I was diagnosed with a hiatal hernia and acid reflux in August of 2006. For several years before this I experienced bad breath, breathing problems, constant clearing of the throat and vocal cord problems. I was also diagnosed with a vocal granuloma in December 20006. The granuloma got better in March 2007, but seems to have gotten worse again. I have modified my diet (no caffeine, spicy foods etc.) Prevacid and nexium did not seem to work so I am taking Protonix and Reglan. I dropped down to one pill a day but had to go back to 2 pills a day of Protonix. It is frustrating dealing with this. I would like to hear from someone who has gone through this and know if things are going to get better. I am worried about the long term effects on my esophogous and larynx.