Doctor insights on:
Hiatal Hernia Treatment Without Surgery
27 y/o with hiatal hernia; was only prescribed ranitidine. What other treatments are there & will i ever need surgery? Discomfort continues. Thanks!
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
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
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?
What to if I am going to have surgery for hiatal hernia repair. What can I expect after the surgery?
Just had surgery for a.10x8 hematoma due to an earlier hiatal hernia what can I expect.Regarding pain and recovery time?
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
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
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
Yes: Due to a congenital deformity.Get a more detailed answer ›
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
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
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
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
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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