I'm 20 and I've had a lot of reflux for a year. I've tried several treatments, but it always comes back. Sometimes I just feel burning and other times reflux. I feel very sad because I can't get better. What can I do?

Hello, Laura: First of all, I want to tell you that I completely understand how you feel. Living with reflux for so long can greatly affect quality of life and cause anxiety or low mood. The good news is that, in most cases, it is possible to find the cause and improve the symptoms with the right approach. When reflux persists despite treatment, it is important to review several aspects: confirm that it really is gastro-oesophageal reflux disease, assess whether there is a hiatal hernia, a Helicobacter pylori infection, functional disorders of the oesophagus or even stress-related factors, which can heighten the perception of symptoms. It is also worth reviewing some habits that greatly influence reflux: avoid large meals at night, do not lie down until two or three hours after dinner, reduce alcohol, tobacco, coffee, carbonated drinks and very fatty or spicy foods, and maintain a healthy weight if overweight. If you have had recurring symptoms for a year, it would be advisable for a digestive-system specialist to assess the need for a gastroscopy or additional tests to reach an accurate diagnosis and tailor the treatment. Most importantly, do not lose hope. Many people with chronic reflux manage to control their symptoms once the cause is correctly identified and treatment is individualised. I hope this has helped, and I wish you a swift improvement. Kind regards.