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Doctor insights on: Hiatal Hernia Diet After Surgery

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Dr. Vahe Yetimyan
Board Certified, General Practice
46 years in practice
2M people helped
1

1
Is it normal to have daily diarrhea after hiatal hernia surgery and on a pureed diet?

Dr. Vahe Yetimyan
Board Certified, General Practice
46 years in practice
2M people helped
Is it normal to have daily diarrhea after hiatal hernia surgery and on a pureed diet?

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 more

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Dr. Warren Strudwick
Board Certified
25 years in practice
361K people helped
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Dr. Warren Strudwick
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25 years in practice
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Dr. David Earle
454 doctors shared insights

Hiatal Hernia (Definition)

Hiatal hernia is a medical condition in which the stomach protrudes up into the chest through an opening in the diaphragm, which is the muscle lining the bottom of your lungs that control your breathing. Symptoms include heartburn, chest pain, ...Read more


Dr. Visalakshi Vallury
Board Certified, Family Medicine
19 years in practice
2M people helped
2

2
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?

Dr. Visalakshi Vallury
Board Certified, Family Medicine
19 years in practice
2M people helped
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?

No: Gastric surgery is only considered if doctor supervised weight loss plans have not been effective. ...Read more

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Dr. Warren Strudwick
Board Certified
25 years in practice
361K people helped
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Dr. Warren Strudwick
Board Certified
25 years in practice
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Dr. Ly Phan
Board Certified, General Surgery
17 years in practice
426K people helped
3

3
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?

Dr. Ly Phan
Board Certified, General Surgery
17 years in practice
426K people helped
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?

Most definitely : Your condition if confirm as acid reflux can be treated with anti reflux procedure (nissen fundoplication) or less invasive and less effective procedure esophyx. Talk to your doctor. ...Read more

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Dr. Samir Gupta
Board Certified, General Surgery
24 years in practice
62K people helped
4

4
I'm having surgery for a hiatal hernia next wk. What should I expect after the operation?

Dr. Samir Gupta
Board Certified, General Surgery
24 years in practice
62K people helped
I'm having surgery for a hiatal hernia next wk. What should I expect after the operation?

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

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Dr. Warren Strudwick
Board Certified
25 years in practice
361K people helped
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Dr. David Earle
Board Certified, General Surgery
26 years in practice
7M people helped
5

5
How long should I wait to begin working out after hiatal hernia repair surgery? I feel great but don't want to risk messing anything up!

Dr. David Earle
Board Certified, General Surgery
26 years in practice
7M people helped

Variable: You can think of you trunk as a steel drum. The sides are string, and the top and bottom are weaker. Hiatal hernia repair involves the top of the drum - the diaphragm. We generally believe that the scar tissue that forms around the sutures is helpful. We also know that scar tissue reaches about 90% of its ultimate strength by about six weeks. For this reason, i usually tell hiatal hernia repair patients to avoid heavy straining for six weeks and then start easing back into it. ...Read more

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Dr. Troy Reyna
Board Certified, Pediatric Surgery
39 years in practice
3M people helped
6

6
What to if I am going to have surgery for hiatal hernia repair. What can I expect after the surgery?

Dr. Troy Reyna
Board Certified, Pediatric Surgery
39 years in practice
3M people helped
What to if I am going to have surgery for hiatal hernia repair. What can I expect after the surgery?

Eat slow: You can expect improvement of your reflux symptoms. You may have some swallowing issues for the first 1-2 weeks so chew food carefully. Some patients stick to a soft diet during the immediate post operative period. ...Read more

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Dr. Prashant Sinha
Board Certified, General Surgery
14 years in practice
122K people helped
7

7
What should I expect after hiatal hernia surgery?

Dr. Prashant Sinha
Board Certified, General Surgery
14 years in practice
122K people helped
What should I expect after hiatal hernia surgery?

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 more

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Dr. Troy Reyna
Board Certified, Pediatric Surgery
39 years in practice
3M people helped
8

8
What should I expect after hiatal hernia surgery?

Dr. Troy Reyna
Board Certified, Pediatric Surgery
39 years in practice
3M people helped
What should I expect after hiatal hernia surgery?

Eat slow: You can expect improvement of your reflux symptoms. You may have some swallowing issues for the first 1-2 weeks so chew food carefully. Some patients stick to a soft diet during the immediate post operative period. ...Read more

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Dr. Barry Rosen
Board Certified, General Surgery
29 years in practice
24M people helped
9

9
I had a hiatal hernia that was repaired laparoscopically in oct. 2009. For the first 2 years after the surgery, i felt great. Now for about 9 months, I have noticed pain in my chest area on both sides. At first i was checked for heart trouble, but thankfu

Dr. Barry Rosen
Board Certified, General Surgery
29 years in practice
24M people helped
I had a hiatal hernia that was repaired laparoscopically in oct. 2009. For the first 2 years after the surgery, i felt great. Now for about 9 months, I have noticed pain in my chest area on both sides. At first i was checked for heart trouble, but thankfu

U Need Upper GI: By the sound of your symptoms, it's possible that the hiatal hernia has returned. I advise you to return to your surgeon. They will order an upper GI to look more carefully at your "wrap" and see where your stomach is in relation to your diaphragm. I hope it's a false alarm but, worst case scenario, it's fixable. Good luck. ...Read more

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Dr. Lyall Gorenstein
Board Certified, Thoracic Surgery
33 years in practice
93K people helped
10

10
Scope showed sm sliding hiatal hernia. Symps persist after 6-8 months Nexium & domperidone. Do i need surgery? Worst-pain mid&rt upper ab, fullness alwa

Dr. Lyall Gorenstein
Board Certified, Thoracic Surgery
33 years in practice
93K people helped
Scope showed sm sliding hiatal hernia. Symps persist after 6-8 months Nexium & domperidone. Do i need surgery? Worst-pain mid&rt upper ab, fullness alwa

Perhaps: You need further work up, with a ph study to prove if you have signifigant reflux. Not all patients with hiatal hernias need surgery. If you do have reflux, with a hernia, and persistant symptoms despite medical therapy, and risk modification, than surgery would be adviseable. ...Read more

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Dr. Warren Strudwick
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