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Suggest Treatment For Hiatal Hernia With IBS And Anxiety

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Posted on Tue, 20 May 2014
Question: I have a hiatal hernia ;sliding I think also IBS and anxiety .Taking Ativan .05bid. Having difficulty since lunch on Friday feeling like I cannot digest and having gas and belching . I think the hernia slid upward . I can move my bowels . Ni vomiting. Only taking liquids. I can feel the liquid as it goes down the esophagus at a certain point which makes me think it is the hiatal hernia. It is almost midnight . How can I get some relief
doctor
Answered by Dr. Abhijit Deshmukh (14 minutes later)
Brief Answer:
Hello

Detailed Answer:
Thank you for the query.
Do not worry.
Anxiety will worsen your problem.
Can take an antacid like omeprazole if you have (available over the counter) 20 mg once a day before breakfast.
Also can take a prokinetic like domperidone 10 mg thrice a day before meals (available over the counter).
Also some life style modification can make you feel better.
1) avoid sleeping 2 hours after meals.
2) can get the head end of your bed elevated by 4 inches to prevent reflux.
3) do not eat too much at a time
4) small frequent meals will help
5 )avoid painkillers if any

Need to see a psychiatrist as he may add anxiolytic which will help better symptom control.

Hope this answers your query.
Wish you a speedy recovery.
Happy to help.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Abhijit Deshmukh (16 minutes later)
Thank you. I am seeing a counselor and my primary wants to try Lexapro for anxiety. I will look for the drug domperidone otc. I have never heard of that
Drug. Can't use omeperzole; it makes me too dizzy and light headed.
Thank you for your help.
doctor
Answered by Dr. Abhijit Deshmukh (3 minutes later)
Brief Answer:
Hello

Detailed Answer:
Thank you for the query.
Should start Lexapro as advised by your primary.
Can try omeprazole after starting Lexapro.
Best wishes.
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Abhijit Deshmukh

Gastroenterologist

Practicing since :2001

Answered : 597 Questions

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Suggest Treatment For Hiatal Hernia With IBS And Anxiety

Brief Answer: Hello Detailed Answer: Thank you for the query. Do not worry. Anxiety will worsen your problem. Can take an antacid like omeprazole if you have (available over the counter) 20 mg once a day before breakfast. Also can take a prokinetic like domperidone 10 mg thrice a day before meals (available over the counter). Also some life style modification can make you feel better. 1) avoid sleeping 2 hours after meals. 2) can get the head end of your bed elevated by 4 inches to prevent reflux. 3) do not eat too much at a time 4) small frequent meals will help 5 )avoid painkillers if any Need to see a psychiatrist as he may add anxiolytic which will help better symptom control. Hope this answers your query. Wish you a speedy recovery. Happy to help.