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What Does This Endoscopy Result Indicate?

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Posted on Mon, 31 Aug 2015
Question: I am diagnosed for small sliding hiatus hernia and doctor suggested Rekool 20mg before dinner for a month. Can this problem can be treated without surgery?
Following is the report of Endoscopy:
Esophagus: Normal mucosa dn peristalsis. Squamocolumnar junction (SC) and hiatur at 36 & 40 cms. NO ulcers, varices , growth of food residue.
Stomach: Normal cardia, fundus, body and antrum. Pylrus normal. No ulcers, varices growth or food residue.
Duodenum: Normal first part, 2nd part and ampulla. No ulcers, erosions scars or psudodiverticula.
Impression: Small sliding hiatus hernia. Normal upper GI videoendoscopy.
doctor
Answered by Dr. Prasanna Heijebu (3 hours later)
Brief Answer:
As of now,you may not need surgery.

Detailed Answer:
Hi Sir,

I understand your concern.

Medically Sliding hernia cant be treated,but the need for surgery can be delayed or postponed with medication.

As of now you may not need any surgery in your case as it is small sliding hernia.

Your symptoms can be controlled with medication.

So continue with your present medication.

Post your further queries if any,

Thank you.
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Prasanna Heijebu (17 hours later)
Hello Doctor,
Thanks for the reply.

My concern is that if this can be completely treated with medication.

Thanks.
doctor
Answered by Dr. Prasanna Heijebu (11 hours later)
Brief Answer:
You are Welcome.

Detailed Answer:
Hi Sir,

Symptoms can be relieved with medication but not the hernia per se.

If you take medication and maintain strict diet control,the progression of hernia may be delayed.

Also quit smoking and alcohol if any.

If symptoms doesn't subside with medication surgery is advisable.

So maintain healthy diet which will decrease the progression of hernia.

Post your further queries if any,

Thank you
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Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
Dr.
Dr. Prasanna Heijebu

General & Family Physician

Practicing since :2010

Answered : 1422 Questions

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What Does This Endoscopy Result Indicate?

Brief Answer: As of now,you may not need surgery. Detailed Answer: Hi Sir, I understand your concern. Medically Sliding hernia cant be treated,but the need for surgery can be delayed or postponed with medication. As of now you may not need any surgery in your case as it is small sliding hernia. Your symptoms can be controlled with medication. So continue with your present medication. Post your further queries if any, Thank you.