Doctor insights on:
Barrett S Esophagus Hiatal Hernia
Please help very anxious, will taking PPIs for hiatal hernia and gerd reduce the risk of developing Barrett's oesophagus?
Follow advice...: Many factors may contribute to the occurrence of Barrett's esophagus like GERD, smoking, regurgitation, etc., and PPIs may help ease GERD-related symptoms. So, it is logical to state PPIs may potentially decrease the risk of developing Barrettt's esophagus. But, how much may it help still remains unclear. Remember: Doc never cures anything, but help modify something to some degree with/without... ...Read more
Weight loss, elevate: Keeping the intra-abdominal pressures low is the key to keeping food/acid from refluxing into your esophagus. If you keep your head about 30 degrees (using cinder blocks under the bed posts is an inexpensive way to do this) of the parallel, most reflux is prevented. Weight loss also reduces abdominal pressure and keeps the food where it should be. Good luck! ...Read more
Can acid reflux worsen by taking biotin, b12, omega 3 fish tabs. Vitamin k2, buffered vitamin c, vitamin d3 have Barrett's Esophagus and a hernia.
Possibly fish oil:
Fats including fish oil can sometimes aggravate reflux; this is less likely if taken with food.
But certain supplements are proven beneficial for reflux, esp. Melatonin. See http://www. Greenmedinfo. Com/blog/5-natural-heartburn-remedies-proven-beat-drugs
and http://www. Denvernaturopathic. Com/MelatoninandGERD. Htm
and http://tinyurl. Com/p88fxjm ...Read more
Diagnose hiatal hernia and GORD, with treatment, will I and how long will it take to develop Barrets oesophagus?
Unpredictable: You may have it now. You may get it in one or twenty years. You will probably never get it ...Read more
Surgery not needed: In every one, if can be treated successfully with medical treatment, it is a premalignant condition, need close follow up is needed with frequent biopsies.. If you are unhappy with your doctor's decision take a second opinion to keep your mind at ease. ...Read more
Motility disorder: It could be a motility disorder such as distal (formerly diffuse) esophageal spasm or a nutcracker esophagus. High resolution Manometry is the test to find out. A small tube is placed into the esophagus and you swallow water 10 times. It measures the valve pressures and the coordination and strength of the muscle contractions. Hope this helps! ...Read more
I've been diagnosed with a Hiatal Hernia and Nutcracker Esophagus. How do I determine which is causing my symptoms?
Probably nutcracker: IF your symptom is chest pain, its probably the nutcracker. IF you have heartburn and/or regurgitation, its probably the lower esophageal sphincter. IF the her is is large (paraesophageal), the symptoms would be chest pressure and difficulty eating. There is much more info on this, and I hope this helps clarify a couple things or guide your own research. ...Read more
8mm module in lower esophagus found from a endoscopy. I also have a hiatal hernia. Do I have cancer? I'm 23 and relatively try to be healthy.
Probably not: Especially at your age, most often these are little benign tumors, but it's your physician's job to decide. Esophageal cancers usually look nasty and a physician will be suspicious. Ask whether a biopsy was obtained. If so, chances are it will come back benign from the lab. If your physician didn't think it was worth biopsying, it's almost certainly benign. ...Read more
Normal variation: The z-line, where the esophagus lining connects to the stomach lining varies quite a bit from person to person. Not everyone has a straight circle -- that's why it's called the "z"-line, because an irregular border is normal. Some things that can make it more abnormal could be reflux of bile or acid into the esophagus, poor esophageal squeezing, or just a normal variation. Good health! ...Read more
Are you more prone to having esophagus polyps after having one with severe GERD and common hiatal hernia?
Not true polyp:
Esophageal polyps are called pseudopolyp, mean not real polyp, caused by the inflammation driven by the reflux, there are not a true polyp that can turn to cancer and they diseapear with treatment
so try to take care of your reflux, follow the diet, no late meal, or snack, sleep with head elevated, take medication as Rx, avoid caffeine and spicy food, and eat multiple small meal, avoid tight cloth. ...Read more
Yes I have hiatal hernia and esophagititis stage 3 and a esophagus scricture and I have been on meds. For about 10 yrs. No help I throw up const.
