I had horrible ulcer reflux, gastritis etc. dexilant and carafate helped a little but ultimately I had to be converted to a bypass. My original surgeon kept telling me it was no big deal and I waited on it. Then I had a surgeon attempt a bypass but it was too damaged and I had to go to another surgeon and it took him 7 hours to bypass it cause of all the damage and my sleeeve started twisting etc. keep on this and get a second opinion if need be.