So, you do eat bread. Do you still have bacterial overgrowth? Do you have bad breath on and off for years? Did GI specialists make any suggestion like you taking probiotics? Are you tolerant of dairy?
I had a horrible heartburn. It was hell. It was so bad so I had to force myself to sit up and sleep in bed. Antacids, Sucralfate and Omerprazole didn't help me. I thought I was going to have a major heart attack. That's how I found out I was pregnant. I only threw up twice through my pregnancy. I had low acid stomach. I have to make sure my stomach gets plenty of acid and my stomach will be happy. Bread and crackers didn't work for my nausea. In order to fix the problem, I took probiotics or kefir to take care of it. I used to take it daily thru pregnancy. It works. I ditched antacids, Sucralfate and Omerprazole except prenatal pill. I had to change the way I used to eat. I know a few people with severe GERD had to change the lifestyle completely and took probiotics. It made a huge difference. It took months for symptoms of GERDS to disappear as long as they had to stay consistent with right diet.
During the pregnancy, I was craving for milk, so I consumed seaweed soup with broth. My craving was gone. When I have an urge to drink milk, I watch my symptoms and I know it's time to eat seaweed soup or drink any green smoothie.
You should see naturopathic doctor. Many patients with GERD seek naturopathic doctor's advice when they tried everything else.
If you want to learn more new info, Check Chris Kresser's blog. It's a lengthy information. You should read these comments. You're not alone.
https://chriskresser.com/what-everybody-ought-to-know-but-doesnt-about-heartburn-gerd/
My GI specialist told me that I don't have bacterial overgrowth and I don't have bad breath (exception of garlic). Yes, my GI specialist ordered me to take Align (probiotic) everyday after got diagnosed with IBS (Irritable Bowel Syndrome) to stabilize my colon. I'm on Align for 6 years now. I do have some tolerant with dairy products, but I need to take Lactaid. There is big problem with my esophagus and stomach - LES is weakened so will not close at all, so reduce the stomach acid is option for me. No one invest to develop the new medicine to strengthen the LES yet. My esophagus muscle isn't strong so I must drink much liquid to push the food down.
The IBS developed after I got ill with food poisoning after Thanksgivings in 2009. My IBS looks like bipolar and frowned with some food brands. Most foods that made with flours from Kellogg's (Pop Tart, Froot Loops, Rice Krispies) caused constipation with cramping, but flours from Nabisco like Oreo, Pinwheel and Teddy Grahams caused diarrhea with cramping. General Mills, Hershey's and Nestle are fine (no oats, no peanut butter). All lunch meats need to be cooked or heated (cold lunch meats caused diarrhea). The peanut butter cause constipation if consume in excess, also Hershey's chocolate cause bloating if consume in excess on daily basis and all Mars candies (M&M's) cause diarrhea if consume in excess, so need to be in moderation, but I can eat Nestle chocolate in any amount without GI side effect (no peanut butter).
Some foods cause increase the frequent of bowel movement, that's very annoying, it can be normal solid to watery, or combined. If I have important tasks so I'm going be on strict Nestle only and I don't have any issues with most fast food (no cold food), but it isn't recommended to be on daily basis so sometime, vacation or long trip has caused me to eat fast food frequently due to no to limited access to kitchen. I'm not concern about weight gain because weight will be same if you eat same daily calorie.
The food at Gallaudet cafeteria is kinda complicated, but most important, I avoid spicy, garlic and onion, and sometime, they serve same foods everyday. I used to eat at Chipotle 3-4 times per week at Gallaudet when I had meal plan waiver and be full time student made me stressed and exhausted, so I went to fast food for my convenience. I avoid all beans because of spicy added, that all. The pizza is OMG, I can't stand the pizza - cause extremely bloated.
Now, I have chronic nausea since last year and no one find about what is wrong, so my doctor put me on Reglan and I had to discontinue because of unable to sleep, tremors and RLS. All of them are gone after I stopped. They put me on Domperidone but it isn't FDA approved so I have to buy it from legit online pharmacy, that's work fine. My doctor told me that he doesn't believe that Domperidone cause muscle spasm (based on medical literature and patients). No one know about how nausea caused and exhausted with all tests, except there is slight delay in GI emptying study.
I had strict diet for months before (lost 60 lbs) and didn't improve the heartburn, so I regained a lot of weight after went to Gallaudet. Dexilant + Domperidone with some diet modification works best, until insurance company willing to approve on Stretta procedure. They still deny and delay as I'm fighting with them. It will take months to years. Fundo and LINX are out of option due to weak muscle in esophagus, after GI specialists told me that many patients with weak esophagus, have a hard time to swallow or cannot swallow at all, so necessary to be reversed, so after that, they strictly require HRM (High Resolution Manometry) before consider Fundo, LINX and Stretta. My HRM result is abnormal (weak esophagus).
The new diet is most hard for me, so I didn't want to thorough about whichever foods are sensitive or not. I put on diet before and got sick. If heartburn or GI are messed up so it will take few days to recover after switch to old diet. Speaking about high risk, I just like... life goes on and life is too short... I'm going to enjoy my life as I can.
Do insurance will cover naturopathic doctor?
BTW, sometime, Metamucil and medicines could interfere with some foods, that happen.