Hi ! Good evening. I am Dr Shareef answering your query. With the history of a hiatal hernia, I would presume your symptoms to be due to an associated GERD. If I were your doctor,I would suggest the following for your to get a symptomatic relief : 1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity. 2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food including any alcoholic beverages. 3) Regular routine exercises like morning walk depending on your medical fitness. 4) Prescription for a prokinetic agent and a proton pump inhibitor (which you already are on) for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards. 5) In case of no relief, an elective surgery for the hiatal hernia might relieve your symptoms, and so you might have to consult a gastro enterologist for the same. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.