This topic revolves around the challenges of dealing with persistent gastric reflux, a metallic or chemical taste in the mouth, and the potential connection to a parastomal hernia. Here are some insights and advice shared by others who have faced similar issues:

1. Reflux and Hernia Connection
- Some people have found that hernias, including parastomal ones, can worsen or cause severe reflux. They suggest considering a surgical assessment.
- One person experienced complete relief after a laparoscopic repair, which involved repositioning the stomach and closing the hiatal opening. They emphasize that while medication can help with symptoms, surgery might address the root cause.

2. Medical Follow-up and Risks
- Untreated reflux can lead to serious conditions like esophagitis, Barrett’s esophagus, and even cancer. Persistent sore throat symptoms should be reviewed by a specialist urgently.
- Healing of esophageal tissue can be slow, so symptom improvement might take time even with effective acid suppression.

3. Medication Strategies
- Continue using proton-pump inhibitors (PPIs) like Omeprazole, as some people may require higher doses or a different PPI.
- If allowed, consider adding H2-receptor blockers like Ranitidine.
- Be aware that missing doses can lead to rebound symptoms within 48 hours.

4. Mechanical and Lifestyle Measures
- Opt for very small, frequent meals.
- Avoid eating 2–3 hours before lying down.
- Elevate the head of the bed gradually using books or blocks under the legs to create a gentle incline, rather than using extra pillows.

5. Complementary and Alternative Options
- Some have found relief from severe GORD/GERD by drinking Aloe Vera juice daily over several weeks.
- Eating a single peeled apple slice before bed has helped another person, though results can vary.

6. Dental Protection
- Long-term acid exposure can erode tooth enamel, so regular dental check-ups are important. Discuss protective fluoride or remineralizing treatments with your dentist.

7. General Support
- Keep working with your doctors and insist on a referral to a gastroenterologist, as well as an endoscopy and hernia evaluation if symptoms persist or worsen.