Jeannie I also have a hiatal hernia, got it when I was carrying my last baby, carried her real high. Of course now, I get acid reflux, take medication (Dexilant) for it, but still have to eat early, and still have to WATCH what I eat. Just got a letter for our prescription carrier (insurance) they want me to take a cheaper medication, have tried many, including Nexium, I also take a blood clot medication, and when I took Nexium, it canceled out the blood clot Meds.( Plavix,) they think that might be the reason I got the clot in my eye, and why I have loss vision in my right eye. Medication saves our lives, but it also can be very complicated, and interact differently with other medications. Sully, in windy Sunny California