On an almost daily basis, I get an email from somebody with the same exact question or near-variation: "Dear Dr. Chang, I have been taking a [ insert reflux medication ] for [ insert number ] weeks and I see no improvement in my [ insert symptom ]. What should I do?" The reflux medication typically mentioned include nexium, dexilant, prilosec, prevacid, protonix, or some other proton pump inhibitor . The most common symptoms typically mentioned include: • Globus • …