Me- hiatal hernia- i take 40 mg omeprazole x2/day. i take dbl what dr. rx. i still have a lot of acid reflux even with that dose. i don't want surgery with mesh involved so what are my options? because i am miserable every day.

Eliminate caffeine and nicotine from your diet as these aggravate reflux. Never lay down for at least an hour after eating a meal, snack or drinking fluids. Keep a food diary to select and remove any foods/snacks that may be followed by increased reflux.

Lifestyle changes remain critical and difficult to implement in treating GERD, losing weight for example when and if applicable, but are the only long lasting measures in providing results. Would suggest caution in adjusting your meds by yourself, GERD not responding to therapy is to be further investigated and the addition of a gastroenterologist to your medical team may provide better direction

Agree with Dr. P. If you are even slightly overweight, losing weight is imperative. Wish you good health!