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Nigeria
A 26-year-old female asked:

I did barium swallow test it suggested sliding hiatus hernia.abt 2 yrs later i did endoscopy at another lab which showed reflux esophagitis.

3 doctor answers5 doctors weighed in
Dr. Larry Maturani
Hospital-based practice 24 years experience
One causes other: Sliding hiatal hernia increases your risk of reflux. You are young enough to discuss correction of this problem with specialist. Although you may not get complete relief, you will save yourself from grief down the road. Nissan fundo-plication is the surgery. For now take otc Protonix (pantoprazole) for some relief but ultimately, you will benefit from the surgery.
Dr. Arthur Heller
Gastroenterology 43 years experience
Commonly occurs: Hiatal herhia (part of stomach comes into chest through weakness in diaphram) is common. Sliding means hernia reduces. Commonly assoc w/backflow of stomach contents (esoph reflux), which can be irritating to lining (esophagitis). Ugi is not as sensitive as endoscopy to ser changes of esophagitis. Rx gendrally lifestyle, diet, meds (at least until hhealed), rarely surgery.
Dr. Clarence Wimberly
Specializes in Family Medicine
Hernia and reflux: The two things you are talking about are consistant. The hernia is a weakness in the distal esophagus and this then allows acid to burn your esophagus(reflux esophagitis). For help , no caffine at night, no eating after dinner(3 hr. Before bedtime) and medication to stop acid production.

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Last updated Apr 15, 2016

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