Hiatus hernia Hiatus hernia is a protrusion of any abdominal structure other than the esophagus into the thoracic cavity through a widening of the hiatus of the diaphragm. Sliding hiatus hernia (type 1) is the most common type in which the gastro-esophageal junction migrates above the diaphragm. Acid is allowed to reflux back into the esophagus causing inflammation of the lining of the esophagus and the symptoms of gastro-esophageal reflux disease (GERD) such as heart burn, nausea vomiting, and burping. Other symptoms are dull chest pain, shortness of breath, and palpitations due to irritation of vagus nerve. In majority of cases, patient experience no life-altering discomfort, and no treatment is required. Symptomatic treatment is sufficient. You have only mild symptoms, so aggressive treatment is not needed. but there are some preventive measures you can adopt: 1. Continue omeprazole 20 mg daily empty stomach as suggested by your doctor 2. Syrup Mucaine gel– 2 teaspoonfuls three times daily per oral. Take this when you feel much heart burn. Otherwise avoid it 3. Domperidone 10 mg per oral when you feel nausea 4. Avoid alcohol, smoking, spicy food, and non-steroidal pain killer 5. Avoid eating 3 hours before lying down 6. Do not take heavy meal at a time. divide your meal into smaller parts 7. Raise the head of your bed Thanks