Doctor insights on:
Reflux Disease Hiatal Hernia
GERD defined: Gastroesophageal reflux disease (gerd) involves movement of stomach contents back into your esophagus. Gerd can be "silent" in a substantial # of patients, manifesting with ear/nose/throat & lung problems without heartburn. Heartburn is the common presentation of burning discomfort in your chest with exposure of the esophagus to stomach contents. See earlier healthtap answers for gerd prevention. ...Read more
Acid reflux is defined as the presence of acidic gastric contents in the esophagus causing irritation. It's cause is blamed on the a lax gastroesophageal shpincter that permits usch regurgitation. Vesicoureteral reflux is regurgitation (backing up) of urine in the bladder into the ureter ...Read more
Many Possibilities: If this is chronic and not a new problem may need to consider your diet such as things like coffee, smoking, spicy foods, and alcohol intake. Also there can be a chronic infection of the stomach that can cause this called h. Pylori which can be tested for by blood and stool tests. This is treatable with antibiotics. Also try otc meds like Zantac (ranitidine) and Prilosec with maalox. Try changing diet as well. ...Read moreSee 1 more doctor answer
No. : GERD is acid coming up in the esophagus which can cause irritation to the cells that line the esophagus. Rarely, those cells can change appearance to what is called "Barrett's esophagus". These changes in the cells may have potential to become cancerous. Barrett's is rare and it takes years to develop. ...Read more
I have chronic excess throat clearing,excess burping,no heartburn. Gastroscopy showed sliding hiatus hernia, is Laryngopharyngeal reflux likely ?
LPR : Laryngopharygeal reflux is when a small amount of acid comes up into the throat and irritates it. It is a common cause of dry tickle cough, chronic sore throat, lump in the the throat , post nasal drip, phlegm in the throat, and throat clearing. Many studies show it responds best to proton pump inhibitor rx. It is possible you may have this. See an ENT for evaluation. ...Read more
Crohns disease, gastroesophageal reflux disease, barrett's esophagus, esophagitis. 2010 had a fundoplication. Why isn't it working anymore?
Excess burping, occasional chest pain, no heartburn. Gastroscopy show 1cm sliding hiatial hernia. Is Laryngopharyngeal reflux likely ? Or GERD ?
Stretched diaphragm : There is normally a hole in the diaphragm through which passes the esophagus. The diaphragm separates the abdominal and chest cavities, and the chest cavity is like a vacuum. When the normal opening stretches out and becomes large enough, the stomach gets "sucked" into the chest slowly. Why some get this and others don't is largely a mystery. ...Read more
Possibilities: With the symptoms you've described, appendicitis is unlikely. More likely are a hiatal hernia or an ulcer. Avoid alcohol, spicy foods, and stay upgright (don't lay flat) 2 hours after eating. You can also try some over the counter antacids. If your symptoms persist you should see your doctor as an upper endoscopy might be informative. ...Read more
Yes: Esophagitis is damage to the lining of the esophagus caused by stomach acid coming up past a failing valve at the top of the stomach, called gerd. Acid medicines can reduce the pain and much of the damage to the esophagus, but they do not stop the stomach fluid from coming up. Gerd is often associated with hiatal hernias and this can be repaired with anti-reflux surgery. ...Read more
Hiatal hernia or gastroesophageal reflux disease produce a feeling of lump in throat? other symptoms bloating, regurgitation. .especially afte meals.
Hiatal hernia: You have a hiatal hernia. This is a very treatable abnormality. Your doctor will treat your symptoms and follow with you. If you are feeling well with medications then he/she will follow. As you age you may require more intervention. You may need a diagnostic study. You will need to manage your weight and to exercise. Watch what you eat. Be well. ...Read moreSee 2 more doctor answers
Weight loss, elevate: Keeping the intra-abdominal pressures low is the key to keeping food/acid from refluxing into your esophagus. If you keep your head about 30 degrees (using cinder blocks under the bed posts is an inexpensive way to do this) of the parallel, most reflux is prevented. Weight loss also reduces abdominal pressure and keeps the food where it should be. Good luck! ...Read moreSee 1 more doctor answer
Unclear : Many people with large hiatal hernias have no reflux, and many with reflux have no hiatal hernia. Reflux is probably mostly a functional problem related to excessive random openings of the valve between the stomach and esophagus called transient lower esophageal sphincter relaxations. Hope this helps! ...Read moreSee 1 more doctor answer
Nope.: The hiatus is the hole in the diaphragm thru which the esophagus passes to enter into the abdominal cavity; a hiatal hernia is an enlargement of this hole. It cannot be seen nor touched on physical examination. In contrast, a ventral hernia may cause the abdomen to protrude, as can a separation of the rectus muscles very common in men who are "round"in the midsection: this is called diastasis. ...Read moreSee 1 more doctor answer
Sure...: Lung disease adds risk to any surgery performed under sedation. Check with your pulmonologist to see if it is safe for you to proceed at this time. ...Read more
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