If despite taking PPI for 1 year you have symptoms( Don't know whether you are taking them regularly , Taking adequate precautions , what is grading of hiatus )
Next option you have is - Surgery ( Hiatal hernia repair surgery )
Consult a Gastrosurgeon/ Gastroenterologist for that ( He is the specialist for GERD especially when it is refractory / recurrent )
You can consult me in detail over call with all your details
Answered2021-05-11 16:53:55
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