I hope it's OK that I'm posting about a non-ME/CFS problem but I've had worsening acid reflux and heartburn for a few months which is not better after four weeks of PPIs and Gaviscon, and I've just had a gastric endoscopy and been told I have a small sliding hiatus hernia. My concern is that this is going to mean a lifetime of PPIs if I go the standard medical route, and they're already exhausting me. I'm concerned that having my stomach acid suppressed will mean long-term malabsorption of nutrients, on top of all the other things that PPIs are thought to put you at risk of (including dementia, possibly). If I was already healthy this would be bad enough but I'm concerned that, coming on top of ME/CFS that already has me sofa-bound, the long-term consequences of these meds are going to be gradually devastating. Googling has turned up some claims that various forms of physical therapy can help (specifically, certain yoga poses, various physical manoeuvres, breathwork to strengthen the diaphragm, etc.) but I'm sure that if I ask my GP about them, he'll know nothing and won't be able to refer me to anyone. This stuff may or may not be rubbish, but given the alternative, I think it's worth a try. Any suggestions for how to find someone non-quacky in these disciplines who would know about hiatus hernia? I'm in the UK and would need to deal with them via video link.