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It was most likely smoking that caused my hernia. I stopped in 2006. My main problem is swallowing, the food just sticks under my breast bone, most uncomfortable, I just have to stop and wait for it to clear by itself. Sometimes this takes up to an hour, not good if your dinning out or with friends. I have found lots of filtered alkalized water my total solution. It seems to keep me lubricated, if I feel a blockage beginning I know I havn't been drinking enough. Knowing this I'm constantly sipping my water while eating, especially dry foods.