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Doctor insights on: Hiatal Hernia Non Surgical Treatment

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Hiatal hernia treatments. Any non-surgical advice to ease this painful condition?

Hiatal hernia treatments. Any non-surgical advice to ease this painful condition?

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

Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more


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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?

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

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No acidity with hiatal hernia, but do have soa. Non-surgical suggestions?

No acidity with hiatal hernia, but do have soa. Non-surgical suggestions?

Antacids: I know you said you don't have acidity, but often a proton-pump inhibitor helps with the other symptoms of a hiatal hernia. Omeprazole (trade name prilosec) or other ppis are available over the counter; for something stronger, see your doctor. Good luck! ...Read more

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27 y/o with hiatal hernia; was only prescribed ranitidine. What other treatments are there & will I ever need surgery? Discomfort continues. Thanks!

27 y/o with hiatal hernia; was only prescribed ranitidine. What other treatments are there & will I ever need surgery? Discomfort continues. Thanks!

GErd: If the hiatal hernia has no symptoms than you need nothing. Less is more with meds and if Zantac (ranitidine) is going fine don't change. 7% of the population have hiatal hernias and a few need surgery if they are symptomatic beyond medical management. ...Read more

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Are there any non-surgical treatments for a bochdalek hernia?

Are there any non-surgical treatments for a bochdalek hernia?

No: A bochdalek hernia is a defect in the muscle of the diaphragm. It generally does not close on its own and requires surgical closure. Although the tissue that pokes through into the chest may spontaneously return to its place in the abdomen, the defect is still there. ...Read more

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Are there non steroidal and non surgical treatments for a l5-s1 disc hernia?

Are there non steroidal and non surgical treatments for a l5-s1 disc hernia?

Therapy: You can try Ibuprofen over the counter and physical therapy as a first line treatment of a herniated disk without surgery.
If you fail therapy and your pain persists, you may need surgery.
Try to do physical therapy first. Williams and mckenzie exercises help quite a bit. ...Read more

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I want to know what's the treatment for hiatal hernia's?

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

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Suggestions on pharm treatment for soa secondary to hiatal hernia?

Several: Reduce reflux: elevate head of bed.
Small meals and not late into evening before sleep.
No smoking
control weight
then antacids, blockers etc. ...Read more

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Sliding hiatal hernia treatment - why am I still having chest pain?

Sliding hiatal hernia treatment - why am I still having chest pain?

Not sure about ur Q: I am not clear on what u r asking. Did have surgery? If so, some chest pain is expected in first few wks. There are other possibilities, however and u need to call ur surgeon. ...Read more

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What is the treatment for a hiatal hernia with chronic vomiting?

What is the treatment for a hiatal hernia with chronic vomiting?

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

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Endo result-mild gastritis, small hiatal hernia (wat is it, how does it happen, treatment?). Says wait for pathology report 2 weeks (4 infection)?

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

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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

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Hi...What treatment should I take for hiatal hernia? And how can I avoid stomach pain?

Hi...What treatment should I take for hiatal hernia? And how can I avoid stomach pain?

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

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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?

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

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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?

GERD: I think that gastro-esophageal reflux (gerd) has to be ruled out. High reflux of acid from the stomach now called laryngeal-pharyngeal reflux (lpr) can be associated with a hiatal hernia and frequent sore throats. See GI specialist. ...Read more

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Is hiatal hernia surgery very safe?

Is hiatal hernia surgery very safe?

Yes: Just make sure you pick an experienced surgeon and do not skip the routine preop evaluations. When the right surgery is done for the right indication, good to excellent outcome is expected for this routine procedure. ...Read more

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Is hiatal hernia surgery pretty safe?

Is hiatal hernia surgery pretty safe?

Yes: This surgery has been done for a long time and it is safe and effective. Make sure it is done by a surgeon that frequently does this. ...Read more

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Is hiatal hernia surgery very painful?

Is hiatal hernia surgery very painful?

Not so much: Now a days this can be done with minimally invasive techniques like laparoscopy and the davinci robot. Still some pain, b it not umbearable. Www. Drlugo. Com. ...Read more

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What is involved in hiatal hernia surgery?

What is involved in hiatal hernia surgery?

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

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What should I expect after hiatal hernia surgery?

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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What should I expect after hiatal hernia surgery?

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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What is the recovery like for hiatal hernia surgery?

What is the recovery like for hiatal hernia surgery?

Week: If done laparoscopically or robotic as I do, you should be back to work in about a week. About 2-3 weeks to feel you can eat all foods. As I tell my patients, most maor surgery like this will put a toll in your lifestyle for about 4 weeks. ...Read more

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Could having surgery for my hiatal hernia also help my gerd?

Yes: Often, reducing the hiatal hernia out of the chest into the abdomen and adding a fundoplication (wrapping part of stomach around bottom of esophagus) will help reduce gerd. ...Read more

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How do you know if your hiatal hernia surgery has come undone?

How do you know if your hiatal hernia surgery has come undone?

Symptoms and tests: Most people will have recurrence of their symptoms. This is followed by UGI (barium swallow x-ray) and or egd. ...Read more

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Anyone done laparoscopic anti-reflux surgery for hiatal hernia?

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

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Why has my doctor never suggested surgery for my hiatal hernia?

Why has my doctor never suggested surgery for my hiatal hernia?

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

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What is the definition or description of: hiatal hernia surgery?

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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What is success of laparoscopic anti-reflux surgery for hiatal hernia?

What is success of laparoscopic anti-reflux surgery for hiatal hernia?

Varies: Don't be afraid to ask your surgeon. Most surgeons track their outcomes for at least a few years. If you go to a surgeon with good results and you do your part (eating right and keeping your weight in check) - you can expect durable relief with surgery. ...Read more

Dr. David Earle
1,451 Doctors shared insights

Hernia (Definition)

The ascendence of the gastroesophageal junction into the chest above the diaphragm through the ...Read more