Approx 4 yrs ago I was diagnosed with a hiatus hernia and prescribed omaprazole, I now take 20mg daily in the morning to control the symptoms. However, despite taking each morning I still get the feeling of lumps in my oesophagus by mid afternoon/early evening... I then resort to taking another tablet in hope this will settle but to no avail. . . Another symptom of late is discomfort in my thoracic area which does feel like muscular tension but do worry that there could be something more sinister going on. Approx 18mths ago i had another endoscopy and was told I didn't have a hernia...? I didn't think it could go once you had one so perhaps I was just very inflamed. ..I don't like to go to the dr;s as I feel this is trivia but then when it's bad I think I should. Should I just increase my dosage?