You may want to talk to your doctor about going on a strong acid reflux medicine. I'm on dexilant and it has been a lifesaver for me! Prilosec OTC may help, you might want to start with that. I live in Michigan and am on the healthy Michigan medicaid plan and they cover medications that are even over the counter. Good luck to you! Oh, and I'm sure you've tried this but eat something with the Plaquenil. Hugs!