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Dr. Kevin Hiler

General Surgery
San Francisco, CA
43 years experience male

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

General Surgery

Licenses

United States: California

Languages spoken

English

Doctor Q&A

101 Answers
27 Agrees
The number of answers this doctor has agreed with.
A 49-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Could be from back: This sounds like either back pain radiating to the hip or pain from the hip itself. I would see you primary physician and possibly an orthopedist.
A 32-year-old male asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Possble Interstitial cystiti: Is possible to have symptoms of urgency and burning and the need to go frequently secondary to an inflammatory condition of the bowel known as interst... Read More
A 35-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Psyllium: While you cannot get the hemorrhoids to disappear, they often become asymptomatic when metamucil and increased water is used daily. Stay away from ch... Read More
A female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Yes it is safe: There is no contraindication of a barium swallow because of appendectomy. I assume it is being done because of heartburn, difficulty swallowing or upp... Read More
A 24-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
It is very unlikely: The incidence of breast cancer lifetime is 1 in 8 for someone with no risk factors. You could be the first in your family but you have a 7 out 8 chanc... Read More
A member asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Needs more evaluatio: Most likely will be non-cancerous but need an ultrasound and probably a core- biopsy (large needle). Hard to redact without seeing the films.
A 21-year-old male asked:
Dr. Kevin Hiler
General Surgery 43 years experience
May take decades: Many hiatal hernias are a symptomatic. Most commonly they become associated with symptoms of acid reflux disease. Indications for operation are relate... Read More
A 36-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
No rip, normal pregn: Assuming an inguinal or umbilical hernia you should have no problems. Your hernia should not recur. The tissues will adapt. You may have some local ac... Read More
A 18-year-old male asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Check with your doct: Not sure where it s but lumps are in general better off being checked.
A member asked:
Dr. Kevin Hiler
General Surgery 43 years experience
See your doctor today: There a number of possible reasons for this symptom complex. Gallbladder inflammation and stones is the first to come to mind. Acute cholecystitis can... Read More
A 34-year-old male asked:
Dr. Kevin Hiler
General Surgery 43 years experience
No: If it controls your symptoms it is appropriate therapy. I assume there is planned follow up with endoscopy to monitor your progress.
A 38-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Cyst to be excised: Assuming it will be removed under local anesthesia, you will have only the pain with the injection of the local anesthetic. After that you will feel n... Read More
A 48-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Normal lump: The lump is mst likely a "healing ridge" which is a construction site of repair which will dsappear in the next couple of months. It s a good sign of ... Read More
A 35-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Psyllium, injections: Baseline is psyllium therapy with fluids, probably resolves 85% of cases. If this fails then often injection sclerotherapy or banding works. If the he... Read More
A 22-year-old male asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Unable to answer: Without a family history, age, better definition of symptoms and history of colonoscopy we cant't answer. You are 22 so the likelihood of colon or sto... Read More
A 24-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Yes: Less pain and rapid healing with a 10% recurrence rate.
A member asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Fat intolerance: A very small percentage of patients <10% will not handle high fat intake postop. Often they had the same symptoms before taking out the gallbladder bu... Read More
A member asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Yes: Mucous is normal in the early postop period and should resolve as the wound heals.
A 22-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Depends: If only to treat the endometriosis, would try medical management first. If the endometriosis is not symptomatic then i would not recommend surgery. If... Read More
A 21-year-old member asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Small incision: Patient ha smaller incision, less pain more rapid recovery.
A 22-year-old member asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Depends on surgery: In general no unless talking prostate surgery.
A 21-year-old member asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Excellent: Depends on type f surgery but most elective surgery carries a risk of mortality far less than 1%.
A 27-year-old member asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Drug therapy: Somebdrugs help but if this fails then surgery becomes theblast option.
A 21-year-old member asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Infection of breast: Localized infection of breast most common with breast feeding.
