Doctor insights on:
Hiatal hernia: Hiatal hernia can be quite painful and you must see your doctor about this. Hiatal hernia should not cause chest pain and you must also bring this to your doctor. Don't wait too long to see your doctor. If he/she cannot fit you in soon please go to the Emergency Department. ...Read more
3 months post op. Nissen/laprascopic, robotic, hiatal hernia repair. Recently experiencing painful, debilitating gas& diarrhea. Is this normal?
Not from the surgery: It is very unlikely that these current symptoms are related to your surgery. By far the most common cause of diarrhea is viral infection (enteritis, or gastroenteritis if it involves nausea/vomiting). With any diarrhea, weight loss, dehydration (feeling like you're going to pass out when standing), or fever lasting > 1 day would be cause for concern. Otherwise these things tend to resolve. ...Read more
Subsequent to cholescystectomy severe pains described as bile reflux after endoscopy. Questran (cholestyramine) prescribed?
Cholecystectomy: Your post says you have diagnosis and also prescription. So what is your question? ...Read more
Not really.: Ibs causes abd distention, bloating, cramping, constipation and diarrhea like symptoms. Your symptoms sound typical of reflux disease. Avoid spicy food, chocolates, coffee, eat small meals, and take anti ulcer meds. Reflux symptoms could be from a hiatal hernia as well which is diagnosed by either an upper GI contrast study or egd. Follow up with a GI doc if symp not goinng away. ...Read more
Foregut operation: A hiatal hernia is when the natural opening in the diaphragm enlarges to allow the stomach to migrate into the chest. If a large part of the stomach is involved, it is a para esophageal hernia. Repairing this involves closing the hole to the right size & wrapping the lower esophagus with the top of the stomach (nissen). A tube is placed in the stomach (gastrostomy) rarely in adults. ...Read more
Maybe: First line therapy would be acid blocking medications such as h2 blockers or proton pump inhibitors. If those do not work surgery to correct the hernia may be needed. Given that you are young, i'd consider surgery sooner than later as we are just learning some of the long term issues with chronic anti acid medication. One example is increased osteoporosis due to decreased calcium absorption. ...Read moreSee 2 more doctor answers
Soreness: After laparoscopic gallbladder removal, lap hernia, or open hernia, there will be , of course, some temporary post op pain. This will be easily managed with ice, antiinflammatory meds, and pain meds. No dietary restriction after gallbladder out. Lifting restriction from 1-3 weeks, per your surgeon. After that, you'll have no activity restrictions, but some residual soreness. Good luck. ...Read moreSee 1 more doctor answer
Hiatal hernia or gastroesophageal reflux disease produce a feeling of lump in throat? other symptoms bloating, regurgitation. .especially afte meals.
There Aren't Many: There are the usual surgical complications like bleeding, infection, organ injury, etc., and risks of anesthesia like cardiac events and pneumonia. The major complication of the nissen itself would be the failure of the operation to continue controlling reflux in the long-term. This would be especially likely in morbidly obese people, who are better off having a rny gastric bypass for reflux. ...Read moreSee 1 more doctor answer
Excess burping, occasional chest pain, no heartburn. Gastroscopy show 1cm sliding hiatial hernia. Is Laryngopharyngeal reflux likely ? Or GERD ?
Depends: Hernias by themselves may be asymptomatic (produce no symptoms) or cause slight to severe pain, or just present as a bulge (especially at the groin). Some may get strangulated causing decrease in blood flow to that organ (usually bowel) and severe pain, nausea, vomiting, redness around skin may ensue. Nearly all hernias have this potential.Symptoms may also depend on the location of the hernia. ...Read moreSee 3 more doctor answers
Egd 2 yrs ago: small hiatal hernia. Nexium (esomeprazole) & Prilosec no help. More and worse symptoms now. Possible strangulation of hernia?
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. ...Read moreSee 2 more doctor answers
Varies: Don't be afraid to ask your surgeon. Most surgeons track their outcomes for at least a few years. If you go to a surgeon with good results and you do your part (eating right and keeping your weight in check) - you can expect durable relief with surgery. ...Read moreSee 2 more doctor answers
I have chronic excess throat clearing,excess burping,no heartburn. Gastroscopy showed sliding hiatus hernia, is Laryngopharyngeal reflux likely ?
LPR : Laryngopharygeal reflux is when a small amount of acid comes up into the throat and irritates it. It is a common cause of dry tickle cough, chronic sore throat, lump in the the throat , post nasal drip, phlegm in the throat, and throat clearing. Many studies show it responds best to proton pump inhibitor rx. It is possible you may have this. See an ENT for evaluation. ...Read more
Operative ...: complications include generic things such as infection and, if done laparoscopically, intra-abdominal visceral trocar injury and possible conversion to open procedure. Specific to the Nissen fundoplication itself are too tight of a fundoplication, unwrapping of the fundoplication, and gastric bloating from difficulty burping or vomiting afterward. ...Read more