Hi.
Thanks for your query.
Noted the history and understood the concerns.
It is natural to think that feeling of lump in throat is related to hiatal hernia and GERD. But it is not always true.
Hence I would advise you the following:
First of all, consult an ENT Surgeon for doing ENT
Endoscopy to see if there is any lump or disease that is giving you the feeling of lump in throat and if present get treated accordingly.
If the study is normal then this may possibly be related to GERD and thus
Protonix should help. Continue antacid and get started on a motility regulator like
Domperidone also.
Stick to small frequent meals of soft and bland diet.
No alcohol and no smoking.
Also important is control of stress and
anxiety.
Get an Upper GI Endoscopy to know the present status of
hiatus hernia and GERD and associated problems.