I have a hiatal hernia that flared real bad burning pain between shoulders and feels like my esophagus is on fire vomiting yesterday is this normal?
No: It sounds like your hiatal hernia is contributing to severe reflux disease (gerd) that requires treatment. You need to at least have medical treatment with a prevacid-type pill, and possibly surgery to correct the hernia (laparoscopic nissen fundoplication). If the severe pain occurred after prolonged vomiting you may have torn your esophagus - go to the er immediately! ...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 isn't 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 more
Doc found 8mm nodule in distal esophagus. Referred. Me To another doc for ultrasound waited months now going next week, cancer? I have hiatal hernia.
Usually not: Distal esophageal Ca is a lesion of mucosa most often induced by H.pylori. It pesents with ulceration and then invasion of wall of esophagus with gradual obstruction. US good to look at extent of Ca invasion into muscular wall of esophagus. Many causes of nodule in wall? For which bx indicated. ...Read more
Have a 8mm nodule in distal esophagus, am I fine? I do have acid reflux from. My hiatal hernia. Going for ultrasound 6 months later. I'm 23. cancer?
Here are some...: Your Q can not be answered with yes or no, and it would be most logical and beneficial to refer this Q to your treating doc for specific individual details. Besides, following instruction in articles listed in http://formefirst. Com/eNewsletter. Html, http://formefirst. Com/LifeFacts1.html, http://formefirst. Com/LifeFacts3.html, etc. Can be very helpful to handle many daily health-related issues. ...Read more
Fluoroscopic Esophagram shows Mildly delayed peristalsis within the mid esophagus. No evidence of stricture or obstructive lesion, or tertiary contractions. Small reducible hiatal hernia present. PLEASE Explain. And what is solution? THANKS A LOT Drs
What's the problem?: Solution to what???Get a more detailed answer ›
I hope I don't have cancer, 23 yr 2 years of acid reflux from hiatal hernia, doc found distal esophagus nodule 6 months later ultrasound 2days cancer?
Unlikely: Acid reflux can lead to cancer but it takes 20 to 30 years of persistent reflux before we can suspect that complication. Your problem is likely to be unrelated to acid reflux. But your doctor will provide you some answers. Ultrasound is not always reliable. So an Endoscopy is done as a preferred test to examine the esophagus from inside and check it out more reliably. ...Read more
Large hiatal hernia with moderate to severe gastroesophageal reflex disease with erythema and ulceration in the lower and mid third of the esophagus?
Take Precautions: With that kind of esophageal damage, your dr should have you on reflux medications. You should also have planned follow ups to be sure the treatment is working and the ulcerations are resolving. You should also discuss long term treatment options (medication, surgery). ...Read more
Symptoms: vomiting blood, 2 egds reveal hiatal hernia, severe inflammation of esophagus and duodenum. Weight loss of 15 lbs in 2 months. What's wrong?
I'm 23 and have a hiatal hernia. Doc found 8mm nodule in distal esophegus. How long do I have take acid reflux medicine? Its bad long term use?
Probably for a long: While, as you get older typically the reflux issues get worse. So maybe even lifetime. Long term side effects of proton pump inhibitors (assuming that is what you have been prescribed) are not well studied, and there are no major trials to support presence of long term side effects. But potential problems include achlorhydria - complete absence of stomach acid - which may not cause real sympto ...Read more
I had a vertical sleeve gastrectomy 16 months ago with hiatal hernia repair. 2 weeks ago I started having esophageal spasms. Should I be concerned?
I have a History (esophageal hiatal hernia 3 times). I now have a 11 mm diameter fat containing umbilical hernia (fr. A Cat-scan). Do I need surgery?
How can you tell the difference between hiatal hernia/gerd symptoms and esophageal cancer symptoms?
