 [ Symptoms ] i have been suffering from very hard persistent re flux with or without eating for almost like one year [ Disease ] com reflux can be caused due to many reasons … h pylori stress hiatal hernia are among them so we need to make sure first that h pylori is no more there by doing a stool h pylori test have your endoscopy showed any thing like hiatal hernia are you stressed do you sleep in upright position are you subsiding all acidic foods and caffeine and foods that aggrevate symptoms