There are many reasons for acid reflux and some cases are much worse than others. I have a hernia that gives me a lot of difficulty and was told that most people in the world have this problem but are unaware of it, they just think it is too much acid. My problem was caused by a stupid child when I was 11 years old. This boy was trying to get attention and suddenly jabbed his finger into my upper stomach area and it took the breath out of me. That was the beginning. I never told my parents because being a child myself I had no idea that there could be a serious problem from the whole thing. There was and still is. I did a lot of heavy lifting of things around the house growing up and when I got married I started having babies and that made the situation much , much worse. I began to not only have a problem with acid reflux but I started noticing that with some meals I couldn’t get through the entire meal without my food backing up into my throat and would eventually have to excuse myself to go in the bathroom and bring up what wasn’t going down. Then I discovered that tis happened when I was drinking a cold drink with the meal. If I drank a hot or warm drink I didn’t have the problem. I gave up cold drinks with my meals. My father-in-law had the same problem and he always dranl a glass of very cold water with his meal. I told him what I had discovered and he also quit drinking a cold drink with his meals and sure enough his problem went away too, until that is he decided it couldn’t be that simple, so he drank a glass of cold water with his dinner one evening and everything was back just like always. He never did that again. My grandmother had the same problem except with her it was eating a dish of ice cream before she went to bed. She woke up and almost made it to the bathroom when she passed out. After some tests the doctor confirmed that she did indead have a hernia and told her that very cold foods and beverages cause the esophegus to stop contracting and then the food or drink just sits there and doesn’t go into the stomach or if it does it doesn’t exit the stomach like it should. Acid is pumped into the stomach and then is forced up into the esophegus where we experience the acid reflux. Be very careful of eating in the evening before bed and do not consume iced cold drinks before and durring eating a meal and it will be a big help. As for me at my age and with the other problems I have it has been advised to me not to try to go through the surgery so I drink a couple diet sodas each day to keep the acid under control. Works for me ! Very rarely do I have to resort to an ant-acid tablet ! Remember to tryhot drinks with your meals or when you eat food. Even fast food ! Save the cold drinks for drinking alone to cool off !