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Doctor insights on: Hiatal Hernia Treatment Without Surgery

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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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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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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!

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

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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?

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: do you have other risk factors for an operation? Diabetes, obesity, Smoking? Treat any of those first! Hiatal hernia and GERD do go together! Surgery is good but not 100%. You are young to have thus much trouble? ...Read more

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Please explain who performs hiatal hernia repair surgery?

General surgeon : A general surgeon does hiatal hernia repairs - these are also mostly now done laparoscopically ( through 5 small incisions ). A general surgeon who specializes in laparoscopic performs the surgery. ...Read more

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

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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Just had surgery for a.10x8 hematoma due to an earlier hiatal hernia what can I expect.Regarding pain and recovery time?

Just had surgery for a.10x8 hematoma due to an earlier hiatal hernia what can I expect.Regarding pain and recovery time?

Worse: This is your second surgery in the same area so it may be a more painful and longer recovery than the original surgery. ...Read more

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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

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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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10 yrs ago I had paraesophageal hernia surgery, was told couldn't have it again due to the weak area. I now have a hiatal hernia. what are my options.

10 yrs ago I had paraesophageal hernia surgery, was told couldn't have it again due to the weak area. I now have a hiatal hernia. what are my options.

Trained MIS surgeon: Surgical repair of hiatal hernias is evolving, using minimally invasive surgery (MIS), such as laparoscopic or robotic repair. Use of mesh to strengthen the repair, particularly in redo hiatal surgery is likely to be the repair recommended. Make sure you go to an experienced MIS surgeon. ...Read more

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I have sliding hiatal hernia and sometimes have pain there should I have to get surgery for it ?

I have sliding hiatal hernia and sometimes have pain there should I have to get surgery for it ?

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

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

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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Diagonzied with Hiatal Hernia ( 3cm) Grade A with reflux. Do not want to go for surgery.

Diagonzied with Hiatal Hernia ( 3cm) Grade A with reflux. Do not want to go for surgery.

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

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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?

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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Dr. David Earle
1,424 doctors shared insights

Hernia (Definition)

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