I have been struggling with the same issues for about the past 8 months. The first time I started to get reflux it was due to a fill that was too tight. I waited about 3 weeks to go for an unfill becuase my Dr is in Mexico. However I have been having the reflux so bad that I have to get up and vomit the acid up in the middle of the night and I have the cough as well. I went down to see my Dr this wekend thinking that I still may need another slight un fill. He ran an ex ray under fluro and said that the band was fine and I did not need any fluids taken out. Im tired of feeling so crappy and afraid of doing serious damage to my body. I have had the band for 3 years and have lost over 130 lbs. However at 28 I feel that I am really hurting my body not being able to keep food down most of the time. And the prilosec does not really seem to help. uuggghhhh.