Tums will almost always make the situation worse. They are filled with garbage and too much acid isn’t usually the cause of reflux. Even though we are all told that. I would highly recommend resetting his system by doing a strict carnivore diet for 30 days. Eat your last meal of the day at least 5 hours before going to bed and see if that helps some. Sounds like his whole GI is messed up and a nice reset would do him good

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