Brief Answer:
Familial inheritance is seen in hiatus hernia

Detailed Answer:
Hello

Thanks for the asking to healthcaremagic

There are various reports and studies all over the world which suggest that familial inheritance of hiatus hernia does occur.
There are various types of hiatus hernia and can be of varying severity.The symptoms depend on the type and severity of defect.
It may remain asymptomatic,can cause acidity and reflux or even bleeding or ulcer.Barium study( chest x ray done after barium swallow) and/or upper GI endoscopy helps in diagnosis.
In a symptomatic person in the presence of positive familial history screening should be done to rule out hiatus hernia.Although there are many other causes apart from hiatus hernia and Gaviscon and prisolec helps in releiving the symptoms in all these condition,I would suggest you consult a physician and discuss about the need of screening.
I shall be glad to answer if you have any more query.
Regards

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Brief Answer:
You can try esomeprazole and domperidone combination

Detailed Answer:
Thanks for the follow up

Prisolac contains omeprazole a proton pump inhibitors(PPI).Now a days more potent newer generation PPI are available like esomeprazole and lansoprazole.
Addition of prokinetic agent like domperidone,which increases the forward motility and prevent reflux helps in relieving the symptoms.Continue Gaviscon as usual.Both these are prescription medication so please get it prescribed by your physician.I would suggest you to stop the consumption of coffee as this precipitates the symptoms.
Sometimes infection of H pylori causes worsening and failure to improvement in symptoms.Antibiotic treatment is needed in the case of infection with H pylori.

I would suggest you to consult your physician and discuss about the need of upper GI endoscopy to rule out hiatus hernia and H pylori infection.
Regards

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