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 more
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 more
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 more
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 more
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 more
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
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 more
Just had surgery for a.10x8 hematoma due to an earlier hiatal hernia what can I expect. Regarding pain and recovery time?
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!
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
Have a lap band at time of surgery a hiatal hernia was repaired now hernia is back can it be repaired again without damaging the lap band?
Yes: Repairing the hole at the place the esophagus comes through the diaphragm should be possible withe the band in place. I'd suggest seeking a surgeon with davinci robotic capability. It's minimally invasive and will allow good view of the region in 3d view. ...Read more
Is it possible to have both my Umbilical Hernia & Hiatal Hernia repaired during 1 surgery? Would prefer not to habe 2 surgeries if possible
Depends: This would depend upon coordination of the surgeons, but not impossible! ...Read more
One week post bariatric sleeve, my hiatal hernia not corrected in surgery. I didn't have pain, now 8 -9 scale it's severe. Is this normal recovery?
No: This is not normal. You should see your doctor as soon as possible. Hope this helps! ...Read more
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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