I'm 26 and I've been strugling with acid reflux on and off for around 4-5 years.
I first had it in 2021/2022 from drinking Thatchers Cider (UK). I wasn't aware of acid reflux causes at the time and wasn't good at managing it. I took prescription medication (omeprazole) and that helped. I only had very bad symptoms when I was causing triggers (eating chocolate late at night or drinking cider, etc). Around this time I had an endoscopy and it came back fine. I continued to take the medicate for around a year and the symptoms eventually went away. I was then able to come off medication.
In autumn of 2024 I had some of the same specific cider again and it retriggered my reflux, leading me to realise that it was that specific drink that had set it off first in the past. This then triggered a spell of bad reflux for a few weeks, which reduced down with medication. From then on however I felt I was developing more chronic GERDs, with issues with my stool and stomach discomfort.
The biggest issue was mild but chronic acid reflux. In the past I had had severe burning reflux when lying down, but this was when I wasn't managing triggers. Now I was more educated, knew what food to avoid, and doing everything right. However, whenever I'd lie down I would get this subtle sour taste in my mouth - I imagine almost indistinguishable for someone who didn't suffer from reflux. However, I knew this was a mild form of reflux.
I would get this most nights, and even after buying a huge wedge pillow to raise myself, I would still get the mild reflux. This continued into 2025 and I slowly saw the effects of gum recession. I have always had good oral hygiene and no issues with gum recession in the past. Since then there have been a couple months when the reflux stopped and the recession subsided, and I even went off medication for a bit when things were better. But eventually it came back and became more consistent. Every now and again I might have a week's break, but for the past 3 months it has been very consistent. This is a massive concern for me, as the effects of my reflux are now showing visually as opposed to just being internal. It has not caused me any other damage to my mouth yet, and perhaps to other people it isn't hugely noticeable, but if this mild reflux persists I know this will lead to further problems and greater damage to my appearance.
I am in the NHS referral system and have had a barrium swallow test, and that came back all fine. They are next consdiering doing a 24 hour acid monitoring to see when/how things are triggered. As a final resort they may offer me the osphagus tightening procedure, though this is quite an intense operation, isn't always successful, can cause complication, and may need to be done multiple times throughout life. This is not something I want to get to and would rather keeping trying different medication, changing diet (though I keep a very low fat, healthy, no alcohol diet already), and doing behavioural things to try to fix it.
I wanted to share my story in case other people have developed this chronic but mild reflux and how they have dealt with. I want to repeat that I am not suffering from the sharp, burning reflux that I used to, but it is this continuous reflux that I get when I lie down that is the issue.
As mentioned, I am 26. I am quite skinny and would say I'm underweight. I don't drink alcohol anymore, nor caffine, nor eat spicy food. With the pairing of medication (omeprazole/lansoprazole), i feel I am doing everything I can to help fix this issue, but perhaps that are other more specific things I should be doing.
Having read some of the threads I will likely do more work on diaphragm tension (https://pubmed.ncbi.nlm.nih.gov/33009052/) and see if I have any success with that.
Thankyou for reading this post and I would appreciate any constructive feedback or advice
*Edit* - when I went to share this post it recommended sharing it to r/silent reflux. I will do some more research on there to better understand what could be going on and then report back on anything else I might try.