Hi, thank you so much.  I have found a bit more about my digestive system problems.  The hiatal hernia with schatzki's ring is moderate damage.  I don't know where that leaves me--will it remain in this state, reverse, or will it become worse?  If so, what then?  I have also learned that this GERD has a lot to do with other ailments like having triggered some of my bronchitis and asthma attacks.  Scary!!  The throat closing issue was something new that truly had me worried.  I saw my doctor last week and he indicated that it sounded like classic VCD to him.  He knows I like to be on top of my health issues and suggested I go on the internet on this and see what I thought.  I see him again Monday.  It does indeed sound exactly like VCD-feeling of lump in throat, sore throat, hoarse, throat closing upon coughly for 30 to 60 seconds.  Again, to my shock all related to acid reflux!  I have had the hoarseness, sore throat issues off and on for a while but only recently the closing.  I am now concerned about what damage may have been done to my vocal cords and what is the next step.  I don't know if speech therapy and exercise is enough?  I am anxious to know everything I can about the whole schatzki's ring, acid reflux issues and things I need to watch out for; how often I should have an endoscopy; just everything.  I let my digestive system suffer because of my inability to monitor myself better.  Looking back the IBS and gastritis issues I have were diagnosed in mid 90's and the acid reflux for sure diagnosed in 2004.  Also just had a colonoscopy and a polop was taken and cleared this a few weeks ago.  I have begun to make a real effort to eat smaller portions, eat more often, eat my last meal 3 to 4 hours before bed and I have propped the head of my bed up.  I appreciate any advise and suggestions.  At this time I take 20mg of generic Prilosec.  I have just ordered 2 cook books I think from this site but not sure.  Any thoughts for my doctor and me?  Thank you so much

Thank you, excellent advise!!! Karen