[Bartholomew Roberts]

I have GERD really bad, somehow connected to a hiatal hernia that I developed

Carbs don’t really seem to affect me as much as specific foods.

Tomatoes and tomato based sauces are the worst
Ice cream (milk doesn’t seem to have the same effect)
Processed meat within two hours of laying down

The supposed only cures are cut off your esophagus above stomach, jamb the esophagus further into stomach and stitch it back up.

Or put a bracelet of magnets around esophagus above stomach that keep the tube tight. I’m thinking I’ll get the bracelet but would love to hear from anyone who has had a procedure!

[BullwinkleMoose]

I had a large hiatal hernia according to my doctor. It caused me all sorts of grief and aggravation. I took medication for it and Gaviscon for quick relief. Tomato sauce followed by chocolate would set off a small nuclear explosion in my gut. I found relief when I started intermittent fasting (eat only during an 8 hour window). Within two weeks I noticed improvement. After 6-8 months I was off medication and only rarely needed Gaviscon.

[Mr Radical]

I was offered the op to remake the esophagus but the surgeon advised there is a 5% failure rate which can make things worse. Quite high it seems to me.
Especially as a gastroscopy found no hernia and the esophageal valve seemed to be functioning!

So I try to control it now with diet; only partially successful but in my case foods with Sulphites are definitely to be avoided.
And chocolate.
Tomato based sauces and processed meats are both likely to have sulphite-based preservatives.

[GrannyAnn]

Tomato based sauces are usually poured over a big plate of pasta (simple carbs).
Ice cream is loaded with sugar (simple carbs).
Processed meats are usually served between bread (simple carbs).
Just sayin….