Doctor insights on:
Hiatal Hernia Non Surgical Treatment
Acid reflux: Stomach acid refluxing back into esophagus is painful. So avoiding acid stimulation and overfilling your stomach will help. Alcohol, and tobacco drive acid production. Also avoid large fatty meals, carbonated beverages, and lying down after eating (stay upright for 2 hours). Check in with your doc to consider anti acid medication and referral for scoping/egd. Tums, (calcium carbonate) over the counter, work well. ...Read more
I have a hiatal hernia and GERD my hernia has been recently bothering me a lot wondering if there's anything non surgical I can try?
Yes: Common lifestyle changes include losing weight, stoping smoking, avoiding foods and activities that seem to cause your symptoms. Medications can be quite helpful. After lifestyle changes and medications you should consider correction of the problem. Options may include laparoscopic fundoplication (nissen for example) and transoral fundoplicaton (corrects reflux without any incisons). ...Read more
27 y/o with hiatal hernia; was only prescribed ranitidine. What other treatments are there & will I ever need surgery? Discomfort continues. Thanks!
Depends: On the size ; type of hiatal hernia. Most commonly medications are used to decrease acid in the stomach, avoid eating late at night or several hours before lsyonyg down. Sometimes surgical repair is indicated for some types of hiatal hernia. Newer non-invasive procedures are being developed. ...Read more
Surgical repair: Significant regurgitation or frank vomiting due to a hiatal hernia usually does not respond well to acid reducing drugs or other medications. These kinds of symptoms typically require surgical correction of the hiatal hernia. Your doctor should run tests to make sure that your esophagus functions adequately and that your stomach empties appropriately before proceeding with surgery. ...Read more
Diagnose hiatal hernia and GORD, with treatment, will I and how long will it take to develop Barrets oesophagus?
Unpredictable: You may have it now. You may get it in one or twenty years. You will probably never get it ...Read more
Endo result-mild gastritis, small hiatal hernia (wat is it, how does it happen, treatment?). Says wait for pathology report 2 weeks (4 infection)?
Inflammation&Hernia: Mild Gatritis means there is mild inflammation in the stomach. It is easy to treat with acid suppression therapy like Prilosec or ranitidine and as acid is reduced it will get better. Stomach is in the adominal cavity normally separated from the chest cavity by diaphragm. When part of somach protrudes through the diaphram into chest cavity, it is called Hiatus Hernia.Wait for Pathology&H pylori report ...Read more
Best treatment plan for gastroparisis, barretts, nighttime gasbloat and hiatal hernia, IBS? I see a GI, just for looking options as im newly diagnosed.
See below: Complex but not rare constellation of problems. Barrett esophagus most important - severe esophageal damage due to reflux. If no dysplasia on biopsies can be treated by hernia repair and fundoplication. Repeat surveillance endoscopy may be advised first. Gastroparesis concerning but fundo. Can sometimes improve gastric emptying. By lbs do you mean morbid obesity? Running out of space. ...Read more
Depends on symptoms:
Many hiatal hernias require no treatment at all. Often the hiatal hernia is associated with gastresophogeal reflux disease (gerd). Symptoms of gerd can be treated with over the counter antacids. If these fail, there are prescription strength acid blockers available.
If these are ineffective you should see a gastroenerologist. Less than 5% of gerd related problems require surgical correction. ...Read more
Results of CT abd/pelvis, 2 fatty inguinal hernias, fatty umbilical hernia and hiatal hernia. What are these & what is treatment and risks of treatmen?
Surgery if pain:
If the inguinal (groin) hernias and umbilical hernia are causing you discomfort, they should be fixed. A hernia is a bulge of tissue through a defect.
A hiatal hernia is where part of the stomach goes up past the diaphragm into the lower chest. There are different types. A surgeon would have to evaluate this to see if surgery is needed. He or she may also do an endoscopy (egd). ...Read more
I have chronic phlegm. I have also hiatal hernia and frecuente sore throat. What condition do you think I have? And what woul be the best treatment?
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
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 more
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
Diaphragm repair: Hiatal hernia is a stretched out opening in the diaphragm through which the esophagus passes. Since the chest acts like a vacuum (how we breathe), the larger hole allows the stomach, and sometimes other organs to be "sucked" up into the chest. Surgery to repair this is usually done laparoscopically, and involves closing the hole to the right size with sutures. Mesh use is controversial. ...Read more
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