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A member asked:
Egd 2 yrs ago: small hiatal hernia. nexium (esomeprazole) & prilosec no help. more and worse symptoms now. possible strangulation of hernia?
5 doctors weighed in across 3 answers
See MD ASAP: If strangulation is a consideration whatsoever, you should not hesitate and contact your physician or go to er asap. This is potentially a life threatening situation.
Answered 7/12/2013
5k views
No strangulation : Small hiatal hernias cannot become strangulated, so rest easy. They can become large hiatal hernias that can strangulate, but the risk is low. This takes years. If your symptom is pain, it is highly unlikely to be related to the hernia, but could be esophageal spasm. You need a 15 minute test called high resolution esophageal manometry to find out. Hope this helps!
Answered 7/31/2013
5k views
No: A small hernia does not have the room to twist and cut off its blood supply which is the definition of strangulation. Antireflux meds frequently lose efficacy and either the dose has to be increased or switched to another one. A change in symptoms like this usually warrants a follow up egd. Consult with your doctor.
Answered 10/11/2018
5k views
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