hello there! Thank you for asking. lets talk one by one 1- Sore throat . You just need simple Amoxiccillin and some anti inflammatory aspirin gargles to remedy that. 2-pap smears. if they are abnormal . what are you waiting for? Do you plan to get stage 4 terminal cervical cancer? if you do than continue not doing any thing other wise see a gynecologists and sort things out for you. 3-Gastro intestinal disconforts and swelling hands and arthralgias and menstrual irregularities i am suspecting some Systemic Disease like SLE and Behcets. You need ANA, Anti DS DNA & ANti Smith Antibodies test to be on the safer road and getting treated accordingly. 4- Your GERD is due to hiatal hernia and it will be like this until you cure the hernia. other wise it will lead to Barret esophagus and then malignancy. the three goals of your treatment are Prevention of reflux of gastric contents Improved esophageal clearance Reduction in acid production which are achieved by three ways Modifying lifestyle factors Neutralizing acid or inhibiting acid-producing mechanisms Enhancing esophageal and gastric motility You really need Dietry modifications. Avoid stimulants mentioned below Fried or fatty foods Chocolate Peppermint Alcohol Coffee Carbonated beverages Citrus fruits or juices Tomato sauce Ketchup Mustard Vinegar Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) Follow my below mentioned 12 POINTS AGENDA to treat symptoms 1.lose weight ( if overweight) divide your weight to the height in meters twice and if the result is more than 25 reduce the weight. 2.Avoid alcohol, chocolate, citrus based fruits,tomato based products 3.avoid pepper mint coffe and possibly the onion family 4.eat small freequent meals rather than large meals. 5.wait at least 3 hours after the meal to lie down or sleep. 6.refrain from ingesting food (except liquids) with in 3 hours of bed time. 7.eleate te head of your bed at least 8 inches 8.avoid bending or stooping positions 9.dont use nsaids 10.dont smoke 11. have a proper sleep routine 12. use cold milk as drink avoid all hot beverages and carbonated ones You need Medications Like Proton pump inhibitors (omeprazole, lansoprazole, pantoprazole etc) But you are just 39. And i wont recommend with this conservative lifestyle for the rest of life. So here is what i think you should do. COnsult your doctor and discuss surgical ways to permanent correction of your hernia. All of your troubles will go away. The sooner the better. The 3 major types of surgical procedures that may be considered are as follows: Nissen fundoplication (or a variant, the Toupet procedure) Belsey (Mark IV) fundoplication Hill repair You can discuss it with your doctor and he will decide what is best for you. Hope i was of some help. Take very good care of yourself. regards Dr S khan