduced but still present when idle. • Ask for: • Repeat upper GI endoscopy (only if symptoms persist >6–8 weeks despite strict compliance) — to check healing or progression • 24-hour pH monitoring or impedance-pH study (if reflux is atypical) — to confirm reflux is the cause of radiating burning • Trial of higher-dose PPI (e.g., Rabeprazole 40 mg BD) or add baclofen (reduces transient lower esophageal sphincter relaxations) 3. No need for CT/MRI or cancer markers — your age, history, and symptom pattern do not justify them.

• Strict lifestyle changes (this is why symptoms returned): • No food/drink 3 hours before lying down • Elevate head end of bed 6–8 inches (use bricks or wedge pillow) • No tight clothing around waist • Small frequent meals — no large or heavy meals • Avoid triggers completely: coffee, tea, citrus, spicy, chocolate, tomato, onion, garlic, mint, alcohol, carbonated drinks • Chew food slowly, no talking while eating • For burning sensation when idle: • Avoid sitting slumped or in one position for >30 min — stand up, walk 2–3 min every hour • Practice diaphragmatic breathing (belly breathing) 5–10 min when sensation starts — reduces reflux and vagus nerve irritation • Try chewing sugar-free gum after meals (increases saliva → neutralizes acid) • When to go to emergency (rare in your case): • Sudden severe chest pain (rule out cardiac, though unlikely) • Difficulty swallowing solids/liquids • Vomiting blood or black stools • Unexplained weight loss This is still GERD-related (atypical radiation due to nerve irritation) — not cancer, not dangerous, and fully manageable with stricter lifestyle + optimized medication. Most patients with recurrent winter flares get complete control once adherence improves. For a detailed, personalized plan (exact PPI dose adjustment, best anti-reflux diet chart for Indian food, diaphragmatic breathing technique with steps, which gastroenterologist in your city is best for refractory GERD, or how to do 24-hour pH monitoring if needed), please book an online consultation with me — I’ll review your full symptom timeline, current medicines, diet habits, and endoscopy report to give you a clear roadmap so the burning sensation finally disappears. Looking forward to helping you get complete relief — book now and let’s make this winter symptom-free

Burning radiating to back/right side while sitting is more likely posture/nerve or muscular cause than GERD. Continue PPI, avoid long sitting, and do back exercises. If it persists, get urine test and LFT repeat — you may consult me for proper evaluation.

If symptom persist Go for scopy again and after the result continues medication or surgical intervation need will decide by your doctor

Consult doctor if worsoning your symptom

you should conatct to your gastroenterologist.

take care of your self and avoid late-night eating, elevate head end of bed,limit spicy and acidic food.