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The one doctor did upper GI and found I have a small hernia but it’s so small it doesn’t need to be fixed. But I wld like to fix it before it gets big. But I can’t seem to get my point across to the doc. Maybe it’s the way I go about it. They don’t like you to tell them how to do there job. But it is me that’s suffering. 😐
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Before my last surgery they told me the same thing, that the hernia was so small it wasn't a problem. But when they got in there they said 25% of my stomach was up through the diaphragm. The doctor said the imaging is only a guide and don't always truly show how bad it can be. They told me standing or lying down, having your stomach full or empty, can change the hernia. I would get other opinions. Be persistent and really let them know how you feel.
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Do you have Barrett's esophagus? If it is present you could use that as a factor in your decision making process, to help decrease the risk for esophageal cancer. If not stress that you want to prevent it and politely demand a referral to a surgeon who specializes in hiatal hernia repairs. Like you said you're the one who is suffering and long term use if proton pump inhibitors such as nexium and prevacid have detramental effects to our bodies especially neurologically. I know this from personal experience. Good luck.