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Hiatal hernia, breath shortness, coughing - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3388 Questions
User :   I have just been diagnosed with Hiatal Hernia. I've been having a lot of problems with shortness of breath and coughing. I had a cat scan today and will have the results next week. Can i get rid of this thing? I'm used to being very active and now if i walk 4 blocks i am exhausted.

User :   ?
Doctor :   hello
User :   Hi
Doctor :   i am
Doctor :   give me just a min please
User :   AAAAAAA
Doctor :   i am reading your query
Doctor :   may i know your age and gender please ?
User :   my physical age is almost 67 - however i never admit to being over 39. Margaret? I'm a girl
Doctor :   i can understand
Doctor :   ok now lets get back to your issue
Doctor :   and i will be glad to help you with all your questions
User :   this shortness of breath - if i walk anywhere i am exhausted
User :   the subway exit is just 4 blocks from where i work. but if i walk i am so tired and my hair is wringing wet
Doctor :   do you smoke or consume alcohol ?
User :   i do not smoke. i do have an occasional drink
Doctor :   ok now what i want you to do is follow some changes in your life that will help you get rid of the problem
Doctor :   1) eat several small meals instead of two or three large meals.
User :   the only health issue i have is ADD
User :   well, i don't really eat meals
Doctor :   2) After you eat, wait 2 to 3 hours before you lie down.Also avoid Late-night snacks
Doctor :   and yes please DONT skip meals
User :   i forget to eat all day then i'm too tired to fix something when i go home
Doctor :   its very important
Doctor :   and you know that
User :   i live in a studio. there is no where to sit if i don't lie down
Doctor :   ok now do the following
User :   my abdoman is all swollen too
Doctor :   Apply gentle massage to the uppermost portion of your abdominal cavity. To do this, use your fingers to find the point at which your breast bone (sternum) ends, right where the bottom rib on each side of your chest cavity comes up to meet the breast bone.
Doctor :   Place your fingers just below this point, apply downward pressure, and move slowly towards your belly button. You don't need to travel all the way to your belly button; a few inches below the starting point is adequate.
Doctor :   Repeat this simple massage technique several times while you are lying down and physically and emotionally relaxed. You can follow this routine as often as you like until you experience improvement in your symptoms
Doctor :   morning and evening
Doctor :   i will recommend you to do it twice day
Doctor :   did you follow ?
Doctor :   Because the tone and overall health of your digestive tract is very closely connected with your stress levels via your autonomic nervous system, one of the most important treatment considerations for a hiatal hernia is physical and emotional relaxation work.
User :   i'll try it
Doctor :   and that is the key
Doctor :   no skipping meals you need to take care of your self
User :   i need to be perky again
User :   it's so hard
Doctor :   its in your mind trust me ... be positive
User :   i work about 12 hours a day then i'm on call 24/7
Doctor :   Also wear loose, comfortable clothing around your torso.
Doctor :   you need to give your body some rest
User :   i'm the only engineer they have so i have to wake up at odd hours
Doctor :   Avoid or limit caffeine intake.
User :   well, remember i take adderol
User :   drink a lot of diet cokes
Doctor :   make sure you take decaffeinated
User :   i've cut back on my hours - for years i worked 90 hours a week
User :   but if i drink diet cokes i don't have to take as much adderol
Doctor :   you need to respect your body now.. i can understand your situation but its better to work in moderation than making your body get burned out
Doctor :   and then not being able to work at all
User :   i can't even imagine not working
Doctor :   Avoid foods that trigger heartburn, such as chocolate, onions, spicy foods, citrus fruits and tomato-based foods.
User :   what do people do if they don't work?
User :   it's my only hobby
Doctor :   Sit up after you eat, rather than taking a nap or lying down
User :   it's so uncomfortable sitting up
User :   sharp pains in my mid back
Doctor :   i know but you NEED to make these changes in your life
User :   did i mention the elevator is out in my building
User :   i'm on the sixth floor
Doctor :   oh
User :   beautiful old brownstone
Doctor :   well with your condition i recommend you to please go slow in your life.
User :   elevator was installed in 1915
Doctor :   i hope you understand my point of view
Doctor :   i want to make sure you are better
User :   i just don't want people to think of me as an old woman
Doctor :   well all you need is a young heart and that i can make out you have

User :   i'm not ready to be an old woman yet
User :   there are too many things left to do - so many people to annoy
Doctor :   so you need to slow thing a little and enjoy
User :   i've had 30 years of ballet training
Doctor :   its a part of the treatment
User :   want to go back to ballet class but i'm so tired all the time
Doctor :   that's nice
User :   why is my abdoman so swollen
Doctor :   ok why dont you do one thing on my saying
User :   k
Doctor :   follow what i have told you for just 30 days .. ok .. and then you can do you thing
User :   k
Doctor :   so we have a deal right ?
User :   k
Doctor :   i really want you to be in good health
Doctor :   you are full of life
User :   i'll stop at the restaurant on the way home and start eating meals
Doctor :   thats great
User :   that worked until they stopped making home made french fries and started using horrible pre-made frozen crap
User :   well, i'm not supposed to eat carbs anyway
Doctor :   i get you
Doctor :   but hey we got to adjust a little bit
User :   in NYC diners don't really have vegetables
Doctor :   and i have your word right ?
User :   ok
User :   except for diet cokes
User :   i live on diet cokes
User :   could switch to red bull again
Doctor :   can you try decaffeinated
Doctor :   i want to cut the caffeine
Doctor :   just try please
Doctor :   30 days
User :   ok
User :   unless there's another crisis at work
User :   i'm all they have
Doctor :   i am not asking to much from a 39 year old am i ?
User :   2000 people and i'm the only engineer
User :   have to be ready to fix anything
Doctor :   you are a responsible person i agree and you FIRST NEED TO FIX YOUR BODY
User :   yep - me and XXXXXXXX AAAAAAA
Doctor :   cant miss that right ?
User :   nope
Doctor :   great
Doctor :   it was a pleasure talking to you
Doctor :   and i hope you will do you part
User :   bye and hve a great life
Doctor :   your **
Doctor :   you too
User :   i will start massage tonight
Doctor :   and do keep us posted
User :   k
Doctor :   take care of yourself
Doctor :   Bye
User :   bye
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