It is important to address persistent morning vomiting and chest burning. Since your current combination of a proton pump inhibitor, motility agent, and antacid gel isn't providing complete relief, your treatment plan needs review. First, ensure you take your acid-reducing medication on an empty stomach, 30-45 minutes before your first meal. Please consult your doctor to discuss alternatives, such as switching to other options like esomeprazole or pantoprazole. Lifestyle adjustments, like eating smaller, non-spicy dinners, avoiding lying down for three hours after meals, and elevating the head of your bed, can also significantly help. Do not start new medications without medical supervision.