Welcome to e health forum.
Since your acid reflux symptoms have persisted inspite of the procedure for Hiatal hernia, the only way to reduce your symptoms could be a complete overhaul of your diet, lifestyle, weight loss and physical exercise.
A brief example of diet recommendations has been provided here.
Foods that can help to improve your symptoms include
1. fruits such as pears, oranges, sweet limes, watermelons, cantaloupes etc
2. MILK products like - yoghurt and cottage cheese
3. Non Vegetarian food products - include - lean cuts of meat, white meat from chicken and turkey, and seafoods
Foods that need to be avoided include -
1. Alcoholic beverages, caffeinated drinks, carbonated water, and deserts high in sugar and white flour
2. Foods prepared from white flour, like puddings, breads, bagels and pretzels also should be avoided.
3. Vegetables such as broccoli, cabbage, all kinds of beans and legumes, full fat milk, onions and green peas should be avoided.
4. Nonvegetarian foods to be avoided include - cured meats and high fat meat products such as sausages, salami, ham, bacon, and cold cuts ;Red meats like beef, lamb, and venison - should be less in your meals
5. Seasonings such as onion, garlic, clove, and cinnamon may irritate your stomach lining and worsen the symptoms due to gastritis
Other measures that can help you in addition to the above dietary measures include ..
1. Walking or running thirty minutes regularly; Weight loss and maintaining a good body mass index under 23.
2. Stress reduction
3. Learn to relax with breathing exercises like Yoga
In addition, to the above, measures you might consult with a dietitian or your doctor, who can give more specific tips and advice to help your condition.
I hope this helps.