Hey, yep, I also have a hiatal hernia and it is horrid at times. The chest pain, stuff getting "stuck" on it, the GERD, etc. I have tried at least a million different medications, all with mixed or no results. I avoid large meals and all acidic foods, and that helps alot. Just for the heck of it, I have been using a chiropractic method for relieving the hernia problems, it costs nothing and of all the things I've tried, it works the best. Maybe you should give it a try, you have nothing to lose. When you get up in the morning, drink about a pint of warm water. Then do about 15 of the following exercise--rise up on your toes and then quickly back on your heels, make it a sudden forceful movement. Sometimes I just bounce up and down, as if I'm trotting on a horse. The theory here is that the warm water relaxes your esophagus and hernia and adds weight to your tummy, and the bouncing uses gravity to pull the hernia back down a bit. I've been doing this for a month or so and must say I feel like an idiot when I do it, but it has given me more relief than any of the many pharmaceuticals prescribed. Another thing that really helps my hernia is horsebackriding--that bounce, bounce, bounce, must push the hernia down a bit. I've never felt better than I did after a week at a dude ranch in the Rockies. I'm thinking of finding a place near home to ride once a week, not just for the enjoyment but as "hernia therapy." Good luck!! Let me know if you try this and if it helps at all. I found this advice at a website on Hiatal hernia, I'll try to dig out the address for you.