I have really bad reflux with hiatal hernia significant in size. my esophagus is not working properly for surgery. what can i do my last thing to be done was the pressure test for my esophagus and it isnt working properly. i am tired of the pain and tired

With : With a large hiatal hernia and years of suffering you woul likely benefit from a discussion with a surgeon who does a good number of anti reflux surgeries. While i can't say you absolutely need surgery, i can say you absolutely should a least have a discussion with a surgeon since it sounds like your problem is at partially due to the anatomy- hiatal hernia. Good luck.

It : It is hard to tell from the given information, but I do not understand what tests have shown that your esophagus does not work properly. Have you used antacids and h2 acid blocking medications? Have you had esophageal motility testing? Have you had testing for gastropareis? You should have a primary care physician and gastroenterologist help you determine the best tests and evaluations for your conditions.