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Doctor Q&A for Dr. Stephen Archer

A 27-year-old female asked:
Dr. Stephen Archer
Bariatrics 30 years experience
No: I am unaware of research stating that Prilosec causes gastritis.
A 35-year-old member asked:
Dr. Stephen Archer
Bariatrics 30 years experience
Not usually: Classic gerd symptoms like heartburn usually improve immediately. However with the swelling some symptoms are made worse like trouble swallowing. This usually improves in a few weeks.
A 38-year-old female asked:
Dr. Stephen Archer
Bariatrics 30 years experience
Get checked: The signs of a wound infection are redness, pain, swelling and drainage. Your surgeon can help determine if this is a wound infection.
A member asked:
Dr. Stephen Archer
Bariatrics 30 years experience
Yes: In fact if a patient has a hiatal hernia they should be done simultaneously. There is no reason to have two operations in this case.
A 59-year-old female asked:
Dr. Stephen Archer
Bariatrics 30 years experience
Maybe: This question should be directed to your surgeon. It would depend on her or his usual practice, how you are doing, etc.
A 20-year-old male asked:
Dr. Stephen Archer
Bariatrics 30 years experience
Maybe: Increasing the dose of Omeprazole sometimes helps especially if the main symptom is heartburn.
A 30-year-old member asked:
Dr. Stephen Archer
Bariatrics 30 years experience
Not likely: A particular food does not cause rectal bleeding. Hemorrhoids are the most common cause. Other causes are infections, inflammatory bowel diseases, ulcer or cancers. Rectal bleeding should not be ignored. It is important to see a physician and have it evaluated.
A 39-year-old male asked:
Dr. Stephen Archer
Bariatrics 30 years experience
yes: Usually, if all is going well, patients who have had bariatric surgery 3 months earlier are on a regular, normal diet. The portions will be smaller and it is important to chew food thoroughly.
A 51-year-old male asked:
Dr. Stephen Archer
Bariatrics 30 years experience
Multiple reasons: While it could be a recurrence of the hernia it could also be a blood clot or just some serous fluid. Return to your surgeon. An ultrasound is helpful in evaluating bulges like this.
A 33-year-old male asked:
Dr. Stephen Archer
Bariatrics 30 years experience
Several: The work up for surgery for gerd includes an exam by the surgeon, an upper endoscopy preferably by the surgeon, possibly a test to measure how much acid is coming up, and an esophageal manometry which tests the function of the esophagus. Sometimes an x-ray UGI is also done.
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