Doctor insights on:
Gerd With Hiatal Hernia
Hernia: Not sure what the question is, but the only way to fix a hernia is with an operation. You would like to avoid this if possible, but may need to operate for unrelenting, severe pain or problems with the intestines related to the hernia. See a gernal surgeon, your ob, and sages.Org guidelines for laparoscopic surgery during pregnancy for more info. ...Read more
Anti-acid therapy: Sounds like you need some antacid therapy to start. This should help both the gerd symptoms and the gastritis. Make sure to ask if you have H. Pylori infection as a cause of the gastritis. This needs to be treated with antibiotics as well. Forget about the hiatal hernia unless it becomes very large. Hope this helps! ...Read more
Hiatal hernia: You have a hiatal hernia. This is a very treatable abnormality. Your doctor will treat your symptoms and follow with you. If you are feeling well with medications then he/she will follow. As you age you may require more intervention. You may need a diagnostic study. You will need to manage your weight and to exercise. Watch what you eat. Be well. ...Read moreSee 2 more doctor answers
Did bari swallow,sm hiat hernia. Have GERD &gastritis. Can hernia give persistent chest pain, daily, cleared cardio,gallb, made dietary changes, meds?
Unlikely: Hiatal hernias do not usually cause symptoms. In some cases, though, hiatal hernias cause stomach acid to leak into the esophagus. This is called acid reflux or gastroesophageal reflux, and it can cause symptoms, including: ?burning in the chest, known as heartburn ?burning in the throat or an acid taste in the throat ?stomach or chest pain ?trouble swallowing ?a raspy voice or a sore throat. ...Read moreSee 1 more doctor answer
It happens: Large hiatal hernias known as paraesophageal hernias can cause ulcers due to the stomach twisting back and forth. These are known as cameron's erosions, and are not uncommonly the cause of anemia that has no other known cause. I see 1-2 patients per year with multiple tests over 1-2 years, only to finally have their hiatal hernia repaired and their anemia resolved. ...Read moreSee 3 more doctor answers
Unclear : Many people with large hiatal hernias have no reflux, and many with reflux have no hiatal hernia. Reflux is probably mostly a functional problem related to excessive random openings of the valve between the stomach and esophagus called transient lower esophageal sphincter relaxations. Hope this helps! ...Read moreSee 1 more doctor answer
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
Yes: Esophagitis is damage to the lining of the esophagus caused by stomach acid coming up past a failing valve at the top of the stomach, called gerd. Acid medicines can reduce the pain and much of the damage to the esophagus, but they do not stop the stomach fluid from coming up. Gerd is often associated with hiatal hernias and this can be repaired with anti-reflux surgery. ...Read more
Risk with new device: Surgery, inherently has risk. The risk/benefit analysis where you compare your risk without surgery to the risk of your procedure/surgeon combination is how you decide if you want to proceed with surgery. The linx device has an excellent profile. Stay in contact with your surgeon and report any new symptoms. Be well. ...Read more
Hiatal hernia or gastroesophageal reflux disease produce a feeling of lump in throat? other symptoms bloating, regurgitation. .especially afte meals.
Excess burping, occasional chest pain, no heartburn. Gastroscopy show 1cm sliding hiatial hernia. Is Laryngopharyngeal reflux likely ? Or GERD ?
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
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 3 more doctor answers
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