Hi. Thanks for your query. Noted the history of acid reflux for which you take medications. The problem increases on the evening that choke, using Vogel alkaline powder, wants to know what to do and mentioned about medication for hernia. I think you are talking about hiatus hernia. I would advise you the following: PPI like Omeprazole. Antacid whenever you are on empty stomach. Motility regulator like Domperidone. Soft bland diet, small frequent feeds. Avoid all the foods and beverages that cause or increase your problems. Exercises in moderate amount. Avoid stress and anxiety. All these done religiously will help you to have better results.