See a physician. Chronic reflux can lead to chronic esophagitis and then esophageal cancer, very bad way to die.
Believe me, I know. If nothing else, the fact that my reflux has made me throw up means long-term I could actually just rupture my esophagus and die horribly that way.
So I did. I saw my physician, went on Prevacid for two months, added something to improve gastric emptying for the second month. But it's also a very bad idea to take acid blockers long-term. You can get brittle bones and pneumonia, which I understand are also pretty awful ways to die. So for long-term control, I need to change my diet and lifestyle and and the way I eat when I do eat. So that's what I'm doing now. If this doesn't work, I fully intend to get a referral to a specialist, but that's hugely expensive.
Not being dismissive or anything here. It's a very serious consideration that you've brought up, and I don't want anyone to worry that I'm self-diagnosing or taking medical advice from strangers on the internet instead of going to a doctor for what is in fact a serious condition.
ETA: Thank you to everyone for the recs!
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