Brief Answer: new regimen for dypepsia and assessment for asthma Detailed Answer: Hi XXXX,..... Welcome to health care magic. The problem of acidity and hiatus hernia is a bad combination. The symptoms of dyspepsia in the scenario of hiatus hernia are very difficult to handle and an expert physician should only manage the situation by making appropriate changes in your medication. It is strange to know that Pantoprazole caused side effects. Dexilant also a PPI and has got similar efficacy and side effects profile. You should consult a local local gastroenterologist and request him to start you on a combination of PPIs & H2 blocker, some patients with this combination are helped by an addition of anti depressant medicine. You should also try the relaxation techniques and behavioral modifications. You should add regular exercises to your schedule and don't take any food or liquid like water, juice or milk etc, 2hours prior going to bed. It will help your stomach to remain empty and will reduce the problem of regurgitation. The problem of shortness of breath may be related to micro aspiration related to hiatus hernia and regurgitation during sleep. Or it may be due to an unrelated problem like hyper reactive airways or new onset bronchial asthma. Ideally you should get a personal interview and physical and clinical examination by a local physician and get the work up after that. l hope the advice will be helpful for you.

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