Esophageal Dysmotility May Have Caused My Barrett's. Can I Improve It?

Hopefully, I'm in the right forum for this. Apologies if not. First time posting. Sorry for the long note. And apologies for accidentally also posting in the Reflux Esophagitis area. 

History: 

I've been dealing with GERD for almost 20 years. I am 38 now. For 10 of those years, I've been on PPI's, mostly Esomeprazole (Nexium). In that time I've had 4 endoscopies:

- My first endoscopy, 10 years ago, revealed mild esophageal inflammation. I also had gallbladder dyskinesia. My gallbladder was subsequently removed. After removal, I was off PPI for about a year because no symptoms. GERD symptoms came back. 

- My second revealed mild eosinophilic esophagitis (EoE), with an hpf of 18. I was started on budesonide and kept on Nexium. 

- My third revealed the EoE was well controlled, but now I had an "Irregular Z-line." This was not biopsied, as in the US, standard procedure is to not biopsy the irregular z-line. 

- My fourth -- which I pursued as a consequence of getting a workup for fundoplication -- showed the irregular z-line again. This was biopsied and showed goblet cells. I'm now scheduled for a scope in a year, and scopes every 3 years thereafter. 

The z-line's tongues, it seems, extends only to about .5cm in my case. 

As part of the surgical workup, I also had an esophageal manometry test done, and a 24hr pH impedance.

- The esophageal manometry revealed that my esophagus was failing 60% of the time. 

- The 24hr pH impedance test revealed that I had the normal number of reflux events and esophageal acid exposure. My DeMeester score was around 4. However, my bolus clearance time was a little slow. 

The suspicion is that my Barrett's was caused by my esophagus's inability to clear acid during regurgitation. Indeed, I can feel stuff "sticking" there after meals. Warm water tends to help this some. 

It should also be noted that within the past 10 years, I've lost almost 120lbs (52.43kg). I was quite corpulent in my youth. I am 6'0" tall (183cm) and currently weigh 210lbs (95.25kg). I still have some to lose, particularly in the gut, but that's moving along -- mostly because I'm afraid of eating: every meal brings reflux. Every meal, in my mind, brings me one step closer to cancer. And it's all I can think about now. 

Question: 

Is there ANY way to improve esophageal clearance, or to improve esophageal motility?

I've read that warm water helps, so I've started drinking warm water with meals and after, and it has indeed helped. 

Unfortunately, I've also read that impaired motility is more associated with not just the development of Barrett's, but with dysplastic changes. I realize the odds are low, especially given my length of Barrett's, but to say that this is like a dark cloud hanging over me would be an understatement. 

So while I've been told "there's nothing we can do", I refuse to accept that. There must be something. I just don't know what. And thus I come to you.  

Thank you for reading, and thank you in advance. 

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