Doctor insights on:
Hiatal Hernia Diet After Surgery
If I get hiatal hernia repair and also want gastric sleeve surgery... does insurance ever let you forego the 6 months of dr-supervised diet?
Refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more
Not normal.: C.difficile enterocolitis is a possibility. Often peri-operative antibiotics adversely affect the bacterial content of the colon resulting in an overgrowth of a bug called clostridium difficile. This causes inflammationc of the colon lining with resultant severe diarrhea. Stool culture is needed to make confirm the diagnosis. But if diagnostic tests are positive, vancomycin and/or Flagyl is used. ...Read moreSee 1 more doctor answer
Drs have done 4 endoscopies, I don't have hiatal hernia, if I don't take Nexium (esomeprazole) daily I feel horrible, I diet, what's wrong? Are there any surgerys to fix acid reflux?
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 moreSee 2 more doctor answers
Bloating: If you are having this done laparoscopically or robotically the incisional pain will improve quickly. Most patients having repair of a large hiatal hernia develop some bloating of their stomachs and some will have difficulty swallowing particularly with solids for several weeks. If you are having a fundoplication this is particularly likely. Once your surgeon allows solids chew well. ...Read more
Hiatal hernia: Hiatal hernias do not go away with time. They either stay the same in size or get larger. You only need surgery if you have gerd/ heartburn that isn't controlled with medication. Also, if you have barrett's esophagus, that is an indication for surgery as well since that is a precancerous condition. ...Read moreSee 1 more doctor answer
Not likely surgery: A sliding hiatal hernia is not unusual at all. In a young person like you it is somewhat unlikely to be the cause of pain. It depends also on how large the hiatal hernia is. Recommend you see a surgeon who is well familiar with this type of surgery to get a more definitive opinion. Ultimately try to not eat too close to goin to bed and chew your food well. ...Read moreSee 1 more doctor answer
I'm 24, I've I have hiatal hernia and GRED. Medications doesn't really help anymore. Some drs recommended surgery and other don't.Should I go surgey?
Depends: If symptoms, such as heartburn, are well controlled medically and your hernia has not enlarged, you may not need surgery. Watch for development of dysphagia (food getting stuck), worsening heartburn, difficulty catching you breath, or frank chest pain. These are signs that your hernia is enlarging or the associated reflux is worsening. Report these to your doctor who can order appropriate tests. ...Read more
Hiatal hernia: You may not like the idea but examination by a surgeon is very likely to result in a recommendation for surgical correction. If you don't follow through with this you are likely to get worse, not better. Sure, nobody likes surgery if not necessary but at the very least you should see a surgeon. ...Read more
2 main parts: Though individual variations occur, the usual objectives include appropriate reapproximation of the diaphragm defect and some form of gastropexy - usually complete fundoplasty or partial. If the defect is large or recurrent in nature, a mesh may be needed for repair. ...Read moreSee 1 more doctor answer
Diet changes: Hiatal hernia surgery usually includes a stomach wrap (fundoplication). After surgery I keep my patients on puréed foods to allow the stomach to heal. After two weeks transition to a normal balanced diet. Chew well! I start removing antacids around this time. With the wrap it is a trade off of too tight vs too loose. There is 5-10% chance of needing a second procedure to loosen or tighten it. ...Read moreSee 1 more doctor answer
Scope of practice:
I would check with the medical staff office
of the hospital I would like to go to, check which surgeons have haital hernia repair privileges, schedule an apointment with the doctor, complete the exam and be informed of the treatment recommendations.
Perhaps surgery is not the best treatment at this time. There are multiple surgical techniqes for hiatal hernia repairs. Most comon is a nissen fundo. ...Read more
Not much: Since these procedures can be accomplished concurrently and laparoscopically, postoperative restrictions should be minimal. You will probably be advised to avoid heavy lifting and strenuous exercise for about two weeks. Some but not all surgeons might recommend a liquid or pureed diet for a couple of weeks after hiatal hernia surgery. ...Read moreSee 1 more doctor answer
A hiatal hernia is an internal condition where the upper portion of the stomach pushes through a weakness in the diaphragm muscle, and pushes up into the chest cavity. There are 2 main types of these hiatal hernias. Diagnose by x-ray or endoscopy. Medications to treat heartburn symptoms or surgical repair of the hernia ...Read more
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