Question 1

i get full only after eating small amt thn hungry in few hrs.abd ct. w/wo oral & iv contrast.hiatal hernia.gp says poss. gastroparesis. other ideas?

Accepted Answer

Possible gastritis: While the ct rules out bad things, there may be gastritis or inflammation of the stomach lining. This could be made worse by a bacterial infection (h pylori). I would recommend an egd or upper endoscopy to biopsy and visualize stomach.  Your acid reflux suggests this possibility. Treatable with antibiotics.

Question 2

can a hiatal hernia worsen from gastroparisis ? or the other way around ?

Accepted Answer

Gastroparesis: Gsstroparesis is an uncommon condition where the stomach does not empty food well or empties more slowly. Esophageal reflux symptoms can become worse with gastroparesis.

Question 3

best treatment plan for gastroparisis, barretts, nighttime gasbloat and hiatal hernia, ibs ?i see a gi , just for looking options as im newly diagnosed.

Accepted Answer

See below: Complex but not rare constellation of problems. Barrett esophagus most important - severe esophageal damage due to reflux. If no dysplasia on biopsies can be treated by hernia repair and fundoplication. Repeat surveillance endoscopy may be advised first. Gastroparesis concerning but fundo. Can sometimes improve gastric emptying.  By lbs do you mean morbid obesity?  Running out of space.

Question 4

welbutrin 4anxiety&previcid 4hiatal hernia&barretts also have painful gas bloat when sleeping, gastroparisis, ibs.added prescription is elavil&zantac@nite. safe ?

Accepted Answer

Probably: In my practice, i don't prescribe wellbutrin (bupropion) for anxiety.  I use other antidepressants, which I have found are more effective for anxiety.  Wellbutrin (bupropion) is effective for depression.
You need to consult with your treating physician to carefully review all of your medications for potential interactions.

Question 5

are hiatal hernias dangerous?

Accepted Answer

Very rarely.: A hiatal hernia is an enlargement of the normal opening in the diaphragm thru which the esophagus passes. Most people have no symptoms. For those that do, it usually causes heartburn due to the stomach yo-yo-ing up and down thru the hiatus. Rarely, the top of the stomach stays in the abdomen but the bottom flips up thru the hiatus, sometimes causing obstruction or bleeding, which can be serious.

Question 6

what are some causes of hiatal hernias?

Accepted Answer

Obesity: A hiatal hernia occurs when a portion of the stomach pushes through the diaphragm. There is an association between obesity and hiatal hernias.

Question 7

are there different types of hiatal hernias?

Accepted Answer

Yes: There are 4 types: 1) sliding 2)rolling 3)sliding and rolling 4) hernia containing abdominal organs such as colon, small bowel or even solid organ such as spleen.  Sliding / type i hernia is the most common and may contributing to reflux events.  Type 2-4 may have dramatic presentations and acute surgical indication.

Question 8

what is hiatal hernia?

Accepted Answer

Hernia in diaphragm: A hiatal hernia is a hernia in the diaphragm. The diaphragm is a muscle separating your chest from your abdomen. There is a natural hole where your esophagus passes through from your chest into your abdmoen. If the hole enlarges, the stomach can come up through the hole and into your chest. This is a hiatal hernia.

Question 9

what causes a hiatal hernia?

Accepted Answer

Unknown: The hiatus is the normal hole in the diaphragm muscle thru which the esophagus passes to go from the chest to the abdominal cavity.  A hiatal hernia is an enlargement of this opening thru which the stomach can slip up into the chest.  This is found in 15% of people & rarely causes symptoms.   It is unclear if this develops before birth and/or develops in response to elevated abdominal pressure.

Question 10

hiatal hernia produces disnea?

Accepted Answer

Maybe, depend....: Pulmonary function may be affected leading to dyspnea if hiatal hernia is large enough to impair lung expansion at inspiration, especially in someone with already marginal pulmonary functional reserve. So, ask your doctor so to discuss individual variation and significance. Best wish to health...

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Doctor answers about:

Gastroparesis hernia hiatal

A member asked:

I get full only after eating small amt thn hungry in few hrs.abd ct. w/wo oral & iv contrast.hiatal hernia.gp says poss. gastroparesis. other ideas?

A member asked:

Can a hiatal hernia worsen from gastroparisis ? or the other way around ?

A member asked:

Best treatment plan for gastroparisis, barretts, nighttime gasbloat and hiatal hernia, ibs ?i see a gi , just for looking options as im newly diagnosed.

A member asked:

Welbutrin 4anxiety&previcid 4hiatal hernia&barretts also have painful gas bloat when sleeping, gastroparisis, ibs.added prescription is elavil&zantac@nite. safe ?

A member asked:

Are hiatal hernias dangerous?

A member asked:

What are some causes of hiatal hernias?

A member asked:

Are there different types of hiatal hernias?

A member asked:

What is hiatal hernia?

A member asked:

What causes a hiatal hernia?

A member asked:

Hiatal hernia produces disnea?

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