Hi on the topic of hiatal hernia, I had a endoscopy about a year ago and the found out that I have 1.5 cm hiatus hernia. My gastro specialist said I should just change my life style, and eat small bland food which I have been doing, over the last 6 month the reflux has been getting worse, I am having chronic heart burn,loss of appetite, have lost a lot of weight I wasn't overweight to start with, I have type 2 diabetes, high blood pressure and also depression. Often wake up in the middle of the night with sever heart burn. I am on high dose of nexium, have also recently started taking slippery elm, marshmellow root. I saw a nature path at the health food store and she advised me to take Swedish bitters, and on stop taking the nexium, I find that the Swedish bitters burns, and has not helped at all I am still having the heart burn. I am going through menopause, and have also started having spotting, but since taking the slippery elm powder and the Swedish, I have been having blood spotting, does anyone know if either of, these herbs cause the period to start? Any advice on the above would be greatly appreciated.