I had da vinci total hyster. 4/9. I have a severe hiatal hernia/severe gerd. Since surgery, attacks of several esophageal spasms/can't swallow saliva?
You need full history and exam and treatment.
Ultimately you may need thoracic surgeon, but start with gastro. ...Read more
Expering severe esophageal spasms, with vomit - parent was diag w/ hiatal hernia w/ identical symptoms, prescript. Antacids 2+ mo w/ no help- nxt?
Severe GERD, mod chronic inflamm @ GE junc. On max PPI, sucralfate, raised HOB, diet. Thick mucous, no h. hernia, no Barrett's. Alt tx, home rem?!?
I have heard: Aloe juice is helpful I've also heard it tastes awful. Sorry : ( ...Read more
I was diagnosed with chronic esophageal inflammation, stomach ulcer and hiatal hernia. Will that cause chest pain L side? Card. Said heart was fine
Can I up the dose of glucophage xr 500mg. I have pcos and morbidly obese. Need to lose 90pounds. Got no gallbladder, have hiatus hernia and barrets.?
F of unknown age, ethnicity needs to lose 90 Lbs Asks: can I increase the dose of Glucphagr XR 500? ANS: Only the Dr who prescribed it can tell you. However I can recommend Book on the DASH eating plan with calories set at 2, 000/d and wt will melt. Y best PT lost 70 lbs. But u can beat record. ISBN: 0-7434-1007-6
eISBN-13: 978-1-43914-059-8. Wt will stArt down tomorrow. Keep us posted. ...Read more
Can I resume normal activities, such as lifting (I have a strenuous work life) 3 1/2 to 4 weeks after hiatal hernia surgery’s (laproscopic)?
Give it more time:
One of the causes of early hiatal hernia repair failure is sudden increase in pressure inside the abdomen like coughing, vomiting, lifting heavy stuff etc
Body takes 6 weeks roughly to lay down the matrix needed for healing, tissue continues to heal for months afterwards but at 6 weeks after surgery it has reached 80% strength. Running jogging should be ok at this stage. ...Read more
Hole in diaphragm: The diaphragm is the muscle that separates the chest- from the abdominal cavity. Many structures have to go thru the diaphragm in order to enter into the abdominal cavity, including the esophagus, the aorta, and the vena cava. The hiatus is the hole in the diaphragm thru which the esophagus passes. This can enlarge, allowing the stomach to "yo-yo" up into the chest: this is called a hiatal hernia. ...Read more
C Gastroenterologist: If you are like most people, you are using "hiatal hernia" to mean gastroesophageal reflux disease (gerd). Proven rx include dietary changes, avoidance of caffeine, tobacco, and alcohol, wt loss, and acid-lowering meds. If your symptoms are bad at night, putting the head of the bed up on blocks helps, as does eating dinner early. If symptoms persist, it's best to see a GI dr (gastroenterologist). ...Read more
Hiatal hernia: Most commonly patients with hiatal hernias will experience symptoms of reflux such as heartburn and regurgitation if they have any symptoms at all. The vast majority of hiatal hernias encountered are small asymptomatic hernias that require no intervention. Only those hernias that are symptomatic should be treated. If surgery is required, it usually can be done laparoscopically. ...Read more
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 more
Yes, but it's rare: Hiatal hernia is more likely the older you get ; can exist without symptoms. Hiatal hernia can have symptoms associated with reflux--hearburn, chest pain, difficulty swallowing.Long history of reflux can result in changes in the esophagus leading to bleeding, scarring, or cancer.Rarely, hiatal hernia becomes paraesophageal hernia (part of stomach alongside esophagus in chest) ; is life threatening. ...Read more
Yes: There are a variety of types and sizes of hiatal hernia. Just because a person has one does not necessarily indicate a need for surgery. Medications and avoidance of eating late at night are some options, a gastroenterologist or your family doctor can help you determine if surgery is your best option, and refer you to a properly trained surgeon if indicated. ...Read more
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