A 21-year-old member asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Lynch syndrome: Genetic risk is definite risk for early colorectal cancer.
A 37-year-old member asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Depends on respond: If your pneumothorax completely resolved and your chest x-ray is clear it will be safe to fly as a passenger. The altitude would only be a factor if y... Read More
A 26-year-old member asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Nothing: A brief stoppage of the dru is not a problem, just resume it at your normal dose.
A 30-year-old male asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Yes: Depends on source of gastritis but is a common component. Meds to treat can also causevnausea.
A 18-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Needle aspiration: Only aspiration or re excision both with a rate of recurrence.
A 33-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Further workup: Your abdominal pain is not defined as to location, character, frequency or agravating or alleviating factors. What gastric study?Ultrasound? Endoscopy... Read More
A 35-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
No : Lead toxicity would require exposure over time. I don't think you have anything to worry about.
A 20-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Maybe: May be within normal limits but could represent a number of issues well discussed in this link http://www.Ncbi.Nlm.Nih.Gov/pubmedhealth/pmh0014910/ i... Read More
A 39-year-old male asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Patience: Usually this resolves with time--several months. Assuming all diagnostic tests are negative.
A 28-year-old male asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Right treatment: Spontaneous pneumo is usually due to a weak area (bullae) in the edge of the lung. Chest tube for 1st attack(these hurt while in). If recurs then usua... Read More
A 43-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Rule out gall stones: This s classic for gallstones with chronic cholecystitis, get abdominal ultrasound and possibly a hida scan.
A 23-year-old male asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Yes: You need to be careful not to raise your blood pressure and a lot depends on where your aneurysm is. Would talk to your vascular surgeon before procee... Read More
A 36-year-old male asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Yes : It is possible to transfer hpv to different sites by touch but certain subtypes prefer different body areas making the possibility of transference les... Read More
A 32-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Most go home: Most cholecystectomy are laparoscopic and go home the same day or at least the next day with a quick one week recovery.
A 22-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
No: Most likely something going on with hip. Would get orthopedic consultation re: hip
A 18-year-old male asked:
Dr. Kevin Hiler
General Surgery 43 years experience
See your doctor: Most likely this represents an infected cyst or a small reactive lymph node but without an examination it is impossible to say. You need to make sure ... Read More
A 61-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Depends on the scans: If the amount the amount of disease is limited and nothing else is outside the liver, the tumor might be removed or treated with radio frequency ablat... Read More
A member asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Yes: Smoking has a negative effect on all wound healing! it will make healing harder!
A 48-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Heating pad: Increasing blood flow with heat can help.
A member asked:
Dr. Kevin Hiler
General Surgery 43 years experience
7 to 10 days: Usually the acute pain is the3rd or 4th day and then gets much better. Usually heals within 10-21 days.
A 21-year-old female asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Is there a bulge?: A hernia is a "break" in the abdominal wall often associated with a bulge and often local discomfort.
A 46-year-old male asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Not related to BP: Need to look into upper abdominal cause such as gallstones or paraesophageal hernia.
A 41-year-old male asked:
Dr. Kevin Hiler
General Surgery 43 years experience
Good idea: The psoriasis significantly increases the risk of infection which can be a devastating complication in a tummy tuck. Clear the psoriasis before doing ... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
207
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Hiler is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Hiler is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Ps the hernia is the size of a grapefruit and the mesh almost covers my whole stomach. Thanks
HealthTap member
yes I allredy have a hiatal hernia have had it for years sous it need to be repaired its giving me a lot of trouble here lately
HealthTap member
Thanks for your quick reply! I am in excruciating pains and am missing work due to it. I need all the advice I can get Doctor.

Education & Training

Medical/Graduate school

University of Texas Medical School at San Antonio, TX
Graduated 1979MD

Residency

Saint Mary's hospital & Medical Center

Awards

Top General Surgeon , First Place, San Francisco, CA - Winter
2013
HealthTap Founding Doctor

Affiliations

American College of Surgeons
American Society of Breast Surgeons
American Society of General Surgeons
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less