new here: rough gerd case, aggravating asthma. solutions?

Hi everyone. Im new here to the forum,actually posting, but have been reading others comments and posts for a little while now. I do not like to feel like I am complaining about my situation and I hope it does not come off that way. I do feel very blessed in my life and know so many people who seem to have trials far greater than mine. Just hoping to connect and to get some advice, perspective or ideas as to where I can go with all of this. I've had a tough time with my case of gerd with a hiatal hernia for the past 8 years. At 27 the doctors tell me I am pretty young to have it this bad. they told me that the percentile i am in, of how bad the reflux can be, is in the high 90's. they said it is extremely uncommon for someone my age to be rated that highly for it (after the egd and bravo tests). that was several years ago when I first had it checked out at age 23. dealing with the gerd is one thing, its effect on my asthma is another issue altogether. Lately my asthma has gotten quite bad because of the constant barrage of my stomach contents into my lungs. wondering if anybody else is having now or has had difficulty with gerd inflamming asthma. my asthma was rough when i was pretty young but tapered off into more of a minor exercise induced form as I grew into adolescence. the combination of the two has been quite limiting. i used to sing quite a bit as well but that has all become almost non existent these days. seems like i am lucky if my voice lasts through the day just speaking regularly. as much i would like too, i cant really exercise or play any sports anymore. seems like anything i do starts the cycle of reflux/asthma. can barely even sleep anymore. waking up gasping for air constantly. it just really concerns me because i am so young and it seems like the nissen or other procedures all have had long term viability issues. have been looking into it for the last several years since my doctors first strongly recommended i get the surgery. been looking and hoping for another good alternative. seems like the esophyx procedure may be promising. then again, for how long? meanwhile i have pretty much tried every ppi. aciphex seemed to keep more reflux down than the others, although it seems to contribute to more stomach pain/discomfort. moved to another state for my job and the insurance switched so the aciphex isnt a preferred drug for them. kind of odd how that all plays out. taking prilosec now, because they decided they didnt want to cover aciphex anymore. it seems to be pretty similar to nexium, which i guess it is supposed to be close to chemically. want to switch back though because i find myself still refluxing a lot more. even though it maybe less acidic, my lungs still do not appreciate it. with my asthma increasingly worsening i know i must soon choose a more aggressive option. any advice?
seems like i have had a real spike in anxiety over these issues. anybody else feeling increasingly anxious when dealing with the gerd? is that common? i never really had much social anxiety or other but anywhere i go i feel so nauseous all the time because with everything constantly coming up, it seems to trigger that "i feel like im about to puke" gag reflex. lol. just always feel uncomfortable. its hard to feel good in public when you are feeling so terribly nauseous. i try really hard not to let anybody else know about it but sometimes i think the nausea or stomach/other pain kind of shows up on the face. the asthma thing has kind of thrown a wrench into it all lately. really tough time with it coming back so intensely. it seems it was much easier dealing with major gerd symptoms than the recent constant asthma attacks. feeling like you cant breath just can be so terrifying. maybe even more so for my wife though. i can get through it, even if i have to go to the hospital for it, but i think it is really hard for her to watch me go through it even though i try not to let her see how scared i am or how much it is really bothering me. but just been worried about it all a lot, maybe more so because my wife and i are expecting our first baby here in a few months. trying to not let it get to me but hoping to find a procedure that is effective pretty soon. but for now... need to keep working. need to keep breathing. need to keeping hoping. and... i guess i should probably attempt to go back to sleep again here soon. haha. sorry for ranting about it all. guess it just had to come out at some point. hard to explain it to anybody who doesnt really understand, especially the doctors lol. i mean, no offense to doctors, i think they can sometimes intellectually understand what you are going through, but its hard to truly understand on an emotional/spiritual level if you haven't been there yourself. if anybody actually made it this far, thanks. apologize for writing this much. i'm kind of shocked that i did i guess. it was pretty therapeutic though. lol. wondering how everybody else is coping and what tricks or strategies you've picked up. what have you found to be an effective treatment? if you had asthma before: how has the nissen or espohyx played out for you? has your asthma(if your have it) and/or over all health improved with your procedure of choice? any comments or advice would be much appreciated. thanks again!