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Are All Diagnostic Tests For Hiatal Hernia Done Locally What Are They
Define locally: Do you mean "the community you live in" or "under local anesthesia"? Hiatal hernia is often used to describe gastroesophageal reflux disease(gerd); while there is overlap, they are two distinct diseases. Tests for gerd include endoscopy (egd), pressure recordings of the esophagus, and a 24-ph study. A hiatal hernia is best seen on ct, although indirect info will be obtained by egd. ...Read moreSee 2 more doctor answers
A hernia is a hole in the abdominal wall thru which the inner lining protrudes thru, creating a sac. Organs from within the abdominal cavity, such as the intestine, can protrude thru the hole and get stuck in the sac. Many hernias develop during fetal life and become evident in childhood or as an adult. Some develop following a prior abdominal operation. The cornerstone ...Read more
I have really bad reflux with hiatal hernia significant in size. My esophagus is not working properly for surgery. What can I do my last thing to be done was the pressure test for my esophagus and it isnt working properly. I am tired of the pain and tired
With : With a large hiatal hernia and years of suffering you woul likely benefit from a discussion with a surgeon who does a good number of anti reflux surgeries. While i can't say you absolutely need surgery, i can say you absolutely should a least have a discussion with a surgeon since it sounds like your problem is at partially due to the anatomy- hiatal hernia. Good luck. ...Read moreSee 1 more doctor answer
Doctor evaluation: The best "tests" are an evaluation and answering questions of possible symptoms by your doctor, such as food reflux into the throat, heartburn, feeling of food sticking when swallowed. Simple chest x-ray can be done, sometimes a ct scan, and likely best is a referral to a gastroenterologist for possible endoscopy procedure. ...Read moreSee 2 more doctor answers
Surgical repair: Not all hiatal hernias need to be repaired. The common type i hernia causes gerd, and is usually treated medically, but sometimes requires surgery because medecial therapy doesn't work. Type ii hernias usually require surgery if symptoms are present, because there is no effective medical therapy. Hiatal hernias are repaired laparoscopically, so most people tolerate surgery very well. ...Read moreSee 1 more doctor answer
Why hiatal hernia sometimes goes undetected in endoscopy? What all would be the best(no escape) tests to detect a hiatal hernia?
Sliding hiatal herni: Many hhs are the sliding type in which the gastroesophageal junction migrates. During endoscopy, the gas from the scope pushes the hernia back into the abdomen making the hernia undetectable. Most common symptoms of hhs are reflux. Tests for reflux include barium studies, ph probe testing and endoscopy. No single test can detect hiatal hernias in all cases. ...Read moreSee 2 more doctor answers
Is it possible to have your hiatal hernia repaired using mesh without having the wrap (nissen fundoplication) done at the same time?
Yes, rarely: Sliding hiatal hernias, where the esophagus & stomach "yo-yo" into the chest, are responsible for reflux (gerd). Surgical rx of the gerd includes the wrap. Paraesophageal hiatal hernias are much more rare & more serious--here the stomach twists up into the chest, causing obstruction (or worse). These always require hernia repair; a wrap is not necessary, tho advisable, since gerd often follows. ...Read moreSee 1 more doctor answer
At what point does a hiatal hernia need repair? Is it worth getting done because I've met my insur deductible? Also have GERD controlled by meds.
Repair likely needed: Presence of hiatal hernia along with GERD symptoms is a good enough reason to get it repaired however decision to perform a surgical intervention depends on many factors including overall health, endoscopy findings and results of other investigations. A timely evaluation by a surgeon with experience in laparoscopic repair is a good idea. ...Read moreSee 2 more doctor answers
Relatively common: The most common anti-reflux procedure is called a fundoplication, which involves closure of the hernia and re-creating a new valve by wrapping a portion of the stomach around the esophagus. While very effective, this procedure is reserved for the rare patient who cannot manage their symptoms with lifestyle and dietary modifications supplemented by anti-acid medication. ...Read moreSee 2 more doctor answers
Drs have done 4 endoscopies, I don't have hiatal hernia, if I don't take Nexium daily I feel horrible, I diet, what's wrong? Are there any surgerys to fix acid reflux?
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