Answer: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.
The first choice is to start using
proton pump inhibitors, to prevent acid production.
Changing the diet can also reduce the symptoms. She has to avoid spicy foods,chocolate,foods made with tomatoes,caffeine,onions,citrus fruits,alcohol.
She should also avoid eating meals or snacks within a few hours of going to bed.
Surgery is not commonly recomended in hiatal
hernia treatment.Considering her age and the
hypertension, it is difficult to make a decision for surgery.
If medication and lifestyle changes don't wok, you can consider surgery.
Hope I have answered your query. Let me know if I can assist you further.